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) . | ||||
---|---|---|---|---|---|
national . | BC/AB/SK/MB . | ON . | QC . | NB/NS . | |
ESBL-producing E. coli (539) | |||||
2007–16 | 6.4 (539/8387) | 6.6 (179/2719) | 10.0 (232/2317) | 3.6 (82/2291) | 4.3 (46/1060) |
2007 | 3.4 (53/1558) | 3.1 (17/556) | 6.6 (29/442) | 1.3 (6/456) | 1.0 (1/104) |
2008 | 4.9 (55/1130) | 6.1 (29/472) | 5.8 (17/292) | 2.2 (6/270) | 3.1 (3/96) |
2009 | 4.3 (47/1097) | 5.5 (16/292) | 6.1 (20/328) | 1.5 (5/335) | 4.2 (6/142) |
2010 | 3.0 (30/1013) | 2.3 (7/298) | 4.7 (12/257) | 1.6 (5/319) | 4.3 (6/139) |
2011 | 7.1 (46/645) | 5.6 (10/178) | 11.0 (23/209) | 4.8 (8/167) | 5.5 (5/91) |
2012 | 7.4 (37/499) | 4.9 (8/163) | 11.6 (20/172) | 6.7 (5/75) | 4.5 (4/89) |
2013 | 9.5 (62/655) | 9.6 (17/177) | 14.7 (31/211) | 6.5 (11/169) | 3.1 (3/98) |
2014 | 11.6 (72/620) | 12.4 (25/201) | 21.2 (36/170) | 4.0 (6/150) | 5.1 (5/99) |
2015 | 12.4 (69/558) | 15.0 (28/187) | 19.4 (20/103) | 7.9 (13/165) | 7.8 (8/103) |
2016 | 11.1 (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 | <0.0001 | 0.0619d |
ESBL-producing K. pneumoniae (104) | |||||
2007–16 | 4.0 (104/2623) | 3.7 (29/792) | 7.0 (58/831) | 2.0 (14/686) | 1.0 (3/314) |
2007 | 1.3 (6/455) | 0.7 (1/143) | 0.7 (1/142) | 3.2 (4/126) | 0 (0/44) |
2008 | 3.2 (10/314) | 2.6 (3/117) | 5.2 (5/96) | 2.7 (2/73) | 0 (0/28) |
2009 | 3.1 (11/356) | 0 (0/100) | 7.9 (10/126) | 0 (0/96) | 2.9 (1/34) |
2010 | 3.3 (10/307) | 3.8 (3/79) | 6.3 (6/96) | 1.2 (1/81) | 0 (0/51) |
2011 | 4.0 (9/227) | 1.8 (1/57) | 6.8 (5/73) | 4.4 (3/68) | 0 (0/29) |
2012 | 3.6 (6/169) | 6.4 (3/47) | 3.3 (2/60) | 3.1 (1/32) | 0 (0/30) |
2013 | 5.7 (13/230) | 6.6 (5/76) | 9.0 (7/78) | 0 (0/54) | 4.5 (1/22) |
2014 | 6.6 (12/183) | 8.7 (4/46) | 12.1 (8/66) | 0 (0/41) | 0 (0/30) |
2015 | 4.6 (9/197) | 6.0 (4/67) | 9.3 (4/43) | 1.5 (1/65) | 0 (0/22) |
2016 | 9.7 (18/185) | 8.3 (5/60) | 19.6 (10/51) | 4.0 (2/50) | 4.2 (1/24) |
P valueb | <0.0001 | 0.0001 | <0.0001 | 0.7523d | 0.2959d |
AmpC-producing E. coli (162) | |||||
2007–16 | 1.9 (162/8387) | 2.3 (62/2719) | 1.9 (45/2317) | 1.4 (31/2291) | 2.3 (24/1060) |
2007c | 0.7 (4/557) | 1.0 (2/206) | 0 (0/93) | 0.7 (1/154) | 1.0 (1/104) |
2008 | 2.9 (33/1130) | 3.2 (15/472) | 3.4 (10/292) | 2.6 (7/270) | 1.0 (1/96) |
2009 | 2.4 (26/1097) | 2.1 (6/292) | 1.8 (6/328) | 2.7 (9/335) | 3.5 (5/142) |
2010 | 2.7 (27/1013) | 5.4 (16/298) | 1.9 (5/257) | 0.3 (1/319) | 3.6 (5/139) |
2011 | 2.9 (19/645) | 2.8 (5/178) | 2.4 (5/209) | 3.6 (6/167) | 3.3 (3/91) |
2012 | 2.2 (11/499) | 3.1 (5/163) | 1.7 (3/172) | 0 (0/75) | 3.4 (3/89) |
