Table 4.
Multivariable Cox proportional hazard regression model representing minimum inhibitory concentration trends of Enterococcus faecalis and Enterococcus faecium to different antimicrobials in this study, in canine clinical infections at the Cornell University Animal Health Diagnostic Center (AHDC), 2007–2020.
Enterococcus faecalis | Enterococcus faecium | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Hazard ratio | Probability of lower MICb | p-value | adj. p-valuec | 95% CI | Hazard ratio | Probability of lower MICb | p-value | adj. p-valuec | 95% CI | |
Ampicillin | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 1.02 | 0.919 | 0.968 | 0.73–1.42 | 1.33 | 0.186 | 0.516 | 0.87–2.02 | ||
Invasive | 0.92 | 0.592 | 0.816 | 0.67–1.26 | 1.25 | 0.240 | 0.567 | 0.86–1.80 | ||
Unspecified site | 1.44 | 0.040 | 0.160 | 1.02–2.03 | 1.63 | 0.346 | 0.683 | 0.59–4.49 | ||
Reproductive system | 1.18 | 0.227 | 0.561 | 0.90–1.54 | 3.86 | 0.79 | <0.001 | <0.001 | 2.26–6.58 | |
Skin and soft tissues | 1.14 | 0.233 | 0.561 | 0.92–1.40 | 1.74 | 0.64 | 0.003 | 0.018 | 1.21–2.51 | |
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 0.93 | 0.516 | 0.759 | 0.73–1.17 | 1.11 | 0.504 | 0.759 | 0.82–1.49 | ||
Isolation date (2015–2017) | 0.65 | 0.39 | <0.001 | 0.001 | 0.52–0.81 | 0.48 | 0.32 | <0.001 | <0.001 | 0.34–0.67 |
Isolation date (2018–2020) | 0.71 | 0.42 | 0.002 | 0.011 | 0.58–0.88 | 0.34 | 0.25 | <0.001 | <0.001 | 0.24–0.46 |
Penicillin G | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 0.97 | 0.921 | 0.968 | 0.51–1.83 | 1.41 | 0.321 | 0.670 | 0.72–2.77 | ||
Invasive | 0.82 | 0.538 | 0.775 | 0.44–1.54 | 1.16 | 0.663 | 0.862 | 0.59–2.27 | ||
Unspecified site | 1.09 | 0.793 | 0.899 | 0.57–2.08 | 1.89 | 0.407 | 0.724 | 0.42–8.52 | ||
Reproductive system | 1.02 | 0.951 | 0.974 | 0.55–1.90 | 3.85 | 0.79 | <0.001 | 0.002 | 1.87–7.95 | |
Skin and soft tissues | 0.90 | 0.722 | 0.896 | 0.49–1.63 | 1.73 | 0.100 | 0.328 | 0.90–3.33 | ||
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 1.17 | 0.311 | 0.670 | 0.87–1.57 | 1.17 | 0.520 | 0.759 | 0.73–1.87 | ||
Isolation date (2015–2017) | 0.74 | 0.016 | 0.077 | 0.58–0.94 | 0.49 | 0.33 | 0.006 | 0.035 | 0.30–0.82 | |
Isolation date (2018–2020) | 0.58 | 0.37 | <0.001 | <0.001 | 0.46–0.74 | 0.38 | 0.27 | <0.001 | 0.002 | 0.23–0.63 |
Gentamicin | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 0.91 | 0.782 | 0.899 | 0.46–1.78 | 1.13 | 0.683 | 0.870 | 0.64–1.99 | ||
Invasive | 0.78 | 0.484 | 0.758 | 0.38–1.58 | 1.10 | 0.772 | 0.899 | 0.59–2.06 | ||
Unspecified site | 0.89 | 0.732 | 0.899 | 0.45–1.75 | 0.92 | 0.948 | 0.994 | 0.08–11.1 | ||
Reproductive system | 0.91 | 0.754 | 0.899 | 0.49–1.69 | 0.70 | 0.458 | 0.758 | 0.28–1.78 | ||
Skin and soft tissues | 0.71 | 0.260 | 0.604 | 0.40–1.28 | 1.18 | 0.599 | 0.816 | 0.64–2.16 | ||
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 0.02 | 0.02 | 0.001 | 0.009 | 0.00–0.22 | 0.23 | 0.043 | 0.167 | 0.05–0.95 | |
