Table 5. Antibiotic resistance of stool isolates before and after intervention.
CFPM-resistant | |||||||
Total No. | Rate (n) of isolates | Rate (n) of isolates | Rate (n) of isolates | Rate (n) of isolates | Rate (n) of isolates | ||
Organism | of isolates | resistant to CFPM | producing ESBL | resistant to MEPM | resistant to PIPC/TAZ | resistant to CPFX | |
Gram-negative, total | Before | 89 | 8.5 (20)a | 7.7 (18)b | 0.0 (0) | 0.0 (0) | 14.9 (35)c |
After | 157 | 0.9 (4)a | 0.9 (4)b | 0.0 (0) | 0.0 (0) | 5.7 (26)c | |
Escherichia coli | Before | 45 | 6.4 (15)d | 5.5 (13)e | 0.0 (0) | 0.0 (0) | 14.0 (33)f |
After | 53 | 0.9 (4)d | 0.9 (4)e | 0.0 (0) | 0.0 (0) | 5.0 (23)f | |
Klebsiella pneumoniae | Before | 19 | 1.3 (3)g | 1.3 (3)h | 0.0 (0) | 0.0 (0) | 0.0 (0) |
After | 52 | 0.0 (0)g | 0.0 (0)h | 0.0 (0) | 0.0 (0) | 0.7 (3) | |
Pseudomonas aeruginosa | Before | 5 | 0.0 (0) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 0.0 (0) |
After | 4 | 0.0 (0) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 0.0 (0) | |
Other | Before | 20 | 0.9 (2) | 0.9 (2) | 0.0 (0) | 0.0 (0) | 0.9 (2) |
After | 48 | 0.0 (0) | 0.0 (0) | 0.0 (0) | 0.0 (0) | 0.0 (0) |
Rate indicates number of positive cultures per 1000 patient days.
P-value shows statistical comparison for each variable between patients receiving pre-intervention and those receiving intervention.
p<0.0001,
p<0.0001,
p<0.01.
p<0.0001,
p<0.001,
p<0.001,
p<0.05,
p<0.05.
CFPM, cefepime; ESBL, extended-spectrum β-lactamase; MEPM, meropenem; PIPC/TAZ, piperacillin-tazobactam; CPFX, ciprofloxacin.