2013 | 3.1 (20/655) | 3.4 (6/177) | 3.8 (8/211) | 1.2 (2/169) | 4.1 (4/98) |
2014 | 1.0 (6/620) | 0.5 (1/201) | 1.8 (3/170) | 1.3 (2/150) | 0 (0/99) |
2015 | 0.9 (5/558) | 1.6 (3/187) | 1.0 (1/103) | 0 (0/165) | 1.0 (1/103) |
2016 | 1.8 (11/612) | 1.5 (3/195) | 3.0 (4/133) | 1.6 (3/185) | 1.0 (1/99) |
P valueb | 0.1311d | 0.2314d | 0.7914d | 0.2118d | 0.4600d |
Cohort (no.)/CANWARD study year(s) . | Percentage by Canadian geographic regiona (no. in cohort with resistance phenotype/total no. of isolates of species collected) . | ||||
---|---|---|---|---|---|
national . | BC/AB/SK/MB . | ON . | QC . | NB/NS . | |
ESBL-producing E. coli (539) | |||||
2007–16 | 6.4 (539/8387) | 6.6 (179/2719) | 10.0 (232/2317) | 3.6 (82/2291) | 4.3 (46/1060) |
2007 | 3.4 (53/1558) | 3.1 (17/556) | 6.6 (29/442) | 1.3 (6/456) | 1.0 (1/104) |
2008 | 4.9 (55/1130) | 6.1 (29/472) | 5.8 (17/292) | 2.2 (6/270) | 3.1 (3/96) |
2009 | 4.3 (47/1097) | 5.5 (16/292) | 6.1 (20/328) | 1.5 (5/335) | 4.2 (6/142) |
2010 | 3.0 (30/1013) | 2.3 (7/298) | 4.7 (12/257) | 1.6 (5/319) | 4.3 (6/139) |
2011 | 7.1 (46/645) | 5.6 (10/178) | 11.0 (23/209) | 4.8 (8/167) | 5.5 (5/91) |
2012 | 7.4 (37/499) | 4.9 (8/163) | 11.6 (20/172) | 6.7 (5/75) | 4.5 (4/89) |
2013 | 9.5 (62/655) | 9.6 (17/177) | 14.7 (31/211) | 6.5 (11/169) | 3.1 (3/98) |
2014 | 11.6 (72/620) | 12.4 (25/201) | 21.2 (36/170) | 4.0 (6/150) | 5.1 (5/99) |
2015 | 12.4 (69/558) | 15.0 (28/187) | 19.4 (20/103) | 7.9 (13/165) | 7.8 (8/103) |
2016 | 11.1 (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 | <0.0001 | 0.0619d |
ESBL-producing K. pneumoniae (104) | |||||
2007–16 | 4.0 (104/2623) | 3.7 (29/792) | 7.0 (58/831) | 2.0 (14/686) | 1.0 (3/314) |
2007 | 1.3 (6/455) | 0.7 (1/143) | 0.7 (1/142) | 3.2 (4/126) | 0 (0/44) |
2008 | 3.2 (10/314) | 2.6 (3/117) | 5.2 (5/96) | 2.7 (2/73) | 0 (0/28) |
2009 | 3.1 (11/356) | 0 (0/100) | 7.9 (10/126) | 0 (0/96) | 2.9 (1/34) |
2010 | 3.3 (10/307) | 3.8 (3/79) | 6.3 (6/96) | 1.2 (1/81) | 0 (0/51) |
2011 | 4.0 (9/227) | 1.8 (1/57) | 6.8 (5/73) | 4.4 (3/68) | 0 (0/29) |
2012 | 3.6 (6/169) | 6.4 (3/47) | 3.3 (2/60) | 3.1 (1/32) | 0 (0/30) |
2013 | 5.7 (13/230) | 6.6 (5/76) | 9.0 (7/78) | 0 (0/54) | 4.5 (1/22) |
2014 | 6.6 (12/183) | 8.7 (4/46) | 12.1 (8/66) | 0 (0/41) | 0 (0/30) |
2015 | 4.6 (9/197) | 6.0 (4/67) | 9.3 (4/43) | 1.5 (1/65) | 0 (0/22) |
2016 | 9.7 (18/185) | 8.3 (5/60) | 19.6 (10/51) | 4.0 (2/50) | 4.2 (1/24) |
P valueb | <0.0001 | 0.0001 | <0.0001 | 0.7523d | 0.2959d |
AmpC-producing E. coli (162) | |||||
