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Table 1 Summary of the isolation and drug resistance profile of GNB in CAP

From: Multi-drug resistant gram-negative bacterial pneumonia: etiology, risk factors, and drug resistance patterns

Country

Study year

Participants, age group, pneumonia category

Specimen

GNB (%) in culture

Frequently isolated GNB (%)

Decreasing order of resistance, MDR (%)

References

Tanzania

2015

353, adult, CAP

Sputum

83.1%

K. pneumoniae (29.9%) and P. aeruginosa (11.7%)

K. pneumoniae: AMP > AMC > CRO

P. aeruginosa: AMP/SXT/AMC > CRO > CIP

[39]

China

2016 to 2017

176, older (>  60 years), CAP

Sputum

72.6%

K. pneumoniae (27.4%), E. coli (17.9%), and P. aeruginosa (10.3%)

K. pneumoniae: AMP > CXM > PIP, 25.0% ESBL

E. coli: AMP > CXM > CTX > PIP, 42.9% ESBL P. aeruginosa: MIN > SXT > CXM

[26]

Sudan

2017

100, 16 to 60 years, CAP

Sputum

76.2%

K. pneumoniae (42.8%) and P. aeruginosa (30.9%)

K. pneumoniae: CAZ/PEP/CRO/CTX, 16.7% ESBL

P. aeruginosa: PIP > CL > IMP

[40]

Ethiopia

2018

414, adult, CAP

Sputum

49.7%

K. pneumoniae (18.0%) and P. aeruginosa (11.4%)

K. pneumoniae: AMP/TE > AMC > SXT > C/DO > CN > CIP, 100%

P. aeruginosa: CN > CRO > CIP > PIP > CAZ, 42.1%

[4]

Ethiopia

2020

406, ≥ 5 years, CAP

Sputum

56.7%

K. pneumoniae (28.0%) and P. aeruginosa (14.0%)

K. pneumoniae: AMP > TE > SXT/AMC > C > AK > CAZ > PZP/CXM > CIP, 97.7%

P. aeruginosa: CAZ > CN > TE/PEP/AK > CIP, 45.5%

[37]

Ethiopia

2021

312, adult, CAP

Sputum

53.2%

K. pneumoniae (31.0%) and E. coli (20.7%)

K. pneumoniae: AMP > AMC > SXT > TE/DO, 94.9%

E. coli: AMP > TE > DO > SXT > AMC, 93.8%

[38]

  1. CAP community-acquired pneumonia, HAP hospital-acquired pneumonia, VAP ventilator-associated pneumonia, ESBL extended-spectrum beta-lactamase, AMP ampicillin, AMC amoxicillin/clavulanate, TOB tobramycin, TZP piperacillin/tazobactam, CRO ceftriaxone, AK amikacin, CXM cefuroxime, CTX cefotaxime, CIP ciprofloxacin, SXT trimethoprim-sulfamethoxazole, CL colistin, CN gentamicin, IMP imipenem, CAZ ceftazidime, TE tetracycline, C chloramphenicol, PEP cefepime, MER meropenem, MIN minocycline, APS ampicillin/sulbactam, TLV ticarcillin/clavulanate, LEV levofloxacin, AZT aztreonam, DO doxycycline