Isolation date (2015–2017) | 0.25 | 0.20 | <0.001 | <0.001 | 0.20–0.32 | 0.03 | 0.403 | 0.724 | 0.00–116 | |
Isolation date (2018–2020) | 1.04 | 0.758 | 0.899 | 0.82–1.32 | 1.31 | 0.186 | 0.516 | 0.88–1.96 | ||
Tetracycline | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 0.92 | 0.664 | 0.862 | 0.63–1.35 | 0.75 | 0.186 | 0.516 | 0.49–1.15 | ||
Invasive | 1.21 | 0.269 | 0.616 | 0.86–1.69 | 0.84 | 0.510 | 0.759 | 0.51–1.40 | ||
Unspecified site | 1.01 | 0.953 | 0.974 | 0.71–1.43 | 0.99 | 0.995 | 0.995 | 0.04–24.7 | ||
Reproductive system | 0.96 | 0.763 | 0.899 | 0.71–1.28 | 0.54 | 0.654 | 0.862 | 0.04–7.95 | ||
Skin and soft tissues | 1.09 | 0.360 | 0.701 | 0.91–1.30 | 0.63 | 0.103 | 0.328 | 0.36–1.10 | ||
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 0.92 | 0.405 | 0.724 | 0.77–1.11 | 0.96 | 0.812 | 0.907 | 0.68–1.35 | ||
Isolation date (2015–2017) | 0.88 | 0.125 | 0.389 | 0.75–1.04 | 0.79 | 0.224 | 0.561 | 0.54–1.15 | ||
Isolation date (2018–2020) | 0.92 | 0.346 | 0.683 | 0.78–1.09 | 1.25 | 0.206 | 0.549 | 0.88–1.77 | ||
Doxycycline | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 1.00 | 0.992 | 0.995 | 0.63–1.61 | 0.76 | 0.314 | 0.670 | 0.45–1.29 | ||
Invasive | 0.82 | 0.423 | 0.734 | 0.51–1.32 | 0.83 | 0.476 | 0.758 | 0.50–1.39 | ||
Unspecified site | 0.94 | 0.786 | 0.899 | 0.60–1.47 | 1.12 | 0.840 | 0.926 | 0.38–3.30 | ||
Reproductive system | 0.86 | 0.470 | 0.758 | 0.57–1.29 | 1.11 | 0.758 | 0.899 | 0.56–2.20 | ||
Skin and soft tissues | 0.99 | 0.950 | 0.974 | 0.67–1.45 | 1.16 | 0.522 | 0.759 | 0.73–1.84 | ||
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 0.92 | 0.517 | 0.759 | 0.72–1.18 | 1.20 | 0.477 | 0.758 | 0.73–1.99 | ||
Isolation date (2015–2017) | 0.80 | 0.082 | 0.289 | 0.62–1.03 | 0.75 | 0.321 | 0.670 | 0.43–1.32 | ||
Isolation date (2018–2020) | 1.06 | 0.717 | 0.896 | 0.78–1.44 | 1.64 | 0.211 | 0.552 | 0.76–3.54 | ||
Erythromycin | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 0.84 | 0.469 | 0.758 | 0.51–1.36 | 1.03 | 0.884 | 0.944 | 0.65–1.63 | ||
Invasive | 0.72 | 0.173 | 0.508 | 0.45–1.16 | 0.82 | 0.405 | 0.724 | 0.51–1.31 | ||
Unspecified site | 0.71 | 0.160 | 0.480 | 0.45–1.14 | 1.33 | 0.473 | 0.758 | 0.61–2.85 | ||
Reproductive system | 0.57 | 0.018 | 0.085 | 0.36–0.91 | 2.15 | 0.68 | 0.004 | 0.026 | 1.27–3.64 | |
Skin and soft tissues | 0.69 | 0.090 | 0.310 | 0.45–1.06 | 1.44 | 0.093 | 0.312 | 0.94–2.20 | ||
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 0.98 | 0.846 | 0.926 | 0.84–1.15 | 1.26 | 0.234 | 0.561 | 0.86–1.84 | ||
Isolation date (2015–2017) | 1.09 | 0.303 | 0.670 | 0.93–1.28 | 0.62 | 0.013 | 0.069 | 0.42–0.91 | ||
Isolation date (2018–2020) | 1.30 | 0.56 | 0.003 | 0.017 | 1.10–1.54 | 0.58 | 0.37 | 0.006 | 0.035 | 0.39–0.86 |
Chloramphenicol | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 0.79 | 0.483 | 0.758 | 0.41–1.53 | 0.84 | 0.407 | 0.724 | 0.55–1.27 | ||