2007–16 | 1.9 (162/8387) | 2.3 (62/2719) | 1.9 (45/2317) | 1.4 (31/2291) | 2.3 (24/1060) |
2007c | 0.7 (4/557) | 1.0 (2/206) | 0 (0/93) | 0.7 (1/154) | 1.0 (1/104) |
2008 | 2.9 (33/1130) | 3.2 (15/472) | 3.4 (10/292) | 2.6 (7/270) | 1.0 (1/96) |
2009 | 2.4 (26/1097) | 2.1 (6/292) | 1.8 (6/328) | 2.7 (9/335) | 3.5 (5/142) |
2010 | 2.7 (27/1013) | 5.4 (16/298) | 1.9 (5/257) | 0.3 (1/319) | 3.6 (5/139) |
2011 | 2.9 (19/645) | 2.8 (5/178) | 2.4 (5/209) | 3.6 (6/167) | 3.3 (3/91) |
2012 | 2.2 (11/499) | 3.1 (5/163) | 1.7 (3/172) | 0 (0/75) | 3.4 (3/89) |
2013 | 3.1 (20/655) | 3.4 (6/177) | 3.8 (8/211) | 1.2 (2/169) | 4.1 (4/98) |
2014 | 1.0 (6/620) | 0.5 (1/201) | 1.8 (3/170) | 1.3 (2/150) | 0 (0/99) |
2015 | 0.9 (5/558) | 1.6 (3/187) | 1.0 (1/103) | 0 (0/165) | 1.0 (1/103) |
2016 | 1.8 (11/612) | 1.5 (3/195) | 3.0 (4/133) | 1.6 (3/185) | 1.0 (1/99) |
P valueb | 0.1311d | 0.2314d | 0.7914d | 0.2118d | 0.4600d |
BC, British Columbia; AB, Alberta; SK, Saskatchewan; MB, Manitoba; ON, Ontario; QC, Quebec; NB, New Brunswick; NS, Nova Scotia.
P value comparing the annual rates of ESBL-producing E. coli, ESBL-producing K. pneumoniae and AmpC-producing E. coli from 2007 to 2016.
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.
Not significant. The P value was >0.05.
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) . | ||||
---|---|---|---|---|---|
national . | BC/AB/SK/MB . | ON . | QC . | NB/NS . | |
ESBL-producing E. coli (539) | |||||
2007–16 | 6.4 (539/8387) | 6.6 (179/2719) | 10.0 (232/2317) | 3.6 (82/2291) | 4.3 (46/1060) |
2007 | 3.4 (53/1558) | 3.1 (17/556) | 6.6 (29/442) | 1.3 (6/456) | 1.0 (1/104) |
2008 | 4.9 (55/1130) | 6.1 (29/472) | 5.8 (17/292) | 2.2 (6/270) | 3.1 (3/96) |
2009 | 4.3 (47/1097) | 5.5 (16/292) | 6.1 (20/328) | 1.5 (5/335) | 4.2 (6/142) |
2010 | 3.0 (30/1013) | 2.3 (7/298) | 4.7 (12/257) | 1.6 (5/319) | 4.3 (6/139) |
2011 | 7.1 (46/645) | 5.6 (10/178) | 11.0 (23/209) | 4.8 (8/167) | 5.5 (5/91) |
2012 | 7.4 (37/499) | 4.9 (8/163) | 11.6 (20/172) | 6.7 (5/75) | 4.5 (4/89) |
2013 | 9.5 (62/655) | 9.6 (17/177) | 14.7 (31/211) | 6.5 (11/169) | 3.1 (3/98) |
2014 | 11.6 (72/620) | 12.4 (25/201) | 21.2 (36/170) | 4.0 (6/150) | 5.1 (5/99) |
2015 | 12.4 (69/558) | 15.0 (28/187) | 19.4 (20/103) | 7.9 (13/165) | 7.8 (8/103) |
2016 | 11.1 (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 | <0.0001 | 0.0619d |
ESBL-producing K. pneumoniae (104) | |||||
2007–16 | 4.0 (104/2623) | 3.7 (29/792) | 7.0 (58/831) | 2.0 (14/686) | 1.0 (3/314) |
2007 | 1.3 (6/455) | 0.7 (1/143) | 0.7 (1/142) | 3.2 (4/126) | 0 (0/44) |
