Table 3.
Determinants of resistance to the common antimicrobials including specimen source and study period among Enterococcus spp. isolates using multivariable logistic regression models, in canine clinical infections at the Cornell University Animal Health Diagnostic Center (AHDC), 2007–2020.
Enterococcus spp. | Enterococcus faecalis | Enterococcus faecium | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Modela | Modela | Modela | ||||||||||
Adj. OR | 95% CI | p-value | Adj. p-valuec | Adj. OR | 95% CI | p-value | Adj. p-valuec | Adj. OR | 95% CI | p-value | Adj. p-valuec | |
Resistance to ampicillin | ||||||||||||
Urinary tractb | ||||||||||||
Intestinal | 3.51 | 2.58–4.77 | <0.001 | <0.001 | 0.76 | 0.04–4.10 | 0.792 | 0.859 | 0.76 | 0.45–1.28 | 0.291 | 0.458 |
Invasive | 1.98 | 1.40–2.77 | <0.001 | 0.001 | 0.93 | 0.05–4.97 | 0.944 | 0.987 | 0.57 | 0.34–0.98 | 0.042 | 0.114 |
Unspecified site | 0.32 | 0.14–0.62 | 0.002 | 0.009 | 28*10−6 | 0–24*1020 | 0.988 | 0.994 | 0.45 | 0.15–1.41 | 0.159 | 0.321 |
Reproductive system | 0.30 | 0.17–0.49 | <0.001 | <0.001 | 0.39 | 0.02–2.10 | 0.379 | 0.519 | 0.18 | 0.08–0.41 | <0.001 | <0.001 |
Skin and soft tissues | 0.25 | 0.19–0.34 | <0.001 | <0.001 | 0.32 | 0.09–0.98 | 0.058 | 0.141 | 0.31 | 0.19–0.52 | <0.001 | <0.001 |
Isolation date (2007–2010)b | ||||||||||||
Isolation date (2011–2014) | 0.33 | 0.23–0.48 | <0.001 | <0.001 | 0.49 | 0.06–2.95 | 0.431 | 0.571 | 0.31 | 0.18–0.53 | <0.001 | <0.001 |
Isolation date (2015–2017) | 0.72 | 0.53–0.99 | 0.044 | 0.115 | 1.29 | 0.31–6.32 | 0.733 | 0.813 | 1.30 | 0.76–2.22 | 0.335 | 0.494 |
Isolation date (2018–2020) | 1.42 | 1.07–1.90 | 0.015 | 0.052 | 1.91 | 0.52–9.00 | 0.354 | 0.503 | 2.18 | 1.34–3.54 | 0.002 | 0.007 |
Resistance to penicillin G | ||||||||||||
Urinary tractb | ||||||||||||
Intestinal | 0.88 | 0.55–1.43 | 0.616 | 0.735 | 0.32 | 0.01–8.35 | 0.428 | 0.570 | 0.70 | 0.31–1.50 | 0.369 | 0.513 |
Invasive | 0.78 | 0.49–1.27 | 0.319 | 0.485 | 0.33 | 0.01–8.62 | 0.443 | 0.580 | 0.87 | 0.39–1.84 | 0.717 | 0.809 |
Unspecified site | 0.16 | 0.08–0.30 | <0.001 | <0.001 | 10−6 | 0–48*1021 | 0.987 | 0.994 | 0.50 | 0.16–1.65 | 0.246 | 0.411 |
Reproductive system | 0.10 | 0.05–0.18 | <0.001 | <0.001 | 0.32 | 0.03–7.05 | 0.360 | 0.508 | 0.22 | 0.08–0.54 | 0.001 | 0.006 |
Skin and soft tissues | 0.10 | 0.07–0.16 | <0.001 | <0.001 | 0.35 | 0.06–6.47 | 0.321 | 0.485 | 0.51 | 0.24–1.06 | 0.079 | 0.182 |
Isolation date (2007–2010)b | ||||||||||||
