Resistant culture for the bacterial isolate of Al-Mahmoudiya G.Hospital as part of antibiotic stewardship mission presented on 23/11/2022 at our hospital

1. Alaa Fadhel Hassan (M.Sc. Pharm)
Drug information centre

2.  The presentation involve antibiotics’ – resistant bacterial isolates
dependent on C/S tests obtained from bacteriology unit from Jan.
2020 to Oct. 2022 depending on the antibiograms.
 It doesn’t involve neither numbers nor ratios, but only bacterial spp. &
resistant antibiotics (any resistance other than 0%).
 Antibiotics are listed according to their categories (only).
 Resistant antibiotic repeated in seasons showed as:
1 season, 2 season, 3 season & 4 seasons (full year)

3. ABNDayantibiogram.xlsx

4. 2020 2021 Jan-March April-June July-Sept.
Ampicillin Ampicillin
Penicillin Penicillin Penicillin
Amoxicillin Amoxicillin Amoxicillin Amoxicillin
Amoxicillin clavulanic
acid
Piperacillin
Ticarcillin
Ceftriaxone Ceftriaxone Ceftriaxone Ceftriaxone Ceftriaxone
Cefotaxime Cefotaxime Cefotaxime Cefotaxime
Ceftazidime Ceftazidime Ceftazidime Ceftazidime Ceftazidime
Cefepime Cefepime Cefepime Cefepime
Cefoxitine Cefoxitine Cefoxitine Cefoxitine Cefoxitine

5. 2020 2021 Jan-March April-June July-Sept.
Cefazolin
Cefixime Cefixime
Cephalothin
Cefamandol Cefamandol
Nalidixic acid Nalidixic acid Nalidixic acid Nalidixic acid Nalidixic acid
Amikacin Amikacin Amikacin Amikacin
Gentamicin Gentamicin Gentamicin Gentamicin
Tobramycin
Imipenem Imipenem Imipenem Imipenem Imipenem
Aztreonam Aztreonam Aztreonam Aztreonam Aztreonam
Azithromycin Azithromycin Azithromycin Azithromycin Azithromycin
Erythromycin Erythromycin

6. 2020 2021 Jan-March April-June July-Sept.
Ciprofloxacin Ciprofloxacin Ciprofloxacin Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin Levofloxacin Levofloxacin Levofloxacin
Tetracycline Tetracycline Tetracycline Tetracycline Tetracycline
Doxycycline Doxycycline Doxycycline Doxycycline Doxycycline
Chloramphenicol Chloramphenicol Chloramphenicol
Nitrofurantoin Nitrofurantoin Nitrofurantoin
Trimethoprim Trimethoprim
Trimethoprim
sulfamethoxazole
Clindamycin

7. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Penicillin
Amoxicillin
Ceftriaxone
Ceftazidime
Cefepime Cefepime
Cefoxitine Cefoxitine Cefoxitine
Cefazolin
Nalidixic acid
Amikacin
Gentamicin
Imipenem

8. 2020 2021 Jan-March April-June July-Sept.
Azithromycin Azithromycin
Ciprofloxacin
Tetracycline
Doxycycline
Nitrofurantoin
Trimethoprim Trimethoprim
Trimethoprim
sulfamethoxazole

9. 2020 2021 Jan-March April-June July-Sept.
Amoxicillin
Ceftriaxone Ceftriaxone
Ceftazidime
Cefoxitine Cefoxitine Cefoxitine
Cefamandol
Nalidixic acid Nalidixic acid
Amikacin
Gentamicin
Aztreonam Aztreonam
Azithromycin Azithromycin Azithromycin
Ciprofloxacin Ciprofloxacin
Levofloxacin

10. 2020 2021 Jan-March April-June July-Sept.
Tetracycline Tetracycline
Doxycycline Doxycycline
Chloramphenicol
Nitrofurantoin
Trimethoprim Trimethoprim

11. 2020 2021 Jan-March April-June July-Sept.
Penicillin Penicillin
Amoxicillin Amoxicillin
Ceftazidime
Cefepime
Nalidixic acid
Gentamicin
Aztreonam
Azithromycin
Ciprofloxacin
Trimethoprim

12. 2020 2021 Jan-March April-June July-Sept.
Penicillin Penicillin
Amoxicillin Amoxicillin
Ceftriaxone Ceftriaxone Ceftriaxone Ceftriaxone
Ceftazidime
Cefepime
Cefixime
Nalidixic acid Nalidixic acid Nalidixic acid Nalidixic acid
Aztreonam
Azithromycin
Ciprofloxacin Ciprofloxacin
Levofloxacin
Tetracycline Tetracycline
Doxycycline Doxycycline