2008 | 3.2 (10/314) | 2.6 (3/117) | 5.2 (5/96) | 2.7 (2/73) | 0 (0/28) |
2009 | 3.1 (11/356) | 0 (0/100) | 7.9 (10/126) | 0 (0/96) | 2.9 (1/34) |
2010 | 3.3 (10/307) | 3.8 (3/79) | 6.3 (6/96) | 1.2 (1/81) | 0 (0/51) |
2011 | 4.0 (9/227) | 1.8 (1/57) | 6.8 (5/73) | 4.4 (3/68) | 0 (0/29) |
2012 | 3.6 (6/169) | 6.4 (3/47) | 3.3 (2/60) | 3.1 (1/32) | 0 (0/30) |
2013 | 5.7 (13/230) | 6.6 (5/76) | 9.0 (7/78) | 0 (0/54) | 4.5 (1/22) |
2014 | 6.6 (12/183) | 8.7 (4/46) | 12.1 (8/66) | 0 (0/41) | 0 (0/30) |
2015 | 4.6 (9/197) | 6.0 (4/67) | 9.3 (4/43) | 1.5 (1/65) | 0 (0/22) |
2016 | 9.7 (18/185) | 8.3 (5/60) | 19.6 (10/51) | 4.0 (2/50) | 4.2 (1/24) |
P valueb | <0.0001 | 0.0001 | <0.0001 | 0.7523d | 0.2959d |
AmpC-producing E. coli (162) | |||||
2007–16 | 1.9 (162/8387) | 2.3 (62/2719) | 1.9 (45/2317) | 1.4 (31/2291) | 2.3 (24/1060) |
2007c | 0.7 (4/557) | 1.0 (2/206) | 0 (0/93) | 0.7 (1/154) | 1.0 (1/104) |
2008 | 2.9 (33/1130) | 3.2 (15/472) | 3.4 (10/292) | 2.6 (7/270) | 1.0 (1/96) |
2009 | 2.4 (26/1097) | 2.1 (6/292) | 1.8 (6/328) | 2.7 (9/335) | 3.5 (5/142) |
2010 | 2.7 (27/1013) | 5.4 (16/298) | 1.9 (5/257) | 0.3 (1/319) | 3.6 (5/139) |
2011 | 2.9 (19/645) | 2.8 (5/178) | 2.4 (5/209) | 3.6 (6/167) | 3.3 (3/91) |
2012 | 2.2 (11/499) | 3.1 (5/163) | 1.7 (3/172) | 0 (0/75) | 3.4 (3/89) |
2013 | 3.1 (20/655) | 3.4 (6/177) | 3.8 (8/211) | 1.2 (2/169) | 4.1 (4/98) |
2014 | 1.0 (6/620) | 0.5 (1/201) | 1.8 (3/170) | 1.3 (2/150) | 0 (0/99) |
2015 | 0.9 (5/558) | 1.6 (3/187) | 1.0 (1/103) | 0 (0/165) | 1.0 (1/103) |
2016 | 1.8 (11/612) | 1.5 (3/195) | 3.0 (4/133) | 1.6 (3/185) | 1.0 (1/99) |
P valueb | 0.1311d | 0.2314d | 0.7914d | 0.2118d | 0.4600d |
Cohort (no.)/CANWARD study year(s) . | Percentage by Canadian geographic regiona (no. in cohort with resistance phenotype/total no. of isolates of species collected) . | ||||
---|---|---|---|---|---|
national . | BC/AB/SK/MB . | ON . | QC . | NB/NS . | |
ESBL-producing E. coli (539) | |||||
2007–16 | 6.4 (539/8387) | 6.6 (179/2719) | 10.0 (232/2317) | 3.6 (82/2291) | 4.3 (46/1060) |
2007 | 3.4 (53/1558) | 3.1 (17/556) | 6.6 (29/442) | 1.3 (6/456) | 1.0 (1/104) |
2008 | 4.9 (55/1130) | 6.1 (29/472) | 5.8 (17/292) | 2.2 (6/270) | 3.1 (3/96) |
2009 | 4.3 (47/1097) | 5.5 (16/292) | 6.1 (20/328) | 1.5 (5/335) | 4.2 (6/142) |
2010 | 3.0 (30/1013) | 2.3 (7/298) | 4.7 (12/257) | 1.6 (5/319) | 4.3 (6/139) |
2011 | 7.1 (46/645) | 5.6 (10/178) | 11.0 (23/209) | 4.8 (8/167) | 5.5 (5/91) |
2012 | 7.4 (37/499) | 4.9 (8/163) | 11.6 (20/172) | 6.7 (5/75) | 4.5 (4/89) |
2013 | 9.5 (62/655) | 9.6 (17/177) | 14.7 (31/211) | 6.5 (11/169) | 3.1 (3/98) |