Isolation date (2011–2014) | 0.72 | 0.48–1.08 | 0.114 | 0.246 | 1.48 | 0.28–10.7 | 0.655 | 0.763 | 0.83 | 0.45–1.49 | 0.525 | 0.650 |
Isolation date (2015–2017) | 1.32 | 0.90–1.93 | 0.154 | 0.314 | 1.77 | 0.38–12.5 | 0.499 | 0.626 | 2.17 | 1.19–4.02 | 0.012 | 0.044 |
Isolation date (2018–2020) | 1.62 | 1.13–2.33 | 0.009 | 0.033 | 1.61 | 0.34–11.4 | 0.576 | 0.700 | 2.86 | 1.57–5.26 | <0.001 | 0.004 |
Resistance to tetracycline | ||||||||||||
Urinary tractb | ||||||||||||
Intestinal | 0.10 | 0.03–0.25 | <0.001 | <0.001 | 0.13 | 0.02–0.43 | 0.005 | 0.020 | 0.06 | 0.01–0.20 | <0.001 | 0.001 |
Invasive | 0.34 | 0.19–0.58 | <0.001 | 0.001 | 0.29 | 0.12–0.65 | 0.004 | 0.018 | 0.35 | 0.13–0.89 | 0.030 | 0.088 |
Unspecified site | 0.39 | 0.20–0.74 | 0.005 | 0.021 | 0.43 | 0.19–0.89 | 0.031 | 0.089 | 0.21 | 0.03–1.19 | 0.088 | 0.201 |
Reproductive system | 0.28 | 0.16–0.47 | <0.001 | <0.001 | 0.32 | 0.15–0.61 | 0.001 | 0.006 | 0.69 | 0.13–3.99 | 0.656 | 0.763 |
Skin and soft tissues | 0.19 | 0.13–0.26 | <0.001 | <0.001 | 0.18 | 0.12–0.27 | <0.001 | <0.001 | 0.60 | 0.26–1.41 | 0.242 | 0.411 |
Isolation date (2007–2010)b | ||||||||||||
Isolation date (2011–2014) | 0.60 | 0.44–0.81 | <0.001 | 0.004 | 0.58 | 0.40–0.83 | 0.003 | 0.013 | 0.95 | 0.44–2.03 | 0.886 | 0.945 |
Isolation date (2015–2017) | 0.50 | 0.37–0.66 | <0.001 | <0.001 | 0.58 | 0.41–0.82 | 0.002 | 0.009 | 0.64 | 0.30–1.37 | 0.251 | 0.415 |
Isolation date (2018–2020) | 0.33 | 0.25–0.44 | <0.001 | <0.001 | 0.37 | 0.26–0.52 | <0.001 | <0.001 | 0.19 | 0.10–0.36 | <0.001 | <0.001 |
Resistance to doxycycline | ||||||||||||
Urinary tractb | ||||||||||||
Intestinal | 0.38 | 0.18–0.77 | 0.008 | 0.031 | 0.54 | 0.17–1.76 | 0.296 | 0.461 | 0.28 | 0.09–0.86 | 0.030 | 0.088 |
Invasive | 0.99 | 0.52–1.82 | 0.968 | 0.994 | 1.11 | 0.39–3.38 | 0.847 | 0.908 | 0.76 | 0.30–1.86 | 0.549 | 0.672 |
Unspecified site | 0.62 | 0.30–1.18 | 0.167 | 0.330 | 0.85 | 0.30–2.57 | 0.767 | 0.841 | 0.52 | 0.13–2.07 | 0.352 | 0.503 |
Reproductive system | 0.51 | 0.27–0.93 | 0.032 | 0.091 | 0.98 | 0.36–2.84 | 0.976 | 0.994 | 0.30 | 0.09–0.92 | 0.039 | 0.108 |
Skin and soft tissues | 0.44 | 0.25–0.76 | 0.003 | 0.013 | 0.70 | 0.28–1.92 | 0.470 | 0.602 | 0.41 | 0.16–0.98 | 0.049 | 0.124 |
Isolation date (2007–2010)b | ||||||||||||
Isolation date (2011–2014) | 0.79 | 0.55–1.15 | 0.215 | 0.397 | 1.09 | 0.67–1.82 | 0.725 | 0.809 | 0.64 | 0.30–1.32 | 0.229 | 0.403 |
Isolation date (2015–2017) | 0.77 | 0.53–1.12 | 0.171 | 0.331 | 1.03 | 0.63–1.73 | 0.906 | 0.956 | 0.62 | 0.28–1.34 | 0.229 | 0.403 |
