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. 2026 Jan 19;66:101799. doi: 10.1016/j.lanwpc.2026.101799

Table 3.

Proportion of non-susceptibility in S. pneumoniae samples from nasopharyngeal carriage (1996–2014).

Antibiotics Non-susceptible proportion (95% CI) No. of included studies Total no. of samples tested No. of non-susceptible samples
β-Lactam antibiotics: Penicillins
 Amoxicillin 22% (13%, 30%) 1 93 20
 Amoxicillin-clavulanate 6% (0%, 16%) 2 197 13
 Penicillin (Oral) 64% (47%, 80%) 8 1964 1229
Macrolides
 Azithromycin 91% (86%, 97%) 1 93 85
 Clarithromycin 90% (84%, 96%) 1 93 84
 Erythromycin 70% (54%, 85%) 7 1818 1217
β-Lactam antibiotics: Cephalosporins
 2nd Gen: Cefaclor 95% (90%, 99%) 1 93 88
 3rd Gen: Cefotaxime (meningitis) 41% (16%, 66%) 3 418 186
 3rd Gen: Cefotaxime (non-meningitis) 22% (0%, 54%) 2 514 59
 3rd Gen: Ceftriaxone (meningitis) 12% (6%, 19%) 3 1063 116
 3rd Gen: Cefuroxime (Oral) 52% (45%, 59%) 2 197 103
 4th Gen: Cefepime (meningitis) 73% (64%, 82%) 1 93 68
 4th Gen: Cefepime (non-meningitis) 33% (24%, 43%) 1 93 31
β-Lactam antibiotics: Carbapenems
 Imipenem 63% (36%, 90%) 2 197 122
 Meropenem 75% (67%, 84%) 1 93 70
Quinolone antibiotics: Fluoroquinolones
 Ciprofloxacin 98% (96%, 100%) 3 704 686
 Moxifloxacin 1% (0%, 3%) 1 221 3
 Ofloxacin 48% (38%, 59%) 1 93 45
Others
 Chloramphenicol 44% (34%, 54%) 5 786 334
 Clindamycin 86% (79%, 93%) 1 93 80
 Gentamicin 98% (95%, 100%) 1 62 61
 Rifampicin 0% (0%, 2%) 1 93 0
 Tetracycline 84% (76%, 92%) 6 1300 1048
 Sulfamethoxazole–trimethoprim 70% (54%, 85%) 6 1164 867
 Vancomycin 1% (0%, 3%) 3 376 6

Note: The 95% confidence interval lower bound was truncated at 0% and the upper bound at 100%.