13. 2020 2021 Jan-March April-June July-Sept.
Chloramphenicol Chloramphenicol
Nitrofurantoin
Trimethoprim Trimethoprim
Clindamycin

14. 2020 2021 Jan-March April-June July-Sept.
Amoxicillin
Penicillin
Ceftriaxone
Ceftazidime
Cefepime
Nalidixic acid
Amikacin
Gentamicin
Aztreonam
Ciprofloxacin
Levofloxacin
Doxycycline Doxycycline

15. 2020 2021 Jan-March April-June July-Sept.
Chloramphenicol
Trimethoprim

16. 2020 2021 Jan-March April-June July-Sept.
Penicillin
Ceftriaxone Ceftriaxone Ceftriaxone Ceftriaxone
Ceftazidime
Cefepime Cefepime
Cefoxitine Cefoxitine
Amikacin Amikacin
Gentamicin Gentamicin
Imipenem
Aztreonam Aztreonam
Azithromycin
Ciprofloxacin
Levofloxacin

17. 2020 2021 Jan-March April-June July-Sept.
Doxycycline Doxycycline Doxycycline
Chloramphenicol Chloramphenicol Chloramphenicol
Trimethoprim
Trimethoprim
sulfamethoxazole

18. 2020 2021 Jan-March April-June July-Sept.
Ceftazidime
Nalidixic acid
Aztreonam
Azithromycin
Ciprofloxacin
Tetracycline
Nitrofurantoin
Trimethoprim

19. 2020 2021 Jan-March April-June July-Sept.
Cefepime
Cefoxitine
Ciprofloxacin
Levofloxacin
Tetracycline
Trimethoprim
sulfamethoxazole

20. 2020 2021 Jan-March April-June July-Sept.
Penicillin
Amoxicillin clavulanic
acid
Ceftriaxone Ceftriaxone Ceftriaxone
Cefotaxime
Ceftazidime Ceftazidime Ceftazidime
Cefepime Cefepime Cefepime
Cefoxitine
Nalidixic acid Nalidixic acid
Amikacin Amikacin
Gentamicin Gentamicin Gentamicin
Aztreonam Aztreonam
Azithromycin Azithromycin

21. 2020 2021 Jan-March April-June July-Sept.
Ciprofloxacin Ciprofloxacin
Levofloxacin
Tetracycline Tetracycline Tetracycline
Doxycycline Doxycycline
Chloramphenicol Chloramphenicol
Nitrofurantoin
Trimethoprim Trimethoprim

22. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Nalidixic acid
Tetracycline
Trimethoprim

23. 2020 2021 Jan-March April-June July-Sept.
Piperacillin
Ticarcillin
Ceftazidime
Gentamicin
Tobramycin
Aztreonam
Ciprofloxacin
Trimethoprim

24. 2020 2021 Jan-March April-June July-Sept.
Ticarcillin
Ceftazidime
Cefepime
Gentamicin
Aztreonam

25. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Ceftriaxone Ceftriaxone
Ceftazidime
Cefepime Cefepime
Cefoxitine Cefoxitine
Cefixime
Nalidixic acid Nalidixic acid
Gentamicin
Aztreonam Aztreonam Aztreonam
Azithromycin Azithromycin Azithromycin
Ciprofloxacin
Levofloxacin Levofloxacin

26. 2020 2021 Jan-March April-June July-Sept.
Tetracycline Tetracycline
Doxycycline Doxycycline
Chloramphenicol
Trimethoprim Trimethoprim
Trimethoprim
sulfamethoxazole

27. 2020 2021 Jan-March April-June July-Sept.
Amoxicillin
Nalidixic acid
Levofloxacin
Tetracycline
Trimethoprim

28. 2020 2021 Jan-March April-June July-Sept.
Penicillin Penicillin Penicillin Penicillin
Piperacillin
Ceftriaxone
Ceftazidime
Cefepime Cefepime
Cefoxitine
Gentamicin
Imipenem
Azithromycin Azithromycin
Ciprofloxacin Ciprofloxacin
Tetracycline
Doxycycline
Chloramphenicol

29. 2020 2021 Jan-March April-June July-Sept.
Nitrofurantoin
Trimethoprim
sulfamethoxazole

30. 2020 2021 Jan-March April-June July-Sept.
Piperacillin Penicillin
Ticarcillin
Cefotaxime
Ceftazidime Ceftazidime
Cefepime Cefepime Cefepime
Cefoxitine
Cephalothin
Cefamandol
Nalidixic acid
Amikacin Amikacin
Gentamicin Gentamicin Gentamicin
Imipenem Imipenem
Aztreonam Aztreonam

