Table 1.

The national and regional proportions of ESBL-producing E. coli, ESBL-producing K. pneumoniae and AmpC-producing E. coli among isolates collected by the CANWARD surveillance study from Canadian hospitals from 2007 to 2016

Cohort (no.)/CANWARD study year(s)Percentage by Canadian geographic regiona (no. in cohort with resistance phenotype/total no. of isolates of species collected)
nationalBC/AB/SK/MBONQCNB/NS
ESBL-producing E. coli (539)
 2007–166.4 (539/8387)6.6 (179/2719)10.0 (232/2317)3.6 (82/2291)4.3 (46/1060)
 20073.4 (53/1558)3.1 (17/556)6.6 (29/442)1.3 (6/456)1.0 (1/104)
 20084.9 (55/1130)6.1 (29/472)5.8 (17/292)2.2 (6/270)3.1 (3/96)
 20094.3 (47/1097)5.5 (16/292)6.1 (20/328)1.5 (5/335)4.2 (6/142)
 20103.0 (30/1013)2.3 (7/298)4.7 (12/257)1.6 (5/319)4.3 (6/139)
 20117.1 (46/645)5.6 (10/178)11.0 (23/209)4.8 (8/167)5.5 (5/91)
 20127.4 (37/499)4.9 (8/163)11.6 (20/172)6.7 (5/75)4.5 (4/89)
 20139.5 (62/655)9.6 (17/177)14.7 (31/211)6.5 (11/169)3.1 (3/98)
 201411.6 (72/620)12.4 (25/201)21.2 (36/170)4.0 (6/150)5.1 (5/99)
 201512.4 (69/558)15.0 (28/187)19.4 (20/103)7.9 (13/165)7.8 (8/103)
 201611.1 (68/612)11.3 (22/195)18.0 (24/133)9.2 (17/185)5.1 (5/99)
P valueb<0.0001<0.0001<0.0001<0.00010.0619d
ESBL-producing K. pneumoniae (104)
 2007–164.0 (104/2623)3.7 (29/792)7.0 (58/831)2.0 (14/686)1.0 (3/314)
 20071.3 (6/455)0.7 (1/143)0.7 (1/142)3.2 (4/126)0 (0/44)
 20083.2 (10/314)2.6 (3/117)5.2 (5/96)2.7 (2/73)0 (0/28)
 20093.1 (11/356)0 (0/100)7.9 (10/126)0 (0/96)2.9 (1/34)
 20103.3 (10/307)3.8 (3/79)6.3 (6/96)1.2 (1/81)0 (0/51)
 20114.0 (9/227)1.8 (1/57)6.8 (5/73)4.4 (3/68)0 (0/29)
 20123.6 (6/169)6.4 (3/47)3.3 (2/60)3.1 (1/32)0 (0/30)
 20135.7 (13/230)6.6 (5/76)9.0 (7/78)0 (0/54)4.5 (1/22)
 20146.6 (12/183)8.7 (4/46)12.1 (8/66)0 (0/41)0 (0/30)
 20154.6 (9/197)6.0 (4/67)9.3 (4/43)1.5 (1/65)0 (0/22)
 20169.7 (18/185)8.3 (5/60)19.6 (10/51)4.0 (2/50)4.2 (1/24)
P valueb<0.00010.0001<0.00010.7523d0.2959d
AmpC-producing E. coli (162)
 2007–161.9 (162/8387)2.3 (62/2719)1.9 (45/2317)1.4 (31/2291)2.3 (24/1060)
 2007c0.7 (4/557)1.0 (2/206)0 (0/93)0.7 (1/154)1.0 (1/104)
 20082.9 (33/1130)3.2 (15/472)3.4 (10/292)2.6 (7/270)1.0 (1/96)
 20092.4 (26/1097)2.1 (6/292)1.8 (6/328)2.7 (9/335)3.5 (5/142)
 20102.7 (27/1013)5.4 (16/298)1.9 (5/257)0.3 (1/319)3.6 (5/139)
 20112.9 (19/645)2.8 (5/178)2.4 (5/209)3.6 (6/167)3.3 (3/91)
 20122.2 (11/499)3.1 (5/163)1.7 (3/172)0 (0/75)3.4 (3/89)
 20133.1 (20/655)3.4 (6/177)3.8 (8/211)1.2 (2/169)4.1 (4/98)
 20141.0 (6/620)0.5 (1/201)1.8 (3/170)1.3 (2/150)0 (0/99)
 20150.9 (5/558)1.6 (3/187)1.0 (1/103)0 (0/165)1.0 (1/103)
