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Table 4 Distribution of Penicillin G-, Erythromycin-, Cotrimoxazole-, Tetracycline-, Chloramphenicol- Ceftriaxone– non susceptible (I + R) strains among adult and elderly patients during pre- and post-vaccination periods

From: Serotype distribution and antimicrobial susceptibility of invasive Streptococcus pneumoniae isolates among adult and elderly population before and after introduction of pneumococcal conjugate vaccine in Casablanca, Morocco

Antibiotic

Adult (15–59 years old)

 Elderly (≥ 60 years old)

Pre-vaccine period 2007–2010a

Post-vaccine period (2011–2019)

p-value

Pre-vaccine period

Post-vaccine period (2011–2019)b

p-value

2007–2010 (N  =  71)

Early post period:2011–2014 (N  =  57)

Mature post period: 2015–2019 (N  =  69)

(2011–2014)

(2015–2019)

2007–2010 (N  =  15)

Early post-vaccine period: 2011–2014 (N  =  26)

Mature post-vaccine period: 2015–2019 (N  =  12)

(2011–2014)

(2015–2019)

Penicillin G n (%)

17 (23.94)

5 (8.77)

11 (15.94)

0.02

0.23

2 (13.33)

2 (7.69)

2 (16.66)

0.61

0.81

Erythromycin n (%)

5 (7.04)

6 (10.52)

11 (15.94)

0.48

0.09

1 (6.66)

2 (7.69)

1 (8.33)

1

0.87

Cotrimoxazole n (%)

21 (29.58)

5 (8.77)

5 (7.24)

0.003

0.0007

2 (13.33)

2 (7.69)

0 (0.00)

0.61

0.19

Tetracycline n (%)

22 (30.98)

11 (19.30)

23 (33.33)

0.13

0.76

4 (26.27)

6 (23.08)

3 (25.00)

0.9

0.94

Chloramphenicol n (%)

3 (4.22)

6 (10.53)

3 (4.34)

0.29

0.96

3 (20.00)

1 (3.85)

1 (8.33)

0.13

0.4

Ceftriaxone n (%)

1 (1.41)

1 (1.75)

2 (2.89)

1

0.54

0 (0.00)

0 (0.00)

0 (0.00)

NS

NS

  1. I  =  Intermediate, R  =  Resistant
  2. n  =  number of (I + R)
  3. NS  =  non-significant
  4. The percentage was calculated as  =  Number of (I + R) × 100/ total number of strains
  5. aThe pre-period was from January 2007 to October 2010
  6. bThe post-period was from January 2011 to December 2019 and devised in the early post-vaccine period (2011–2014) and mature post-period (2015–2019)