TABLE 3.
Multivariable risk factor analysis, assessing for the association between genotypic multi-drug resistance and variables of interest (n = 492, of which 296 were multi-drug resistant).
Variable | Level | No. isolates | Odds ratio | P-value | 95% confidence intervals | |
Antimicrobial usage | Low | 72 | Baseline | |||
Medium | 116 | 2.84 | 0.050 | 1.00 | 8.08 | |
High | 151 | 7.64 | <0.001 | 2.73 | 21.35 | |
Antibiotic selective or non-selective plate# | 1 mg/L CIP | 197 | Baseline | |||
1 mg/L CTX | 37 | 0.15 | <0.001 | 0.06 | 0.40 | |
CRE* | 4 | Undefined | 0.985 | – | – | |
No antibiotic | 254 | 0.03 | <0.001 | 0.02 | 0.07 | |
Production type | Breeder-finisher | 339 | Baseline | |||
Finisher only | 153 | 3.69 | <0.001 | 1.79 | 7.58 | |
How often is manure pit emptied | Weekly | 65 | Baseline | |||
Monthly | 108 | 2.09 | 0.114 | 0.84 | 5.20 | |
Per batch | 123 | 3.57 | 0.023 | 1.20 | 10.65 | |
Half yearly | 8 | 0.46 | 0.513 | 0.05 | 4.67 | |
Region of farm | South West | 137 | Baseline | |||
South East | 63 | 3.65 | 0.012 | 1.32 | 10.07 | |
East of England | 65 | 0.60 | 0.251 | 0.25 | 1.44 | |
Midlands | 91 | 1.11 | 0.821 | 0.44 | 2.85 | |
Yorkshire and Humber | 97 | 0.42 | 0.038 | 0.19 | 0.95 | |
North East | 39 | 1.66 | 0.381 | 0.53 | 5.15 | |
On average, how often are pens cleaned and disinfected | Always, sometimes or between batches | 413 | Baseline | |||
Never | 43 | 0.27 | 0.012 | 0.10 | 0.75 | |
Missing | 36 | 1.24 | 0.708 | 0.40 | 3.80 |
Variable levels for ‘not known’ or missing answers have been omitted from the table. *Small study population led to large uncertainty for odds ratio. #CRE, carbapenem-resistant Enterobacteriaceae; CIP, ciprofloxacin; CTX, cefotaxime.