 20161.8 (11/612)1.5 (3/195)3.0 (4/133)1.6 (3/185)1.0 (1/99)
P valueb0.1311d0.2314d0.7914d0.2118d0.4600d
Cohort (no.)/CANWARD study year(s)Percentage by Canadian geographic regiona (no. in cohort with resistance phenotype/total no. of isolates of species collected)
nationalBC/AB/SK/MBONQCNB/NS
ESBL-producing E. coli (539)
 2007–166.4 (539/8387)6.6 (179/2719)10.0 (232/2317)3.6 (82/2291)4.3 (46/1060)
 20073.4 (53/1558)3.1 (17/556)6.6 (29/442)1.3 (6/456)1.0 (1/104)
 20084.9 (55/1130)6.1 (29/472)5.8 (17/292)2.2 (6/270)3.1 (3/96)
 20094.3 (47/1097)5.5 (16/292)6.1 (20/328)1.5 (5/335)4.2 (6/142)
 20103.0 (30/1013)2.3 (7/298)4.7 (12/257)1.6 (5/319)4.3 (6/139)
 20117.1 (46/645)5.6 (10/178)11.0 (23/209)4.8 (8/167)5.5 (5/91)
 20127.4 (37/499)4.9 (8/163)11.6 (20/172)6.7 (5/75)4.5 (4/89)
 20139.5 (62/655)9.6 (17/177)14.7 (31/211)6.5 (11/169)3.1 (3/98)
 201411.6 (72/620)12.4 (25/201)21.2 (36/170)4.0 (6/150)5.1 (5/99)
 201512.4 (69/558)15.0 (28/187)19.4 (20/103)7.9 (13/165)7.8 (8/103)
 201611.1 (68/612)11.3 (22/195)18.0 (24/133)9.2 (17/185)5.1 (5/99)
P valueb<0.0001<0.0001<0.0001<0.00010.0619d
ESBL-producing K. pneumoniae (104)
 2007–164.0 (104/2623)3.7 (29/792)7.0 (58/831)2.0 (14/686)1.0 (3/314)
 20071.3 (6/455)0.7 (1/143)0.7 (1/142)3.2 (4/126)0 (0/44)
 20083.2 (10/314)2.6 (3/117)5.2 (5/96)2.7 (2/73)0 (0/28)
 20093.1 (11/356)0 (0/100)7.9 (10/126)0 (0/96)2.9 (1/34)
 20103.3 (10/307)3.8 (3/79)6.3 (6/96)1.2 (1/81)0 (0/51)
 20114.0 (9/227)1.8 (1/57)6.8 (5/73)4.4 (3/68)0 (0/29)
 20123.6 (6/169)6.4 (3/47)3.3 (2/60)3.1 (1/32)0 (0/30)
 20135.7 (13/230)6.6 (5/76)9.0 (7/78)0 (0/54)4.5 (1/22)
 20146.6 (12/183)8.7 (4/46)12.1 (8/66)0 (0/41)0 (0/30)
 20154.6 (9/197)6.0 (4/67)9.3 (4/43)1.5 (1/65)0 (0/22)
 20169.7 (18/185)8.3 (5/60)19.6 (10/51)4.0 (2/50)4.2 (1/24)
P valueb<0.00010.0001<0.00010.7523d0.2959d
AmpC-producing E. coli (162)
 2007–161.9 (162/8387)2.3 (62/2719)1.9 (45/2317)1.4 (31/2291)2.3 (24/1060)
 2007c0.7 (4/557)1.0 (2/206)0 (0/93)0.7 (1/154)1.0 (1/104)
 20082.9 (33/1130)3.2 (15/472)3.4 (10/292)2.6 (7/270)1.0 (1/96)
 20092.4 (26/1097)2.1 (6/292)1.8 (6/328)2.7 (9/335)3.5 (5/142)
 20102.7 (27/1013)5.4 (16/298)1.9 (5/257)0.3 (1/319)3.6 (5/139)
 20112.9 (19/645)2.8 (5/178)2.4 (5/209)3.6 (6/167)3.3 (3/91)
 20122.2 (11/499)3.1 (5/163)1.7 (3/172)0 (0/75)3.4 (3/89)
 20133.1 (20/655)3.4 (6/177)3.8 (8/211)1.2 (2/169)4.1 (4/98)
 20141.0 (6/620)0.5 (1/201)1.8 (3/170)1.3 (2/150)0 (0/99)
 20150.9 (5/558)1.6 (3/187)1.0 (1/103)0 (0/165)1.0 (1/103)
 20161.8 (11/612)1.5 (3/195)3.0 (4/133)1.6 (3/185)1.0 (1/99)
P valueb0.1311d0.2314d0.7914d0.2118d0.4600d
a