31. 2020 2021 Jan-March April-June July-Sept.
Ciprofloxacin
Levofloxacin Levofloxaicn Levofloxacin
Doxycycline
Rifampin

32. 2020` 2021 Jan-March April-June July-Sept.
Penicillin Penicillin Penicillin
Piperacillin
Ceftazidime Ceftazidime Ceftazidime
Cefepime Cefepime Cefepime Cefepime
Cefoxitine Cefoxitine
Nalidixic acid Nalidixic acid
Amikacin Amikacin
Gentamicin Gentamicin Gentamicin Gentamicin
Imipenem Imipenem Imipenem
Meropenem
Aztreonam Aztreonam
Azithromycin
Erythromycin

33. 2020` 2021 Jan-March April-June July-Sept.
Ciprofloxacin Ciprofloxacin
Tetracycline
Doxycycline Doxycycline
Chloramphenicol
Nitrofurantoin Nitrofurantoin
Trimethoprim

34. 2020` 2021 Jan-March April-June July-Sept.
Cefepime
Gentamicin
Imipenem
Tetracycline
Chloramphenicol
Trimethoprim

35. 2020 2021 Jan-March April-June July-Sept.
Ceftazidime
Cefoxitine
Amikacin
Gentamicin
Tobramycin
Aztreonam

36. 2020 2021 Jan-March April-June July-Sept.
Ticarcillin

37. 2020 2021 Jan-March April-June July-Sept.
Penicillin Penicillin Penicillin Penicillin Penicillin
Amoxicillin
Amoxicillin clavulanic
acid
Oxacillin
Ceftriaxone
Cefotaxime
Cefepime Cefepime
Cefoxitine Cefoxitine Cefoxitine Cefoxitine Cefoxitine
Cefixime
Cefamandol
Nalidixic acid Nalidixic acid
Gentamicin Gentamicin Gentamicin Gentamicin Gentamicin
Tobramycin

38. 2020 2021 Jan-March April-June July-Sept.
Imipenem
Aztreonam Aztreonam Aztreonam
Azithromycin Azithromycin Azithromycin Azithromycin Azithromycin
Erythromycin Erythromycin Erythromycin Erythromycin
Ciprofloxacin Ciprofloxacin Ciprofloxacin Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin Levofloxacin Levofloxacin Levofloxacin
Vancomycin Vancomycin Vancomycin Vancomycin Vancomycin
Tigecycline
Tetracycline Tetracycline Tetracycline Tetracycline Tetracycline
Doxycycline Doxycycline Doxycycline Doxycycline
Chloramphenicol Chloramphenicol
Nitrofurantoin Nitrofurantoin Nitrofurantoin Nitrofurantoin

39. 2020 2021 Jan-March April-June July-Sept.
Trimethoprim Trimethoprim
Trimethoprim
sulfamethoxazole
Lincomycin Lincomycin
Clindamycin Clindamycin Clindamycin Clindamycin Clindamycin

40. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Penicillin Penicillin
Cefotaxime
Cefoxitine Cefoxitine Cefoxitine
Gentamicin Gentamicin Gentamicin
Ciprofloxacin Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin Levofloxacin
Vancomycin Vancomycin
Tetracycline Tetracycline
Doxycycline
Nitrofurantoin Nitrofurantoin Nitrofurantoin

41. 2020 2021 Jan-March April-June July-Sept.
Trimethoprim
Trimethoprim
sulfamethoxazole
Lincomycin Lincomycin
Clindamycin Clindamycin Clindamycin

42. 2020 2021 Jan-March April-June July-Sept.
Penicillin Penicillin Penicillin
Amoxicillin
Cefotaxime
Cefepime
Cefoxitine
Nalidixic acid
Gentamicin Gentamicin
Aztreonam
Azithromycin
Erythromycin Erythromycin
Ciprofloxacin Ciprofloxacin
Levofloxacin
Vancomycin

43. 2020 2021 Jan-March April-June July-Sept.
Tetracycline Tetracycline
Doxycycline Doxycycline
Nitrofurantoin Nitrofurantoin
Trimethoprim Trimethoprim
Trimethoprim
sulfamethoxazole
Lincomycin
Clindamycin Clindamycin Clindamycin
Fusidic acid

