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Table 2 Antimicrobial susceptibility rates found in gram-negative bacteria causing healthcare-associated infections in three HMG facilities in Saudi Arabia (2015–2019)

From: Antimicrobial susceptibility of gram-positive and gram-negative bacteria: a 5-year retrospective analysis at a multi-hospital healthcare system in Saudi Arabia

Escherichia coli

2015

2016

2017

2018

2019

Total

P-value*

(N = 2,481 isolates)

(N = 2,458 isolates)

(N = 2,509 isolates)

(N = 3,085 isolates)

(N = 4,149 isolates)

(N = 14,682 isolates)

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

AMP

1100

761

69.2

1130

793

70.2

1158

803

69.3

1100

987

89.7

1800

1654

91.9

6288

4998

79.5

0.460

AMX/CLA

1920

1679

87.4

2100

1805

86

2103

1874

89.1

2700

2326

86.1

3258

2825

86.7

12,081

10,509

87

0.835

CZN

333

126

37.8

999

841

84.2

666

470

70.6

987

631

63.9

1852

1412

76.2

4837

3480

71.9

0.683

CRX

788

660

83.8

1125

828

73.6

547

378

69.1

981

732

74.6

1987

1505

75.7

5428

4103

75.6

0.911

CFX

1968

819

41.6

645

496

76.9

752

432

57.4

896

772

86.2

879

534

60.8

5140

3053

59.4

0.981

CTM

456

253

55.5

488

282

57.8

456

238

52.2

541

290

53.6

654

274

41.9

2595

1337

51.5

0.920

CTX

2388

1764

73.9

1933

1757

90.9

1901

1610

84.7

2456

2134

86.9

3896

3007

77.2

12,574

10,272

81.7

0.682

CZM

1963

1059

53.9

1025

896

87.4

2005

1113

55.5

1754

1275

72.7

1785

1384

77.5

8532

5727

67.1

0.998

CPM

1347

1007

74.8

1987

1775

89.3

2111

1764

83.6

2666

2158

80.9

3101

2849

91.9

11,212

9553

85.2

0.846

IPM

2477

2451

99

2358

2158

91.5

2430

2395

98.6

3081

3069

99.6

4130

4022

97.4

14,476

14,095

97.4

0.676

MPM

2480

2412

97.3

2400

2238

93.3

2414

2392

99.1

3074

3048

99.2

4099

4022

98.1

14,467

14,112

97.5

0.654

PIP-TZP

2360

2270

96.2

2347

2146

91.4

2456

2322

94.5

2996

2882

96.2

3896

3533

90.7

14,055

13,153

93.6

0.805

TMP-SMZ

1456

1293

88.8

1745

1463

83.8

1736

1249

71.9

1987

1775

89.3

2898

2589

89.3

9822

8369

85.2

0.529

GMN

2223

2128

95.7

2314

2178

94.1

2300

2124

92.3

2965

2742

92.5

3991

3589

89.9

13,793

12,761

92.5

0.726

ACN

2470

2135

86.4

2389

2400

100.5

2490

2414

96.9

3030

3009

99.3

4110

4030

98.1

14,489

13,988

96.5

0.697

CIP

2001

1726

86.3

1999

1804

90.2

1800

1737

96.5

2789

2240

80.3

3008

2951

98.1

11,597

10,458

90.2

0.739

OXN

1136

785

69.1

1107

909

82.1

700

612

87.4

698

548

78.5

687

442

64.3

4328

3296

76.2

0.967

LVX

1147

785

68.4

1165

918

78.8

565

438

77.5

1365

1016

74.4

1777

1393

78.4

6019

4550

75.6

0.923

NFT

1455

1241

85.3

2411

2317

96.1

2425

2314

95.4

2905

2704

93.1

3896

3790

97.3

13,092

12,366

94.5

0.489

TGN

2377

2269

95.5

2450

2420

98.8

2500

2499

100

3083

3069

99.5

4144

4131

99.7

14,554

14,388

98.9

0.420

CLN

1365

1106

81

1130

722

63.9

789

570

72.2

2029

1016

50.1

4011

3974

99.1

9324

7388

79.2

0.120

Klebsiella species

2015

2016

2017

2018

2019

Total

P-value*

(N = 1,000 isolates)

