Table 4.
Current resistance rates in major pathogens responsible for hospital-acquired infections according to World Health Organization regions—available data from large surveillance networks
| Resistant isolates (%) among invasive isolates of a given species | WHO regions | ||||
|---|---|---|---|---|---|
| Americas | Europe | Eastern Mediterranean | South-East Asia | Western Pacific | |
| Escherichia coli/resistance to ESC | 16–22 | 28–36 | 11–41 | 20–61 | 0–77 |
| Klebsiella pneumoniae/resistance to ESC | 21–56 | 41–62 | 17–50 | 53–100 | 27–72 |
| Klebsiella pneumoniae/resistance to carbapenems | 9–11 | 0–4 | 0–54 | 0–52 | 0–8 |
| Pseudomonas aeruginosa/MDR phenotype | 18–20 | NA | 30–36 | 34–43 | 30–35 |
| Acinetobacter baumannii/resistance to carbapenems | 47–64 | 0–23 | 60–70 | 26–65 | 62–72 |
| Staphylococcus aureus/resistance to methicillin | 42–55 | 33–95 | 13–53 | 2–81 | 4–84 |
WHO World Health Organization, ESC extended-spectrum cephalosporins, MDR multidrug-resistant
Data were extracted from the WHO Antimicrobial Resistance Global Report 2019 (http://www.who.int/antimicrobial-resistance/publications/surveillancereport), National Healthcare Safety Network/Centers for Disease Control and Prevention Report 2015–2017 [130], European Antimicrobial Resistance Surveillance Network Annual Report 2016 (http://www.ecdc.europa.eu/en/healthtopics/antimicrobial_resistance), International Nosocomial Infection Control Consortium Report 2010–2015 [131], CHINET Surveillance Network Report 2014 [132], and other references [133, 134]. Available resistance rates in the specific context of ICU-acquired infections are in the upper ranges of reported values for all geographical areas. Note that similar large-scale surveillance data are not available for the Africa region