BC, British Columbia; AB, Alberta; SK, Saskatchewan; MB, Manitoba; ON, Ontario; QC, Quebec; NB, New Brunswick; NS, Nova Scotia.

b

P value comparing the annual rates of ESBL-producing E. coli, ESBL-producing K. pneumoniae and AmpC-producing E. coli from 2007 to 2016.

c

Cefoxitin was only tested against 557 of 1558 isolates of E. coli during CANWARD 2007. Cefoxitin was tested against all isolates of E. coli in all other years.

d

Not significant. The P value was >0.05.

Table 1.

The national and regional proportions of ESBL-producing E. coli, ESBL-producing K. pneumoniae and AmpC-producing E. coli among isolates collected by the CANWARD surveillance study from Canadian hospitals from 2007 to 2016

Cohort (no.)/CANWARD study year(s)Percentage by Canadian geographic regiona (no. in cohort with resistance phenotype/total no. of isolates of species collected)
nationalBC/AB/SK/MBONQCNB/NS
ESBL-producing E. coli (539)
 2007–166.4 (539/8387)6.6 (179/2719)10.0 (232/2317)3.6 (82/2291)4.3 (46/1060)
 20073.4 (53/1558)3.1 (17/556)6.6 (29/442)1.3 (6/456)1.0 (1/104)
 20084.9 (55/1130)6.1 (29/472)5.8 (17/292)2.2 (6/270)3.1 (3/96)
 20094.3 (47/1097)5.5 (16/292)6.1 (20/328)1.5 (5/335)4.2 (6/142)
 20103.0 (30/1013)2.3 (7/298)4.7 (12/257)1.6 (5/319)4.3 (6/139)
 20117.1 (46/645)5.6 (10/178)11.0 (23/209)4.8 (8/167)5.5 (5/91)
 20127.4 (37/499)4.9 (8/163)11.6 (20/172)6.7 (5/75)4.5 (4/89)
 20139.5 (62/655)9.6 (17/177)14.7 (31/211)6.5 (11/169)3.1 (3/98)
 201411.6 (72/620)12.4 (25/201)21.2 (36/170)4.0 (6/150)5.1 (5/99)
 201512.4 (69/558)15.0 (28/187)19.4 (20/103)7.9 (13/165)7.8 (8/103)
 201611.1 (68/612)11.3 (22/195)18.0 (24/133)9.2 (17/185)5.1 (5/99)
P valueb<0.0001<0.0001<0.0001<0.00010.0619d
ESBL-producing K. pneumoniae (104)
 2007–164.0 (104/2623)3.7 (29/792)7.0 (58/831)2.0 (14/686)1.0 (3/314)
 20071.3 (6/455)0.7 (1/143)0.7 (1/142)3.2 (4/126)0 (0/44)
 20083.2 (10/314)2.6 (3/117)5.2 (5/96)2.7 (2/73)0 (0/28)
 20093.1 (11/356)0 (0/100)7.9 (10/126)0 (0/96)2.9 (1/34)
 20103.3 (10/307)3.8 (3/79)6.3 (6/96)1.2 (1/81)0 (0/51)
