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Volume 24, Number 5—May 2018

Antimicrobial-Resistant Bacteria in Infected Wounds, Ghana, 20141

Hauke Janssen2, Iryna Janssen2, Paul Cooper, Clemens Kainyah, Theresia Pellio, Michael Quintel, Mathieu Monnheimer, Uwe Groß, and Marco H. SchulzeComments to Author 
Author affiliations: University Medical Center Goettingen, Goettingen, Germany (H. Janssen, I. Janssen, M. Quintel, M. Monnheimer, U. Groß, M.H. Schulze); St. Martin de Porres Hospital, Eikwe, Ghana (P. Cooper, C. Kainyah, T. Pellio)

Main Article

Table 1

Percentages of antimicrobial drug resistance in selected bacterial species in wound infections, Ghana, 2014*

Drug % Resistant
Staphylococcus aureus, n = 31 Enterococcus faecalis, n = 21 Proteus mirabilis, n = 20 Escherichia coli, n = 19 Klebsiella pneumoniae, n = 13 Enterobacter cloacae complex, n = 10 Pseudomonas aeruginosa, n = 20 Acinetobacter. baumannii complex, n = 8
PEN 93.5
AMP 0 70.0 94.7 100 100
SAM 0 45.0 82.2 69.2 100
TZP 0 10.5 46.2 30.0 10.0
CXM 5.0 57.9 46.2 80.0
CTX 5.0 47.4 46.2 40.0
CAZ 5.0 47.4 46.2 40.0 5.0 37.5†
IPM 0 0
MEM 0 0 0 0 5.0 0
ERY 3.2 100
CLI 3.2 100
TET 67.7 100
GEN 3.2 15.0 46.2 46.2 40.0 10.0 62.5
AMI 0 0
CIP 20.0 46.2 46.2 30.0 15.0 37.5
SXT 32.3 100 75.0 69.2 69.2 50.0
VAN 0 0

*Antimicrobial susceptibility testing was performed with VITEK 2 (bioMérieux, Marcy-l'Étoile, France) according to the EUCAST breakpoint tables for interpretation of MICs, version 4.0, 2014 (7). Blank cells indicate no testing performed. AMI, amikacin; AMP, ampicillin; CAZ, ceftazidime; CIP, ciprofloxacin; CLI, clindamycin; CTX, cefotaxime; CXM, cefuroxime; ERY, erythromycin; FOF, fosfomycin; GEN, gentamicin; IPM, imipenem; LVX, levofloxacin; MEM, meropenem; OXA, oxacillin; PEN, penicillin; RIF, rifampin; SAM, ampicillin/sulbactam; SXT, trimethoprim/sulfamethoxazole; TET, tetracycline; TZP, piperacillin/tazobactam; VAN, vancomycin.
†The interpretation of the CAZ MIC for A. baumannii complex followed the recommendations of the Clinical and Laboratory Standards Institute performance standards for antimicrobial susceptibility testing (8).

Main Article

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Main Article

1Preliminary results from this study were presented at the Annual Meeting of the German Society of Tropical Medicine and International Health; October 7–8, 2016; Bonn, Germany; and at the 69th Annual Meeting of the German Society for Hygiene and Microbiology; March 5–8, 2017; Wuerzburg, Germany.

2These authors contributed equally to this article.

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