(N = 839 isolates)

(N = 1,299 isolates)

(N = 1,357 isolates)

(N = 1,356 isolates)

(N = 5,851 isolates)

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

AMP

300

206

68.7

222

172

77.5

221

94

42.5

801

611

76.3

512

333

65

2056

1416

68.9

0.258

AMX/CLA

654

534

81.7

654

565

86.4

906

841

92.8

1001

938

93.7

896

739

82.5

4111

3617

88

0.772

CZN

159

75

47.2

400

312

78

456

356

78.1

562

467

83.1

753

462

61.4

2330

1672

71.8

0.786

CRX

654

223

34.1

258

137

53.1

358

278

77.7

452

354

78.3

963

369

38.3

2685

1361

50.7

0.975

CFX

700

444

63.4

402

321

79.9

456

295

64.7

458

370

80.8

456

269

59

2472

1699

68.7

0.989

CTM

112

82

73.2

111

86

77.5

255

104

40.8

320

134

41.9

358

114

31.8

1156

520

45

0.997

CTX

753

543

72.1

654

507

77.5

801

770

96.1

987

887

89.9

1,196

851

71.2

4391

3558

81

0.607

CZM

656

367

55.9

456

326

71.5

687

413

60.1

454

394

86.8

756

396

52.4

3009

1896

63

0.269

CPM

550

310

56.4

654

589

90.1

1010

845

83.7

900

829

92.1

1120

814

72.7

4234

3387

80

0.821

IPM

961

778

81

832

781

93.9

1190

1113

93.5

1290

1208

93.6

1310

1116

85.2

5583

4996

89.5

0.626

MPM

800

742

92.8

765

731

95.6

1120

1104

98.6

1291

1207

93.5

1312

1104

84.1

5288

4888

92.4

0.544

PIP-TZP

751

631

84

741

664

89.6

1130

933

82.6

1140

1021

89.6

1100

906

82.4

4862

4155

85.5

0.765

TMP-SMZ

654

535

81.8

659

596

90.4

874

788

90.2

1122

903

80.5

1145

905

79

4454

3727

83.7

0.561

GMN

963

696

72.3

801

700

87.4

1122

1019

90.8

1260

1167

92.6

1258

1152

91.6

5404

4734

87.6

0.462

ACN

852

774

90.8

811

782

96.4

1125

1087

96.6

1290

1150

89.1

1322

1272

96.2

5400

5065

93.8

0.604

CIP

789

652

82.6

753

686

91.1

1100

954

86.7

1299

1068

82.2

1300

916

70.5

5241

4276

81.6

0.641

OXN

350

265

75.7

402

273

67.9

582

404

69.4

654

589

90.1

1101

789

71.7

3089

2320

75.1

0.624

LVX

300

265

88.3

582

321

55.2

452

360

79.6

542

441

81.4

900

745

82.8

2776

2132

76.8

0.870

NFT

258

137

53.1

456

322

70.6

652

505

77.5

521

478

91.7

456

379

83.1

2343

1821

77.7

0.106

TGN

753

512

68

500

356

71.2

587

417

71

530

517

97.5

874

639

73.1

3244

2441

75.2

0.984

CLN

466

378

81.1

665

654

98.3

1200

1179

98.3

529

517

97.7

1199

1023

85.3

4059

3751

92.4

0.736

Pseudomonas species

2015

2016

2017

2018

2019

Total

P-value*

(N = 850 isolates)

(N = 806 isolates)

(N = 696 isolates)

(N = 733 isolates)

(N = 837 isolates)

(N = 3,922 isolates)