 20114.0 (9/227)1.8 (1/57)6.8 (5/73)4.4 (3/68)0 (0/29)
 20123.6 (6/169)6.4 (3/47)3.3 (2/60)3.1 (1/32)0 (0/30)
 20135.7 (13/230)6.6 (5/76)9.0 (7/78)0 (0/54)4.5 (1/22)
 20146.6 (12/183)8.7 (4/46)12.1 (8/66)0 (0/41)0 (0/30)
 20154.6 (9/197)6.0 (4/67)9.3 (4/43)1.5 (1/65)0 (0/22)
 20169.7 (18/185)8.3 (5/60)19.6 (10/51)4.0 (2/50)4.2 (1/24)
P valueb<0.00010.0001<0.00010.7523d0.2959d
AmpC-producing E. coli (162)
 2007–161.9 (162/8387)2.3 (62/2719)1.9 (45/2317)1.4 (31/2291)2.3 (24/1060)
 2007c0.7 (4/557)1.0 (2/206)0 (0/93)0.7 (1/154)1.0 (1/104)
 20082.9 (33/1130)3.2 (15/472)3.4 (10/292)2.6 (7/270)1.0 (1/96)
 20092.4 (26/1097)2.1 (6/292)1.8 (6/328)2.7 (9/335)3.5 (5/142)
 20102.7 (27/1013)5.4 (16/298)1.9 (5/257)0.3 (1/319)3.6 (5/139)
 20112.9 (19/645)2.8 (5/178)2.4 (5/209)3.6 (6/167)3.3 (3/91)
 20122.2 (11/499)3.1 (5/163)1.7 (3/172)0 (0/75)3.4 (3/89)
 20133.1 (20/655)3.4 (6/177)3.8 (8/211)1.2 (2/169)4.1 (4/98)
 20141.0 (6/620)0.5 (1/201)1.8 (3/170)1.3 (2/150)0 (0/99)
 20150.9 (5/558)1.6 (3/187)1.0 (1/103)0 (0/165)1.0 (1/103)
 20161.8 (11/612)1.5 (3/195)3.0 (4/133)1.6 (3/185)1.0 (1/99)
P valueb0.1311d0.2314d0.7914d0.2118d0.4600d
Cohort (no.)/CANWARD study year(s)Percentage by Canadian geographic regiona (no. in cohort with resistance phenotype/total no. of isolates of species collected)
nationalBC/AB/SK/MBONQCNB/NS
ESBL-producing E. coli (539)
 2007–166.4 (539/8387)6.6 (179/2719)10.0 (232/2317)3.6 (82/2291)4.3 (46/1060)
 20073.4 (53/1558)3.1 (17/556)6.6 (29/442)1.3 (6/456)1.0 (1/104)
 20084.9 (55/1130)6.1 (29/472)5.8 (17/292)2.2 (6/270)3.1 (3/96)
 20094.3 (47/1097)5.5 (16/292)6.1 (20/328)1.5 (5/335)4.2 (6/142)
 20103.0 (30/1013)2.3 (7/298)4.7 (12/257)1.6 (5/319)4.3 (6/139)
 20117.1 (46/645)5.6 (10/178)11.0 (23/209)4.8 (8/167)5.5 (5/91)
 20127.4 (37/499)4.9 (8/163)11.6 (20/172)6.7 (5/75)4.5 (4/89)
 20139.5 (62/655)9.6 (17/177)14.7 (31/211)6.5 (11/169)3.1 (3/98)
 201411.6 (72/620)12.4 (25/201)21.2 (36/170)4.0 (6/150)5.1 (5/99)
 201512.4 (69/558)15.0 (28/187)19.4 (20/103)7.9 (13/165)7.8 (8/103)
 201611.1 (68/612)11.3 (22/195)18.0 (24/133)9.2 (17/185)5.1 (5/99)