Isolation date (2018–2020) | 0.01 | 0.00–0.03 | <0.001 | <0.001 | 21*10−7 | NDd | 0.962 | 0.994 | 0.02 | 0–0.07 | <0.001 | <0.001 |
Resistance to erythromycin | ||||||||||||
Urinary tractb | ||||||||||||
Intestinal | 1.38 | 0.76–2.43 | 0.274 | 0.440 | 1.46 | 0.65–3.23 | 0.353 | 0.503 | 0.72 | 0.09–4.01 | 0.722 | 0.809 |
Invasive | 0.83 | 0.47–1.42 | 0.498 | 0.626 | 1.99 | 0.88–4.45 | 0.095 | 0.216 | 0.25 | 0.04–0.95 | 0.076 | 0.178 |
Unspecified site | 0.73 | 0.40–1.32 | 0.305 | 0.469 | 2.22 | 0.99–4.93 | 0.049 | 0.124 | 0.29 | 0.03–2.66 | 0.243 | 0.411 |
Reproductive system | 0.55 | 0.32–0.92 | 0.027 | 0.080 | 2.09 | 0.98–4.38 | 0.053 | 0.131 | 0.14 | 0.02–0.60 | 0.017 | 0.056 |
Skin and soft tissues | 0.74 | 0.44–1.18 | 0.220 | 0.403 | 2.30 | 1.13–4.58 | 0.018 | 0.061 | 0.39 | 0.06–1.51 | 0.229 | 0.403 |
Isolation date (2007–2010)b | ||||||||||||
Isolation date (2011–2014) | 0.87 | 0.65–1.16 | 0.347 | 0.503 | 1.00 | 0.69–1.43 | 0.994 | 0.994 | 0.84 | 0.38–1.80 | 0.649 | 0.763 |
Isolation date (2015–2017) | 0.79 | 0.59–1.05 | 0.110 | 0.239 | 0.66 | 0.46–0.93 | 0.019 | 0.061 | 3.37 | 1.27–10.1 | 0.020 | 0.063 |
Isolation date (2018–2020) | 0.75 | 0.56–0.99 | 0.043 | 0.114 | 0.53 | 0.38–0.75 | <0.001 | 0.002 | 4.28 | 1.58–13.1 | 0.006 | 0.023 |
Resistance to chloramphenicol | ||||||||||||
Urinary tractb | ||||||||||||
Intestinal | 1.91 | 0.81–5.29 | 0.169 | 0.330 | 1.22 | 0.34–5.80 | 0.776 | 0.847 | 2.11 | 0.66–0.39 | 0.254 | 0.417 |
Invasive | 1.63 | 0.68–4.55 | 0.303 | 0.469 | 0.23 | 0.03–1.47 | 0.119 | 0.253 | 3.55 | 1.13–15.8 | 0.052 | 0.129 |
Unspecified site | 1.88 | 0.74–5.40 | 0.207 | 0.386 | 1.50 | 0.45–6.85 | 0.550 | 0.672 | 2.85 | 0.48–17.0 | 0.232 | 0.404 |
Reproductive system | 1.16 | 0.48–3.24 | 0.756 | 0.835 | 0.96 | 0.29–4.31 | 0.946 | 0.987 | 1.02 | 0.13–6.55 | 0.981 | 0.994 |
Skin and soft tissues | 1.00 | 0.46–2.64 | 0.994 | 0.994 | 0.72 | 0.25–3.08 | 0.601 | 0.721 | 1.92 | 0.59–8.64 | 0.323 | 0.485 |
Isolation date (2007–2010)b | ||||||||||||
Isolation date (2011–2014) | 0.82 | 0.50–1.37 | 0.449 | 0.583 | 0.75 | 0.41–1.38 | 0.352 | 0.503 | 1.07 | 0.36–3.20 | 0.904 | 0.956 |
Isolation date (2015–2017) | 1.47 | 0.94–2.36 | 0.099 | 0.221 | 1.13 | 0.65–2.00 | 0.680 | 0.786 | 2.71 | 1.12–7.34 | 0.035 | 0.098 |
Isolation date (2018–2020) | 0.81 | 0.49–1.33 | 0.387 | 0.523 | 0.57 | 0.31–1.06 | 0.075 | 0.178 | 1.60 | 0.64–4.40 | 0.331 | 0.492 |
Resistance to enrofloxacin | ||||||||||||
Urinary tractb | ||||||||||||
Intestinal | 2.70 | 1.84–4.06 | <0.001 | <0.001 | 1.45 | 0.92–2.37 | 0.121 | 0.253 | 1.71 | 0.44–11.3 | 0.494 | 0.626 |