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

AMP

221

46

20.8

400

193

48.3

333

269

80.8

401

377

94

514

441

85.8

1869

1326

70.9

0.636

AMX/CLA

410

296

72.2

147

78

53.1

415

300

72.3

159

94

59.1

652

416

63.8

1783

1184

66.4

0.519

CZN

119

61

51.3

302

111

36.8

512

264

51.6

412

303

73.5

452

329

72.8

1797

1068

59.4

0.046

CRX

300

109

36.3

411

178

43.3

466

222

47.6

454

301

66.3

552

489

88.6

2183

1299

59.5

0.188

CFX

147

76

51.7

430

188

43.7

501

249

49.7

541

334

61.7

611

401

65.6

2230

1248

56

0.186

CTM

109

29

26.6

156

67

42.9

247

110

44.5

268

137

51.1

254

133

52.4

1034

476

46

0.923

CTX

358

276

77.1

547

369

67.5

240

110

45.8

260

137

52.7

219

133

60.7

1624

1025

63.1

0.746

CZM

800

676

84.5

789

686

86.9

614

495

80.6

660

480

72.7

653

558

85.5

3516

2895

82.3

0.952

CPM

598

300

50.2

658

567

86.2

611

512

83.8

614

500

81.4

678

568

83.8

3159

2447

77.5

0.961

IPM

753

541

71.8

782

614

78.5

660

574

87

603

576

95.5

801

710

88.6

3599

3015

83.8

0.925

MPM

741

564

76.1

788

617

78.3

671

570

84.9

654

582

89

822

713

86.7

3676

3046

82.9

0.944

PIP-TZP

820

631

77

799

692

86.6

680

590

86.8

721

608

84.3

810

742

91.6

3830

3263

85.2

0.956

TMP-SMZ

658

321

48.8

654

456

69.7

514

477

92.8

654

522

79.8

769

687

89.3

3249

2463

75.8

0.535

GMN

830

744

89.6

800

730

91.3

688

642

93.3

701

672

95.9

780

759

97.3

3799

3547

93.4

0.989

ACN

840

755

89.9

801

756

94.4

680

665

97.8

699

686

98.1

820

784

95.6

3840

3646

94.9

0.990

CIP

801

631

78.8

771

646

83.8

670

604

90.1

652

597

91.6

700

667

95.3

3594

145

87.5

0.997

OXN

80

13

16.3

154

71

46.1

230

110

47.8

325

187

57.5

400

191

47.8

1189

572

48.1

0.030

LVX

775

608

78.5

658

492

74.8

677

369

54.5

541

359

66.4

521

381

73.1

3172

2209

69.6

0.921

NFT

302

111

36.8

321

128

39.9

321

177

55.1

428

201

47

451

290

64.3

1823

907

49.8

0.491

TGN

346

339

98

420

409

97.4

511

498

97.5

541

533

98.5

681

678

99.6

2499

2457

98.3

0.142

CLN

711

706

99.3

670

661

98.7

587

571

97.3

301

291

96.7

328

321

97.9

2597

2550

98.2

0.853

Acinetobacter species

2015

2016

2017

2018

2019

Total

P-value*

(N = 611 isolates)

(N = 275 isolates)

(N = 280 isolates)

(N = 262 isolates)

(N = 182 isolates)

(N = 1,610 isolates)