P valueb<0.0001<0.0001<0.0001<0.00010.0619d
ESBL-producing K. pneumoniae (104)
 2007–164.0 (104/2623)3.7 (29/792)7.0 (58/831)2.0 (14/686)1.0 (3/314)
 20071.3 (6/455)0.7 (1/143)0.7 (1/142)3.2 (4/126)0 (0/44)
 20083.2 (10/314)2.6 (3/117)5.2 (5/96)2.7 (2/73)0 (0/28)
 20093.1 (11/356)0 (0/100)7.9 (10/126)0 (0/96)2.9 (1/34)
 20103.3 (10/307)3.8 (3/79)6.3 (6/96)1.2 (1/81)0 (0/51)
 20114.0 (9/227)1.8 (1/57)6.8 (5/73)4.4 (3/68)0 (0/29)
 20123.6 (6/169)6.4 (3/47)3.3 (2/60)3.1 (1/32)0 (0/30)
 20135.7 (13/230)6.6 (5/76)9.0 (7/78)0 (0/54)4.5 (1/22)
 20146.6 (12/183)8.7 (4/46)12.1 (8/66)0 (0/41)0 (0/30)
 20154.6 (9/197)6.0 (4/67)9.3 (4/43)1.5 (1/65)0 (0/22)
 20169.7 (18/185)8.3 (5/60)19.6 (10/51)4.0 (2/50)4.2 (1/24)
P valueb<0.00010.0001<0.00010.7523d0.2959d
AmpC-producing E. coli (162)
 2007–161.9 (162/8387)2.3 (62/2719)1.9 (45/2317)1.4 (31/2291)2.3 (24/1060)
 2007c0.7 (4/557)1.0 (2/206)0 (0/93)0.7 (1/154)1.0 (1/104)
 20082.9 (33/1130)3.2 (15/472)3.4 (10/292)2.6 (7/270)1.0 (1/96)
 20092.4 (26/1097)2.1 (6/292)1.8 (6/328)2.7 (9/335)3.5 (5/142)
 20102.7 (27/1013)5.4 (16/298)1.9 (5/257)0.3 (1/319)3.6 (5/139)
 20112.9 (19/645)2.8 (5/178)2.4 (5/209)3.6 (6/167)3.3 (3/91)
 20122.2 (11/499)3.1 (5/163)1.7 (3/172)0 (0/75)3.4 (3/89)
 20133.1 (20/655)3.4 (6/177)3.8 (8/211)1.2 (2/169)4.1 (4/98)
 20141.0 (6/620)0.5 (1/201)1.8 (3/170)1.3 (2/150)0 (0/99)
 20150.9 (5/558)1.6 (3/187)1.0 (1/103)0 (0/165)1.0 (1/103)
 20161.8 (11/612)1.5 (3/195)3.0 (4/133)1.6 (3/185)1.0 (1/99)
P valueb0.1311d0.2314d0.7914d0.2118d0.4600d
a

BC, British Columbia; AB, Alberta; SK, Saskatchewan; MB, Manitoba; ON, Ontario; QC, Quebec; NB, New Brunswick; NS, Nova Scotia.

b

P value comparing the annual rates of ESBL-producing E. coli, ESBL-producing K. pneumoniae and AmpC-producing E. coli from 2007 to 2016.

c

Cefoxitin was only tested against 557 of 1558 isolates of E. coli during CANWARD 2007. Cefoxitin was tested against all isolates of E. coli in all other years.

d

Not significant. The P value was >0.05.

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