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Table 3 Isolated gram-negative pathogens and susceptibility to antibiotics in neonates with suspected antibiotic-resistant neonatal infection admitted to Castor’s neonatal unit (Bangui, CAR) from December 2018 to March 2020

From: When first line treatment of neonatal infection is not enough: blood culture and resistance patterns in neonates requiring second line antibiotic therapy in Bangui, Central African Republic

Antibiotic

K.pneumoniae (n = 13)

K.oxytoca (n = 6)

E.coli (n = 7)

All gram-negative bacteria (n = 29)

 

R/(R + S)

R%

R/(R + S)

R%

R/(R + S)

R%

R/(R + S)

R%

Beta-lactam

AMP

13/13

100%

6/6

100%

6/6

100%

27/27

100%

FOX

1/13

7.7%

2/6

33.3%

1/7

14.3%

5/29

17.2%

CTX

12/12

100%

5/6

83.3%

3/6

50%

21/27

77.8%

FEP

12/12

100%

5/6

83.3%

4/7

57.1%

21/28

75%

IPM

0/12

0%

0/6

0%

0/7

0%

0/28

0%

Non-beta-lactam

GEN

13/13

100%

4/5

80%

6/7

85.7%

24/28

85.7%

AMK

0/13

0%

2/6

33.3%

0/7

0%

2/29

6.9%

CAF

3/12

25%

5/6

83.3%

2/7

28.6%

13/28

46.4%

 

(R + I)/(R + I + S)

(R + I)%

(R + I)/(R + I + S)

(R + I)%

(R + I)/(R + I + S)

(R + I)%

(R + I)/(R + I + S)

(R + I)%

CIP

8/9

88.9%

5/5

100%

4/5

80%

19/22

86.4%

  1. AMK = Amikacin; AMP = Ampicillin; CAF=Chloramphenicol CIP=Ciprofloxacin; CTX = Cefotaxime; FEP=Cefepime; FOX = Cefoxitin; GEN = Gentamicin; I=Intermediate; IPM = Imipenem; R = Resistant; S=Sensitive