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

AMP

90

33

36.7

150

74

49.3

320

110

34.4

264

130

49.2

275

142

51.6

1099

489

44.5

0.262

AMX/CLA

110

29

26.4

120

53

44.2

168

76

45.2

191

91

47.6

201

103

51.2

790

352

44.6

0.291

CZN

60

19

31.7

60

21

35

96

29

30.2

67

34

50.7

79

44

55.7

362

147

40.6

0.538

CRX

75

24

32

82

36

43.9

78

33

42.3

86

41

47.7

98

53

54.1

419

187

44.6

0.480

CFX

64

11

17.2

70

24

34.3

77

23

29.9

76

36

47.4

88

47

53.4

375

141

37.6

0.101

CTM

58

10

17.2

35

10

28.6

34

12

35.3

39

17

43.6

47

26

55.3

213

75

35.2

0.551

CTX

86

18

20.9

31

14

45.2

33

22

66.7

71

29

40.8

76

38

50

297

121

40.7

0.478

CZM

64

14

21.9

43

21

48.8

79

33

41.8

98

46

46.9

98

51

52

382

165

43.2

0.523

CPM

23

3

13

29

11

37.9

39

17

43.6

70

36

51.4

81

43

53.1

242

110

45.5

0.573

IPM

240

62

25.8

78

35

44.9

108

50

46.3

130

70

53.8

157

79

50.3

713

296

41.5

0.450

MPM

149

35

23.5

127

62

48.8

100

50

50

129

70

54.3

171

91

53.2

676

308

45.6

0.112

PIP-TZP

97

17

17.5

89

44

49.4

70

38

54.3

90

47

52.2

110

59

53.6

456

205

45

0.550

TMP-SMZ

310

75

24.2

348

172

49.4

287

141

49.1

220

115

52.3

300

177

59

1465

680

46.4

0.420

GMN

378

93

24.6

186

144

77.4

190

88

46.3

171

91

53.2

240

127

52.9

1165

543

46.6

0.660

ACN

220

49

22.3

189

84

44.4

121

56

46.3

155

80

51.6

168

94

56

853

363

42.6

0.413

CIP

127

29

22.8

114

49

43

130

59

45.4

125

67

53.6

148

78

52.7

644

282

43.8

0.415

OXN

89

21

23.6

94

36

38.3

111

48

43.2

122

67

54.9

139

73

52.5

555

245

44.1

0.322

LVX

40

8

20

17

8

47.1

36

17

47.2

40

24

60

58

33

56.9

191

90

47.1

0.697

NFT

128

41

32

321

77

24

310

140

45.2

290

151

52.1

287

151

52.6

1336

560

41.9

0.102

TGN

369

350

94.9

197

188

95.4

142

139

97.9

148

138

93.2

113

108

95.6

969

923

95.3

0.022

CLN

401

381

95

134

124

92.5

169

164

97

120

116

96.7

129

117

90.7

953

902

94.6

0.089

Proteus species

2015

2016

2017

2018

2019

Total

P-value*

(N = 212 isolates)

(N = 192 isolates)

(N = 150 isolates)

(N = 135 isolates)

(N = 197 isolates)

(N = 886 isolates)

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

AMP

200

92

46

186

89

47.8

74

40

54.1

99

59

59.6

181

100

55.2

740

380

51.4

0.527

AMX/CLA

201

143

71.1

187

146

78.1

147

100

68

129

114

88.4

170

155

91.2

834

658

78.9

0.797

CZN

107

48

44.9

180

99

55

140

126

90

125

101

80.8

190

132

69.5

742

506

68.2

0.828

CRX

83

35

42.2

178

44

24.7

91

51

56

113

74

65.5

130

81

62.3

595

285

47.9

0.863

CFX

60

19

31.7

62

27

43.5

89

49

55.1

128

77

60.2

191

110

57.6

530

282

53.2

0.266

CTM

112

36

32.1

81

40

49.4

78

52

66.7

97

64

66

141

76

53.9

509

268

52.7

0.760

CTX

203

112

55.2

179

133

74.3

130

121

93.1

127

100

78.7

180

161

89.4

819

627

76.6

0.878

CZM

150

77

51.3

150

70

46.7

136

115

84.6

131

79

60.3

174

116

66.7

741

457

61.7

0.913

CPM

90

41

45.6

128

63

49.2

137

71

51.8

131

118

90.1

179

127

70.9

665

420

63.2

0.692

IPM

130

61

46.9

167

78

46.7

141

102

72.3

133

127

95.5

160

140

87.5

731

508

69.5

0.619

MPM

200

121

60.5

189

150

79.4

149

130

87.2

121

101

83.5

189

179

94.7

848

681

80.3

0.821

PIP-TZP

199

113

56.8

180

129

71.7

147

122

83

129

119

92.2

179

161

89.9

834

644

77.2

0.935

TMP-SMZ

131

64

48.9

179

78

43.6

140

98

70

118

100

84.7

189

109

57.7

757

449

59.3

0.598

GMN

141

88

62.4

167

109

65.3

145

140

96.6

120

102

85

170

148

87.1

743

587

79

0.417

ACN

198

115

58.1

169

138

81.7

140

131

93.6

129

117

90.7

181

173

95.6

817

674

82.5

0.871

CIP

191

93

48.7

187

108

57.8

135

133

98.5

131

122

93.1

179

147

82.1

823

603

73.3

0.775

OXN

76

30

39.5

71

39

54.9

70

40

57.1

109

61

56

131

77

58.8

457

247

54

0.588

LVX

40

17

42.5

40

22

55

66

37

56.1

97

55

56.7

137

81

59.1

380

212

55.8

0.218

NFT

197

91

46.2

180

119

66.1

135

131

97

127

110

86.6

187

140

74.9

826

591

71.5

0.871

TGN

190

176

92.6

188

178

94.7

139

134

96.4

130

123

94.6

191

188

98.4

838

799

95.3

0.759

CLN

179

166

92.7

183

178

97.3

140

133

95

129

124

96.1

177

173

97.7

808

774

95.8

0.687

Enterobacter and Citrobacter species

2015

2016

2017

2018

2019

Total

P-value*

(N = 162 isolates)

