Fig. 3. Temporal AMR trends in S. Typhimurium lineages (1996–2018).
The combination matrix (bottom) depicts predicted AMR patterns of S. Typhimurium. Isolates collected before 1996 were sampled only sporadically, and thus were excluded from analysis. Within the combination matrix, dark grey circles indicate genome-predicted resistance and the vertical combination of grey circles represents the resistance profile. Total number of isolates with each resistance profile is indicated below the matrix. The combination matrix was created using the UpSetR package87. The bubble plot (top) depicts the relative number of isolates (bubble size) with each resistance profile (combination matrix) per year (y axis). Lineage assignments are shown using bubble colour to identify lineage-specific AMR trends. Local Malawi antimicrobial usage policy9 is highlighted in background colours overlaid on the timeline in the bubble plot. The bubble plot was created using R ggplot288.