44. 2020 2021 Jan-March April-June July-Sept.
Penicillin Penicillin Penicillin Penicillin Penicillin
Oxacillin
Cefepime
Cefoxitine Cefoxitine
Nalidixic acid Nalidixic acid
Amikacin
Gentamicin Gentamicin Gentamicin Gentamicin
Aztreonam
Clarithromycin
Azithromycin Azithromycin
Erythromycin Erythromycin
Ciprofloxacin Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin

45. 2020 2021 Jan-March April-June July-Sept.
Vancomycin Vancomycin Vancomycin
Tetracycline Tetracycline
Doxycycline Doxycycline Doxycycline Doxycycline
Nitrofurantoin Nitrofurantoin Nitrofurantoin
Trimethoprim
Trimethoprim
sulfamethoxazole
Rifampin
Lincomycin
Clindamycin Clindamycin Clindamycin
Fusidic acid

46. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Penicillin Penicillin Penicillin Penicillin Penicillin
Amoxicillin
Oxacillin
Ceftriaxone Ceftriaxone
Cefotaxime
Cefepime Cefepime
Cefoxitine Cefoxitine Cefoxitine
Gentamicin Gentamicin Gentamicin
Tobramycin
Azithromycin Azithromycin Azithromycin
Erythromycin Erythromycin Erythromycin

47. 2020 2021 Jan-March April-June July-Sept.
Ciprofloxacin Ciprofloxacin
Levofloxacin Levofloxacin Levofloxacin
Vancomycin Vancomycin Vancomycin
Tetracycline Tetracycline Tetracycline
Doxycycline Doxycycline
Chloramphenicol Chloramphenicol
Nitrofurantoin
Trimethoprim Trimethoprim
Trimethoprim
sulfamethoxazole
Trimethoprim
sulfamethoxazole
Clindamycin Clindamycin Clindamycin Clindamycin
Fusidic acid

48. 2020 2021 Jan-March April-June July-Sept.
Cefoxitine
Tetracycline
Doxycycline
Trimethoprim
sulfamethoxazole

49. 2020 2021 Jan-March April-June July-Sept.
Ceftriaxone
Cefotaxime
Cefepime
Gentamicin
Chloramphenicol

50. 2020 2021 Jan-March April-June July-Sept.
Amoxicillin
Penicillin
Cefepime
Imipenem
Azithromycin Azithromycin Azithromycin
Erythromycin Erythromycin
Tetracycline Tetracycline
Trimethoprim
Clindamycin

51. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Penicillin Penicillin Penicillin
Ceftriaxone Ceftriaxone
Cefotaxime
Cefepime Cefepime
Cefoxitine
Gentamicin
Imipenem
Aztreonam
Azithromycin Azithromycin Azithromycin
Erythromycin Erythromycin
Levofloxacin Levofloxacin
Vancomycin

52. 2020 2021 Jan-March April-June July-Sept.
Tetracycline Tetracycline
Doxycycline
Chloramphenicol
Clindamycin Clindamycin Clindamycin

53. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Penicillin Penicillin Penicillin Penicillin
Azithromycin Azithromycin
Erythromycin Erythromycin Erythromycin Erythromycin
Ciprofloxacin Ciprofloxacin
Levofloxacin
Tetracycline Tetracycline Tetracycline
Doxycycline Doxycycline
Chloramphenicol Chloramphenicol
Nitrofurantoin Nitrofurantoin

54. 2020 2021 Jan-March April-June July-Sept.
Penicillin
Ciprofloxacin
Levofloxacin

55. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Penicillin Penicillin
Amoxicillin
Amoxicillin clavulanic
acid
Ceftriaxone
Ceftazidime
Cefepime
Imipenem
Azithromycin Azithromycin Azithromycin
Erythromycin Erythromycin Erythromycin
Moxifloxacin
Levofloxacin Levofloxacin
Vancomycin

56. 2020 2021 Jan-March April-June July-Sept.
Tetracycline
Doxycycline
Chloramphenicol
Trimethoprim
Clindamycin Clindamycin

57. 2020 2021 Jan-March April-June July-Sept.
Ampicillin
Penicillin Penicillin
Ceftriaxone
Cefotaxime
Azithromycin
Erythromycin
Levofloxacin
Vancomycin
Trimethoprim
Clindamycin

58. 2020 2021 Jan-March April-June July-Sept.
Vancomycin
Tetracycline
Chloramphenicol
Clindamycin

59. 2020 2021 Jan-March April-June July-Sept.
Penicillin Penicillin
Cefepime
Nalidixic acid
Gentamicin
Aztreonam
Azithromycin
Erythromycin
Ciprofloxacin
Doxycycline
Trimethoprim