Table 2. Meta-analysis of observational data on antibiotic (AB) susceptibility (in %) in children with severe acute malnutrition (SAM) or not only SAM (Mixed-NUT).
Author | Country | N | Age | Bacterial antibiotic susceptibility (%)a | |||||||
Mths | AMX | CTX | GEN | AGE | CHL | CIP | CRO | COA | |||
SAM only | |||||||||||
Babirekere [33] | Uganda | 134 | 6–24 | 23.3 | 6.7 | 33.3 | - | 60 | 97 | 100 | - |
Bachou (HIV+) [34] | Uganda | 30 | 12–24 | 53 | 21 | 78 | - | 55 | 93 | 84 | 56 |
Bachou (HIV−) [34] | Uganda | 39 | 12–24 | 31 | 23 | 81 | - | 36 | 93 | 90 | 51 |
Berkley (SAM subgroup) [35] | Kenya | 1182 | 7–35 | 57 | 42 | - | 87 | 77 | - | 94 | - |
Caksen [36] | Turkey | 31 | 1–30 | - | 17 | 100 | - | - | 82 | 82 | - |
Mirabeau [37] | Nigeria | 203 | <60 | - | - | 85 | - | - | - | 61 | - |
Noorani [38] | Kenya | 91 | <60 | - | - | 80 | - | - | 80 | 80 | - |
Rabasa [39] | Nigeria | 194 | 3–60 | - | 22.7 | 77 | - | - | - | - | 22.7 |
Reed [40] | S. Africa | 863 | <60 | - | - | - | 95.8 | - | - | - | - |
Median | 42 | 22 | 80 | 91.4 | 57.5 | 93 | 84 | 51 | |||
IQR † | 27–55 | 17–23 | 77–85 | 87–96 | 46–69 | 82–93 | 80–94 | 23–56 | |||
Population Weighted * mean (Meta-analysis): | 52.9 | 35.4 | 72.8 | 90.7 | 73.7 | 90.0 | 89.3 | 30.7 | |||
Mixed-NUT. f | |||||||||||
Bahwere [41] | Congo | 779 | 1–16 | 14.3 | 79.3 | 100 | - | 20.7 | - | 100 | - |
Bejon(<14 d) [42] | Kenyad | 690 | <14 d | 28 | 71 | 91 | 76b | 81 | 99 | 95c | - |
Bejon (>14 d) [42] | Kenyae | 690 | >14 d | 28 | 39 | 73 | 76b | 62 | 99 | - | - |
Berkley (All) [35] | Kenya | 11847 | 7–35 | 59 | 54 | - | 88 | 81 | - | 93 | - |
Wolff (UTI) [43] | Multiple | <60 | 12 | 32 | 87 | - | 27 | 80 | 67 | 83 | |
Median | 28 | 54 | 89 | 76 | 62 | 99 | 94 | 83 | |||
IQR † | 14–28 | 39–71 | 80–96 | 76–88 | 27–81 | 80–99 | 80–97 | - | |||
Population Weighted * mean (Meta-analysis): | 53.5 | 55.5 | 88.5 | 86.7 | 76.7 | 99.0 | 93.5 | 83.0 |
IQR: 25–75 inter-quartile range.
Mean susceptibility weighed proportionally (coefficient) to number of patients (N) per study;
= Cumulated susceptibilities of all isolated bacteria. Abbreviations: AMX = amoxicillin (or ampicillin), CTX = co-trimoxazol, GEN = Gentamicin, AGE = AMX-GEN combination, CHL = chloramphenicol (b 91% susceptible to CHL-GEN); CIP = Ciprofloxacin, CRO = Ceftriaxone (c: in this case Cefotaxime instead, similar spectrum); COA = AMX-Clavulanate combination.
: age: <14 days of life,
: age>14 days of life.