(N = 135 isolates)

(N = 85 isolates)

(N = 124 isolates)

(N = 297 isolates)

(N = 803 isolates)

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

AMP

66

32

48.5

90

40

44.4

60

54

90

90

70

77.8

184

165

89.7

490

361

73.7

0.023

AMX/CLA

39

17

43.6

36

11

30.6

60

29

48.3

66

40

60.6

83

60

72.3

284

157

55.3

0.084

CZN

41

21

51.2

58

27

46.6

51

31

60.8

118

60

50.8

159

141

88.7

427

280

65.6

0.068

CRX

58

27

46.6

78

33

42.3

78

41

52.6

120

66

55

87

71

81.6

421

238

56.5

0.003

CFX

60

21

35

70

36

51.4

77

47

61

85

46

54.1

79

53

67.1

371

203

54.7

0.801

CTM

81

33

40.7

89

44

49.4

69

53

76.8

80

59

73.8

93

67

72

412

256

62.1

0.803

CTX

41

23

56.1

89

46

51.7

80

66

82.5

100

79

79

157

129

82.2

467

343

73.4

0.548

CZM

49

24

49

102

56

54.9

83

62

74.7

81

66

81.5

107

93

86.9

422

301

71.3

0.409

CPM

88

45

51.1

128

72

56.3

80

79

98.8

122

114

93.4

151

126

83.4

569

436

76.6

0.791

IPM

132

69

52.3

130

80

61.5

85

81

95.3

120

105

87.5

180

154

85.6

647

489

75.6

0.171

MPM

141

75

53.2

131

82

62.6

84

80

95.2

119

105

88.2

221

161

72.9

696

503

72.3

0.596

PIP-TZP

120

60

50

110

67

60.9

78

61

78.2

121

116

95.9

160

135

84.4

589

439

74.5

0.180

TMP-SMZ

128

65

50.8

122

73

59.8

79

63

79.7

118

101

85.6

174

144

82.8

621

446

71.8

0.378

GMN

100

59

59

112

61

54.5

80

66

82.5

122

101

82.8

188

154

81.9

602

441

73.3

0.417

ACN

160

85

53.1

125

75

60

81

70

86.4

123

114

92.7

229

160

69.9

718

504

70.2

0.666

CIP

134

77

57.5

130

81

62.3

84

69

82.1

123

117

95.1

189

149

78.8

660

493

74.7

0.428

OXN

130

72

55.4

133

96

72.2

84

60

71.4

115

96

83.5

153

131

85.6

615

455

74

0.868

LVX

60

33

55

98

48

49

67

57

85.1

94

81

86.2

147

116

78.9

466

335

71.9

0.166

NFT

63

26

41.3

91

76

83.5

81

63

77.8

88

54

61.4

151

118

78.1

474

337

71.1

0.430

TGN

149

136

91.3

127

120

94.5

83

80

96.4

114

110

96.5

288

278

96.5

761

724

95.1

0.180

CLN

143

122

85.3

130

123

94.6

76

71

93.4

116

111

95.7

280

279

99.6

745

706

94.8

0.370

Overall

2015

2016

2017

2018

2019

Total

P-value*

(N = 5,316 isolates)

(N = 4,705 isolates)

(N = 5,019 isolates)

(N = 5,696 isolates)

(N = 7,018 isolates)

(N = 27,754 isolates)

