Table 3. Determinants, according to logistic regression analysis, of resistance to penicillin (MIC > 1 mg/L), cefixime (MIC > 0.125 mg/L), azithromycin (ECOFF > 1 mg/L) and ciprofloxacin (MIC > 0.06 mg/L) in Neisseria gonorrhoeae isolates from primary healthcare units and Drassanes-Vall d’Hebron sexually transmitted infection unit, Barcelona, Spain, 2013–2017 (n = 2,036).
Variable | Number of resistant isolates | Total isolates tested | % | Univariable | Multivariable | Number of resistant isolates |
Total isolates tested | % | Univariable | Multivariable | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
OR (95%CI) | p value | OR (95%CI) | p value | OR (95%CI) | p value | OR (95%CI) | p value | |||||||
Antibiotic | Penicillin | Cefimixime | ||||||||||||
Year | ||||||||||||||
2013 | 92 | 327 | 28.1 | 1 (ref) | 0.0000 | 1 (ref) | 0.0000 | 27 | 327 | 8.3 | 1 (ref) | 0.0064 | 1 (ref) | 0.0073 |
2014 | 88 | 339 | 26.0 | 0.93 (0.66–1.33) | 0.97 (0.68–1.38) | 18 | 339 | 5.3 | 0.63 (0.33–1.20) | 0.67 (0.35–1.29) | ||||
2015 | 73 | 339 | 21.5 | 0.73 (0.51–1.05) | 0.70 (0.49–1.01) | 5 | 339 | 1.5 | 0.19 (0.07–0.50) | 0.20 (0.07–0.52) | ||||
2016 | 76 | 408 | 18.6 | 0.61 (0.42–0.86) | 0.59 (0.42–0.85) | 23 | 408 | 5.6 | 0.60 (0.32–1.12) | 0.61 (0.32–1.16) | ||||
2017 | 70 | 572 | 12.2 | 0.34 (0.24–0.49) | 0.33 (0.23–0.47) | 25 | 572 | 4.4 | 0.43 (0.23–0.80) | 0.43 (0.23–0.80) | ||||
Total | 399 | 1,985 | NA | NA | NA | NA | NA | 98 | 1,985 | NA | NA | NA | NA | NA |
Sex | ||||||||||||||
Male | 388 | 1,895 | 20.5 | 1 (ref) | 0.1786 | 1 (ref) | 0.1067 | 88 | 1,896 | 4.6 | 1 (ref) | 0.0074 | 1 (ref) | 0.0303 |
Female | 11 | 88 | 12.5 | 0.55 (0.23–1.31) | 0.49 (0.20–1.17) | 10 | 87 | 11.5 | 3.36 (1.38–8.16) | 2.72 (1.10–6.72) | ||||
Total | 399 | 1,983a | NA | NA | NA | NA | NA | 98 | 1,983a | NA | NA | NA | NA | NA |
Clinical setting | ||||||||||||||
DVHSTI (n = 1,340b) | 242 | 1,303 | 18.6 | 1 (ref) | 0.0041 | 1 (ref) | 0.0006 | 46 | 1,303 | 3.5 | 1 (ref) | 0.0064 | 1 (ref) | 0.0050 |
PH (n = 579b) | 138 | 566 | 24.4 | 1.41 (1.12–1.79) | 1.53 (1.20–1.95) | 36 | 565 | 6.4 | 1.86 (1.19–2.92) | 1.91 (1.22–3.01) | ||||
Total | 380c | 1,869c | NA | NA | NA | NA | NA | 82c | 1,868c | NA | NA | NA | NA | NA |
Antibiotic | Azithromycin | Ciprofloxacin | ||||||||||||
Year | ||||||||||||||
2013 | 11 | 322 | 3.4 | 1 (ref) | 0.5295 | 1 (ref) | 0.5939 | 162 | 325 | 49.8 | 1 (ref) | 0.0771 | 1 (ref) | 0.0846 |
2014 | 5 | 340 | 1.5 | 0.42 (0.15–1.23) | 0.45 (0.15–1.30) | 167 | 340 | 49.1 | 1.01 (0.74–1.39) | 1.06 (0.77–1.45) | ||||
2015 | 7 | 339 | 2.1 | 0.60 (0.23–1.57) | 0.60 (0.23–1.57) | 192 | 338 | 56.8 | 1.45 (1.06–1.99) | 1.44 (1.05–1.98) | ||||
2016 | 12 | 408 | 2.9 | 0.81 (0.34–1.89) | 0.81 (0.35–1.90) | 213 | 407 | 52.3 | 1.11 (0.82–1.50) | 1.11 (0.82–1.50) | ||||
2017 | 17 | 572 | 3 | 0.87 (0.40–1.88) | 0.85 (0.39–1.84) | 284 | 576 | 49.3 | 1.002 (0.758–1.325) | 0.98 (0.74–1.30) | ||||
Total | 52 | 1,981 | NA | NA | NA | NA | NA | 1,018 | 1,986 | 51.3 | NA | NA | NA | NA |
Sex | ||||||||||||||
Male | 50 | 1,891 | 2.6 | 1 (ref) | 0.5410 | 1 (ref) | 0.6184 | 965 | 1,896 | 50.9 | 1 (ref) | 0.9312 | 1 (ref) | 0.9832 |
Female | 2 | 88 | 2.2 | 1.57 (0.37–6.65) | 1.45 (0.34–6.22) | 53 | 88 | 60.2 | 0.98 (0.55–1.73) | 0.99 (0.56–1.77) | ||||
Total | 52 | 1,979a | NA | NA | NA | NA | 1,018 | 1,984a | NA | NA | NA | NA | NA | |
Clinical setting | ||||||||||||||
DVHSTI (n = 1,340b) | 28 | 1,302 | 2.2 | 1 (ref) | 0.0207 | 1 | 0.0272 | 612 | 1,303 | 47.0 | 1 | 0.0000 | 1 (ref) | 0.0000 |
PH (n = 579b) | 23 | 563 | 4.1 | 1.94 (1.11–3.39) | 1.89 (1.07–3.31) | 332 | 567 | 58.6 | 1.63 (1.34–1.99) | 1.63 (1.33–1.99) | ||||
Total | 51c | 1,865c | NA | NA | NA | NA | NA | 944c | 1,870c | NA | NA | NA | NA | NA |
CI: confidence interval; DVHSTI: Drassanes-Vall d’Hebron sexually transmitted infection unit; ECOFF: epidemiological cut-off value; MIC: minimum inhibitory concentration; NA: not applicable; OR: odds ratio; PH: primary healthcare unit.
a There are two patients for whom sex is not known.
b Number of isolates received by the setting.
c Isolates from Vall d’Hebron University Hospital are not included in the statistical analyses relating to clinical setting.