Invasive | 1.15 | 0.678 | 0.870 | 0.60–2.20 | 0.77 | 0.201 | 0.546 | 0.51–1.15 | ||
Unspecified site | 0.83 | 0.581 | 0.816 | 0.43–1.60 | 0.92 | 0.856 | 0.927 | 0.37–2.26 | ||
Reproductive system | 0.86 | 0.634 | 0.845 | 0.46–1.60 | 1.17 | 0.624 | 0.840 | 0.63–2.16 | ||
Skin and soft tissues | 0.95 | 0.877 | 0.942 | 0.52–1.75 | 0.81 | 0.336 | 0.682 | 0.54–1.24 | ||
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 0.78 | 0.011 | 0.058 | 0.64–0.94 | 1.16 | 0.418 | 0.734 | 0.81–1.65 | ||
Isolation date (2015–2017) | 0.69 | 0.41 | <0.001 | 0.002 | 0.57–0.83 | 0.70 | 0.035 | 0.147 | 0.50–0.97 | |
Isolation date (2018–2020) | 0.91 | 0.384 | 0.724 | 0.72–1.13 | 0.86 | 0.406 | 0.724 | 0.61–1.22 | ||
Enrofloxacin | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 0.89 | 0.333 | 0.682 | 0.70–1.13 | 0.50 | 0.33 | <0.001 | 0.004 | 0.34–0.74 | |
Invasive | 0.77 | 0.038 | 0.158 | 0.61–0.99 | 0.66 | 0.026 | 0.118 | 0.45–0.95 | ||
Unspecified site | 0.77 | 0.015 | 0.072 | 0.62–0.95 | 0.98 | 0.966 | 0.980 | 0.44–2.18 | ||
Reproductive system | 0.80 | 0.028 | 0.122 | 0.66–0.98 | 1.92 | 0.66 | 0.007 | 0.041 | 1.19–3.08 | |
Skin and soft tissues | 0.91 | 0.081 | 0.289 | 0.82–1.01 | 1.12 | 0.456 | 0.758 | 0.83–1.51 | ||
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 0.87 | 0.055 | 0.207 | 0.75–1.00 | 0.82 | 0.232 | 0.561 | 0.58–1.14 | ||
Isolation date (2015–2017) | 0.75 | 0.43 | <0.001 | 0.001 | 0.64–0.87 | 0.59 | 0.37 | 0.002 | 0.016 | 0.43–0.83 |
Isolation date (2018–2020) | 0.89 | 0.127 | 0.389 | 0.76–1.03 | 0.39 | 0.28 | <0.001 | <0.001 | 0.28–0.53 | |
Rifampin | ||||||||||
Urinary tracta | ||||||||||
Intestinal | 0.95 | 0.849 | 0.926 | 0.55–1.64 | 0.92 | 0.782 | 0.899 | 0.50–1.68 | ||
Invasive | 1.15 | 0.600 | 0.816 | 0.68–1.96 | 0.74 | 0.319 | 0.670 | 0.41–1.34 | ||
Unspecified site | 1.17 | 0.560 | 0.798 | 0.69–1.99 | 1.21 | 0.716 | 0.896 | 0.43–3.41 | ||
Reproductive system | 0.83 | 0.490 | 0.759 | 0.50–1.39 | 1.82 | 0.078 | 0.287 | 0.94–3.54 | ||
Skin and soft tissues | 1.07 | 0.790 | 0.899 | 0.66–1.73 | 1.16 | 0.601 | 0.816 | 0.66–2.03 | ||
Isolation date (2007–2010)a | ||||||||||
Isolation date (2011–2014) | 0.69 | 0.41 | <0.001 | 0.002 | 0.57–0.84 | 0.95 | 0.805 | 0.906 | 0.61–1.46 | |
Isolation date (2015–2017) | 0.55 | 0.35 | <0.001 | <0.001 | 0.45–0.67 | 0.34 | 0.25 | <0.001 | 0.001 | 0.20–0.57 |
Isolation date (2018–2020) | 0.69 | 0.41 | <0.001 | 0.002 | 0.56–0.84 | 0.40 | 0.29 | <0.001 | 0.002 | 0.25–0.65 |
Reference group.
Probability = HR/(1+ HR)—calculated if p-value<0.05 (e.g., a hazard ratio of 0.5 corresponds to a 0.33 chance of an isolate at this condition having a lower MIC value compared to an isolate in the reference group).
p-values were adjusted according to Benjamini and Hochberg (1995).
Bold values are significant results (p<0.05 after Benjamini and Hochberg adjustment).