Research Article

Molecular Characteristics and Antibiotic Resistance Profiles of Klebsiella Isolates in Mthatha, Eastern Cape Province, South Africa

Table 3

Percentage of resistance (included intermediate resistance for statistical analysis) in ESBL and non-ESBL Klebsiella ().

AntibioticTotal ()ESBL ()NIL ()OR (95% CI)P value
Number (%)Number (%)Number (%)

Amikacin10 (5.0)5 (4.3)5 (5.9)0.71 (0.20–2.55)0,604
Amox/K clav111 (55.0)98 (83.3)13 (15.3)28.6 (13.25–61.59)0,000
Ampicillin137 (67.8)115 (98.3)22 (25.9)162.0 (36.88–711.93)0,000
Amp/sulbactam201 (99.5)117 (100.0)84 (98.8)1,000
Aztreonam126 (62.4)117 (100.0)9 (10.6)0,996
Cefazolin139 (68.8)117 (100.0)22 (25.9)0,996
Cefepime130 (64.4)117 (100.0)13 (15.3)0,996
Cefotaxime124 (61.4)117 (100.0)7 (8.2)116.5 (136.9–9105.9)0,000
Cefoxitin18 (8.9)10 (8.5)8 (9.4)0.90 (0.34–2.38)0,831
Cefpodoxime127 (62.9)117 (100.0)10 (11.8)0,996
Ceftazidime124 (61.4)117 (100.0)7 (8.2)0,996
Cefuroxime129 (63.9)117 (99.1)13 (15.3)642.5 (82.29–5016.08)0,000
Chloramphenicol71 (35.1)53 (45.3)18 (21.2)3.25 (1.71–6.19)0,000
Ciprofloxacin60 (29.7)55 (47.0)5 (5.9)14.19 (5.36–37.58)0,000
Ertapenem7 (3.5)4 (3.4)3 (3.5)0.97 (0.21–4.44)0,966
Fosfomycin26 (12.9)15 (12.8)11 (12.9)0.97 (0.42–2.25)0,954
Gentamicin103 (51.0)92 (78.6)11 (12.9)24.76 (11.44–53.60)0,000
Imipenem0 (0.0)0 (0.0)0 (0.0)
Levofloxacin23 (11.4)19 (16.2)4 (4.7)3.88 (1.27–11.86)0,018
Meropenem0 (0.0)0 (0.0)0 (0.0)
Mezlocillin167 (82.7)117 (100.0)50 (58.8)0,997
Moxifloxacin77 (38.1)65 (55.6)12 (14.1)8.43 (4.10–17.32)0,000
Nitrofurantoin1 (0.5)0 (0.0)1 (1.2)1,000
Norfloxacin3 (1.5)3 (2.6)0 (0.0)0,999
Pip/tazo31 (15.3)28 (23.9)3 (3.5)8.60 (2.52–29.36)0,001
Piperacillin160 (79.2)117 (100.0)43 (50.6)0,997
Tetracycline57 (28.2)44 (37.6)13 (15.3)3.29 (1.64–6.63)0,001
Tigecycline17 (8.4)9 (7.7)8 (9.4)0.80 (0.30–2.17)0,664
Tobramycin108 (53.5)102 (87.2)6 (7.1)88.40 (32.79–238.28)0,000
Trimeth/sulfa143 (70.8)115 (98.3)28 (32.9)117.05 (26.93–508.72)0,000

Exact values were determined by the test. For statistical analysis, the response of isolates to antibiotics was categorized as susceptible and nonsusceptible (consisting of intermediate and resistant groups). A value < 0.05 was considered statistically significant. Reported as resistance due to ESBL production according to confirmation by Autoscan MIC37 panel. : used only in urinary tract infections.