Invasive | 1.77 | 1.29–2.47 | <0.001 | 0.003 | 1.20 | 0.78–1.88 | 0.421 | 0.565 | 1.48 | 0.65–3.70 | 0.375 | 0.518 |
Unspecified site | 1.60 | 1.09–2.42 | 0.021 | 0.065 | 1.64 | 1.07–2.58 | 0.027 | 0.080 | 1.49 | 0.26–28.2 | 0.712 | 0.809 |
Reproductive system | 0.86 | 0.66–1.13 | 0.275 | 0.440 | 1.14 | 0.82–1.59 | 0.444 | 0.580 | 0.21 | 0.09–0.53 | <0.001 | 0.004 |
Skin and soft tissues | 1.13 | 0.95–1.34 | 0.164 | 0.329 | 1.22 | 1.01–1.49 | 0.044 | 0.115 | 1.76 | 0.72–4.96 | 0.244 | 0.411 |
Isolation date (2007–2010)b | ||||||||||||
Isolation date (2011–2014) | 1.18 | 0.95–1.46 | 0.135 | 0.279 | 1.26 | 0.98–1.61 | 0.071 | 0.171 | 1.33 | 0.70–2.56 | 0.385 | 0.523 |
Isolation date (2015–2017) | 1.90 | 1.51–2.38 | <0.001 | <0.001 | 1.86 | 1.43–2.41 | <0.001 | <0.001 | 11.3 | 3.71–49.7 | <0.001 | 0.001 |
Isolation date (2018–2020) | 1.43 | 1.15–1.77 | 0.001 | 0.007 | 1.23 | 0.96–1.59 | 0.103 | 0.227 | 45.3 | 8.94–829 | <0.001 | 0.002 |
Resistance to rifampin | ||||||||||||
Urinary tractb | ||||||||||||
Intestinal | 1.33 | 0.78–2.27 | 0.290 | 0.458 | 0.83 | 0.31–2.03 | 0.688 | 0.786 | 1.18 | 0.51–2.67 | 0.688 | 0.786 |
Invasive | 0.95 | 0.56–1.57 | 0.831 | 0.896 | 0.59 | 0.23–1.40 | 0.246 | 0.411 | 1.30 | 0.58–2.84 | 0.520 | 0.649 |
Unspecified site | 0.70 | 0.40–1.21 | 0.204 | 0.385 | 0.58 | 0.22–1.36 | 0.227 | 0.403 | 0.46 | 0.14–1.54 | 0.197 | 0.379 |
Reproductive system | 0.68 | 0.41–1.10 | 0.121 | 0.253 | 0.81 | 0.32–1.85 | 0.633 | 0.751 | 0.34 | 0.13–0.86 | 0.024 | 0.075 |
Skin and soft tissues | 0.85 | 0.53–1.32 | 0.468 | 0.602 | 0.69 | 0.29–1.48 | 0.366 | 0.513 | 0.65 | 0.30–1.36 | 0.266 | 0.432 |
Isolation date (2007–2010)b | ||||||||||||
Isolation date (2011–2014) | 1.18 | 0.91–1.53 | 0.203 | 0.385 | 1.55 | 1.12–2.13 | 0.008 | 0.030 | 0.85 | 0.46–1.55 | 0.595 | 0.718 |
Isolation date (2015–2017) | 1.73 | 1.33–2.26 | <0.001 | <0.001 | 2.11 | 1.51–2.96 | <0.001 | <0.001 | 3.49 | 1.80–6.96 | <0.001 | 0.002 |
Isolation date (2018–2020) | 1.89 | 1.46–2.46 | <0.001 | <0.001 | 1.88 | 1.36–2.59 | <0.001 | 0.001 | 2.95 | 1.57–5.60 | <0.001 | 0.004 |
Origin of clinical sample and date of isolation (divided into four periods: 2007–2010, 2011–2014, 2015–2017, and 2018–2020) were entered in the model.
Reference group.
p-values were adjusted according to Benjamini and Hochberg (1995).
ND: We are not able to determine the exact 95% confidence interval.
Bold values are significant results (p<0.05 after Benjamini and Hochberg adjustment).