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Original Research

Laboratory-based nationwide surveillance of antimicrobial resistance in Ghana

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Pages 379-389 | Published online: 18 Nov 2015

Figures & data

Figure 1 Ten regional boundaries of Ghana showing study laboratories.

Notes: Regional hospitals: AcR – Ridge (25), EaK – Eastern (142), VoV – Volta (56), BaS – Brong Ahafo (209), UwR – Upper West (0), UeB – Upper East (0)*. District hospitals: AcT – Tema General (18), AcL – LEKMA (110), EaT – Tetteh Quarshie Memorial (13). Teaching hospitals: AcK – Korle-Bu (699), AsK – Komfo Anokye (7), NoT – Tamale (102), CeT – Cape Coast (6). Zonal public health reference laboratories: AcP – National (0)*, WsE – Sekondi (152), AsP – Kumasi (0)*. Faith-based hospitals: EaN – Holy Family, Nkawkaw (11), AsO – St Patrick, Offinso (14), AsA – Agogo Presbyterian (0)*, BaB – Holy Family, Brekum (19). Research laboratories: BaK – Kintampo (2), UeW – War Memorial (0)*. Quasi Hospitals: Ac3 – 37 Military Hospital (0)*, CeU – University, Cape Coast (3). () Data sets submitted. *Laboratories that did not submit any data during the surveillance period.

Figure 1 Ten regional boundaries of Ghana showing study laboratories.Notes: Regional hospitals: AcR – Ridge (25), EaK – Eastern (142), VoV – Volta (56), BaS – Brong Ahafo (209), UwR – Upper West (0), UeB – Upper East (0)*. District hospitals: AcT – Tema General (18), AcL – LEKMA (110), EaT – Tetteh Quarshie Memorial (13). Teaching hospitals: AcK – Korle-Bu (699), AsK – Komfo Anokye (7), NoT – Tamale (102), CeT – Cape Coast (6). Zonal public health reference laboratories: AcP – National (0)*, WsE – Sekondi (152), AsP – Kumasi (0)*. Faith-based hospitals: EaN – Holy Family, Nkawkaw (11), AsO – St Patrick, Offinso (14), AsA – Agogo Presbyterian (0)*, BaB – Holy Family, Brekum (19). Research laboratories: BaK – Kintampo (2), UeW – War Memorial (0)*. Quasi Hospitals: Ac3 – 37 Military Hospital (0)*, CeU – University, Cape Coast (3). () Data sets submitted. *Laboratories that did not submit any data during the surveillance period.

Table 1 Bacterial species isolated during 6-month surveillance of antimicrobial resistance, Ghana, June–November 2014

Table 2 Specimen types cultured at laboratories during 6-month nationwide surveillance of antimicrobial resistance, Ghana, June–November 2014

Figure 2 Nationwide resistance profile of gram-negative isolates (A) and gram-positive isolates (B) from Ghana, June–November 2014.

Abbreviations: BETA, beta-lactamase; ESBL, extended-spectrum beta-lactamase; AMP, ampicillin; PIP, piperacillin; AMC, augmentin; CXM, cefuroxime; CTX, cefotaxime; MEM, meropenem; AMK, amikacin; NAL, nalidixic acid; CIP, ciprofloxacin; SXT, trimethoprim/sulfamethoxazole; ERY, erythromycin; NIT, nitrofurantoin; CHL, chloramphenicol; TCY, tetracycline; PNV, penicillin V; CLO, cloxacillin; FLC, flucloxacillin; OXA, oxacillin; FOX, cefoxitin; GEN, gentamicin.

Figure 2 Nationwide resistance profile of gram-negative isolates (A) and gram-positive isolates (B) from Ghana, June–November 2014.Abbreviations: BETA, beta-lactamase; ESBL, extended-spectrum beta-lactamase; AMP, ampicillin; PIP, piperacillin; AMC, augmentin; CXM, cefuroxime; CTX, cefotaxime; MEM, meropenem; AMK, amikacin; NAL, nalidixic acid; CIP, ciprofloxacin; SXT, trimethoprim/sulfamethoxazole; ERY, erythromycin; NIT, nitrofurantoin; CHL, chloramphenicol; TCY, tetracycline; PNV, penicillin V; CLO, cloxacillin; FLC, flucloxacillin; OXA, oxacillin; FOX, cefoxitin; GEN, gentamicin.

Figure 3 Comparison of resistance profile of selected antimicrobial between southern, middle, and northern sectors of Ghana.

Note: Differences observed in ciprofloxacin and penicillin is significant (P<0.05).

Abbreviations: CIP, ciprofloxacin; PEN, penicillin.

Figure 3 Comparison of resistance profile of selected antimicrobial between southern, middle, and northern sectors of Ghana.Note: Differences observed in ciprofloxacin and penicillin is significant (P<0.05).Abbreviations: CIP, ciprofloxacin; PEN, penicillin.

Table 3 Minimum inhibitory concentration of randomly selected isolates to some antimicrobial agents

Figure S1 Weekly data report form.

Figure S1 Weekly data report form.