2014 | 11.6 (72/620) | 12.4 (25/201) | 21.2 (36/170) | 4.0 (6/150) | 5.1 (5/99) |
2015 | 12.4 (69/558) | 15.0 (28/187) | 19.4 (20/103) | 7.9 (13/165) | 7.8 (8/103) |
2016 | 11.1 (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 | <0.0001 | 0.0619d |
ESBL-producing K. pneumoniae (104) | |||||
2007–16 | 4.0 (104/2623) | 3.7 (29/792) | 7.0 (58/831) | 2.0 (14/686) | 1.0 (3/314) |
2007 | 1.3 (6/455) | 0.7 (1/143) | 0.7 (1/142) | 3.2 (4/126) | 0 (0/44) |
2008 | 3.2 (10/314) | 2.6 (3/117) | 5.2 (5/96) | 2.7 (2/73) | 0 (0/28) |
2009 | 3.1 (11/356) | 0 (0/100) | 7.9 (10/126) | 0 (0/96) | 2.9 (1/34) |
2010 | 3.3 (10/307) | 3.8 (3/79) | 6.3 (6/96) | 1.2 (1/81) | 0 (0/51) |
2011 | 4.0 (9/227) | 1.8 (1/57) | 6.8 (5/73) | 4.4 (3/68) | 0 (0/29) |
2012 | 3.6 (6/169) | 6.4 (3/47) | 3.3 (2/60) | 3.1 (1/32) | 0 (0/30) |
2013 | 5.7 (13/230) | 6.6 (5/76) | 9.0 (7/78) | 0 (0/54) | 4.5 (1/22) |
2014 | 6.6 (12/183) | 8.7 (4/46) | 12.1 (8/66) | 0 (0/41) | 0 (0/30) |
2015 | 4.6 (9/197) | 6.0 (4/67) | 9.3 (4/43) | 1.5 (1/65) | 0 (0/22) |
2016 | 9.7 (18/185) | 8.3 (5/60) | 19.6 (10/51) | 4.0 (2/50) | 4.2 (1/24) |
P valueb | <0.0001 | 0.0001 | <0.0001 | 0.7523d | 0.2959d |
AmpC-producing E. coli (162) | |||||
2007–16 | 1.9 (162/8387) | 2.3 (62/2719) | 1.9 (45/2317) | 1.4 (31/2291) | 2.3 (24/1060) |
2007c | 0.7 (4/557) | 1.0 (2/206) | 0 (0/93) | 0.7 (1/154) | 1.0 (1/104) |
2008 | 2.9 (33/1130) | 3.2 (15/472) | 3.4 (10/292) | 2.6 (7/270) | 1.0 (1/96) |
2009 | 2.4 (26/1097) | 2.1 (6/292) | 1.8 (6/328) | 2.7 (9/335) | 3.5 (5/142) |
2010 | 2.7 (27/1013) | 5.4 (16/298) | 1.9 (5/257) | 0.3 (1/319) | 3.6 (5/139) |
2011 | 2.9 (19/645) | 2.8 (5/178) | 2.4 (5/209) | 3.6 (6/167) | 3.3 (3/91) |
2012 | 2.2 (11/499) | 3.1 (5/163) | 1.7 (3/172) | 0 (0/75) | 3.4 (3/89) |
2013 | 3.1 (20/655) | 3.4 (6/177) | 3.8 (8/211) | 1.2 (2/169) | 4.1 (4/98) |
2014 | 1.0 (6/620) | 0.5 (1/201) | 1.8 (3/170) | 1.3 (2/150) | 0 (0/99) |
2015 | 0.9 (5/558) | 1.6 (3/187) | 1.0 (1/103) | 0 (0/165) | 1.0 (1/103) |
2016 | 1.8 (11/612) | 1.5 (3/195) | 3.0 (4/133) | 1.6 (3/185) | 1.0 (1/99) |
P valueb | 0.1311d | 0.2314d | 0.7914d | 0.2118d | 0.4600d |
BC, British Columbia; AB, Alberta; SK, Saskatchewan; MB, Manitoba; ON, Ontario; QC, Quebec; NB, New Brunswick; NS, Nova Scotia.
P value comparing the annual rates of ESBL-producing E. coli, ESBL-producing K. pneumoniae and AmpC-producing E. coli from 2007 to 2016.
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.
Not significant. The P value was >0.05.
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