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

T

S

S%

AMP

1977

1170

59.2

2178

1361

62.5

2166

1370

63.3

2755

2234

81.1

3466

2835

81.8

12,542

8970

71.5

0.683

AMX/CLA

3334

2698

80.9

3244

2658

81.9

3799

3220

84.8

4246

3603

84.9

5260

4298

81.7

19,883

16,477

82.9

0.976

CZN

819

350

42.7

1999

1411

70.6

1921

1276

66.4

2271

1596

70.3

3485

2520

72.3

10,495

7153

68.2

0.375

CRX

1958

1078

55.1

2132

1256

58.9

1618

1003

62

2206

1568

71.1

3817

2568

67.3

11,731

7473

63.7

0.662

CFX

2999

1390

46.3

1679

1092

65

1952

1095

56.1

2184

1635

74.9

2304

1414

61.4

11,118

6626

59.6

0.961

CTM

928

443

47.7

960

529

55.1

1139

569

50

1345

701

52.1

1547

690

44.6

5919

2932

49.5

0.911

CTX

3829

2736

71.5

3433

2826

82.3

3185

2699

84.7

4001

3366

84.1

5724

4319

75.5

20,172

15,946

79.1

0.975

CZM

3682

2217

60.2

2565

2055

80.1

3604

2231

61.9

3178

2340

73.6

3573

2598

72.7

16,602

11,441

68.9

0.998

CPM

2696

1706

63.3

3584

3077

85.9

3988

3288

82.4

4503

3755

83.4

5310

4527

85.3

20,081

16,353

81.4

0.866

IPM

4693

3962

84.4

4347

3746

86.2

4614

4315

93.5

5357

5155

96.2

6738

6221

92.3

25,749

23,399

90.9

0.965

MPM

4511

3949

87.5

4400

3880

88.2

4538

4326

95.3

5388

5113

94.9

6814

6270

92

25,651

23,538

91.8

0.966

PIP-TZP

4347

3722

85.6

4266

3742

87.7

4561

4066

89.1

5197

4793

92.2

6255

5536

88.5

24,626

21,859

88.8

0.981

TMP-SMZ

3337

2353

70.5

3707

2838

76.6

3630

2816

77.6

4219

3516

83.3

5475

4611

84.2

20,368

16,134

79.2

0.869

GMN

4635

3808

82.2

4380

3922

89.5

4525

4079

90.1

5339

4875

91.3

6627

5929

89.5

25,506

22,613

88.7

0.967

ACN

4740

3913

82.6

4484

4235

94.4

4637

4423

95.4

5426

5156

95

6830

6513

95.4

26,117

24,240

92.8

0.960

CIP

4043

3208

79.3

3954

3374

85.3

3919

3556

90.7

5119

4211

82.3

5524

4908

88.8

22,559

19,257

85.4

0.971

OXN

1861

1186

63.7

1961

1424

72.6

1777

1274

71.7

2023

1548

76.5

2611

1703

65.2

10,233

7135

69.7

0.985

LVX

2362

1716

72.7

2560

1809

70.7

1863

1278

68.6

2679

1976

73.8

3540

2749

77.7

13,004

9528

73.3

0.847

NFT

2403

1647

68.5

3780

3039

80.4

3924

3330

84.9

4359

3698

84.8

5428

4868

89.7

19,894

16,582

83.4

0.921

TGN

4184

3782

90.4

3882

3671

94.6

3962

3767

95.1

4546

4490

98.8

6291

6022

95.7

22,865

21,732

95

0.968

CLN

3265

2859

87.6

2912

2462

84.5

2961

2688

90.8

3224

2175

67.5

6124

5887

96.1

18,486

16,071

86.9

0.608

  1. N number of pathogens causing healthcare-associated infections, T number of tested isolates, S number of susceptible pathogens, S (%) percentage of susceptible pathogens, AMP ampicillin, AMX/CLA amoxicillin/clavulanic acid, CZN cefazolin, CRX cefuroxime, CFX cefixime, CTM cefotaxime, CTX ceftriaxone, CZM ceftazidime, CPM cefepime, IPM imipenem, MPM meropenem, PIP-TZP piperacillin/tazobactam, TMP-SMZ trimethoprim-sulfamethoxazole, GMN gentamicin, ACN amikacin, CIP ciprofloxacin, OXN ofloxacin, LVX levofloxacin, NFT nitrofurantoin, TGN tigecycline, CLN colistin
  2. *Multivariate analysis of variance (MANOVA) for resistance trend