Review Article

Relationship between Antibiotic Consumption and Resistance: A Systematic Review

Table 3

Distribution of correlation between ABC and antibiotic-resistant bacteria, 2016–2022 (N = 58).

ABCResistant antibioticBacterial resistance to antibiotic in question (±)
P. aeruginosaK. pneumoniaE. coliN. gonorrhoeaeA. baumanniiE. cloacaeMRSAOthers (11)

Positive and negative correlation between ABC and rate of resistance73/1463/1468/10853/912(5)15(11)29

Overall correlation between ABC and rate of resistance877778862172629

CarbapenemCarbapenem6(2)8(1)311311
Levofloxacin0/10
Imipenem4(1)20
Ceftazidime10/10
Amikacin10
Fluoroquinolone110
3GC110
Meropenem20
Ciprofloxacin0/10

MonobactamMonobactam
Carbapenems12

MeropenemMeropenem3110
Piperacillin/tazobactam1
Carbapenems20

Cefepime/CefotaximeCefepime/Cefotaxime12(1)21

ImipenemImipenem1(1)110
Meropenem1
Piperacillin/tazobactam1
Carbapenems10

Imipenem/cilastatinImipenem/cilastatin1110/10

Piperacillin/tazobactamPiperacillin/tazobactam4220/10/13
Imipenem1
Meropenem1
Aminoglycoside10

LinezolidLinezolid1

FluroquinoloneFluroquinolone33(1)5113
Trimethoprim/sulfamethoxazole10
Levofloxacin321
Imipenem10/10
Ceftazidime20
Amikacin10
Carbapenem0/11(1)1
Ciprofloxacin2(2)3(1)3(1)130/11(2)3
3GC120

LevofloxacinLevofloxacin21110
Fluoroquinolone1110
Carbapenem10

CiprofloxacinCiprofloxacin2(1)231 (1)1
Carbapenem0/10
Meropenem1
Imipenem1
Piperacillin/tazobactam
Fluoroquinolone10

NorfloxacinNorfloxacin0
Carbapenem0/110

OfloxacinOfloxacin0
Carbapenem0/10/10

Beta-lactam/beta-lactamase inhibitorBeta-lactam/beta-lactamase inhibitor120
Carbapenem142(1)0
Levofloxacin20
Imipenem210
Piperacillin/tazobactam0/10
Ceftazidime40

Amoxicillin/clavulanateAmoxicillin/clavulanate11(1)21(2)2
3GC10

CephalosporinCephalosporin17(1)71120
Amoxicillin/clavulanate10
Trimethoprim/sulfamethoxazole10
Levofloxacin110
3GC120
Ciprofloxacin10
Carbapenem130
Piperacillin/tazobactam20/10
Cefotaxime2
Cefepime0/122(1)
Ceftazidime0/10

AminoglycosidesAminoglycosides12(2)0/10
3GC1(1)1(1)0
Ciprofloxacin1(1)10
Imipenem110
Ceftazidime10
Amikacin210
Gentamicin20
Carbapenems10

MacrolidesMacrolides12
Cefixime10
Ciprofloxacin10
Clarithromycin2

TigecyclineTigecycline10
Piperacillin/tazobactam0/10

AmikacinAmikacin3(2)0/10
Aminoglycosides10
Imipenem1 (1)0/10
Meropenem0/10

GentamicinGentamicin11(1)111
Aminoglycosides10

FosfomycinFosfomycin110

OxacephemsOxacephems10
Levofloxacin10
Imipenem20/10
Ceftazidime10

SulfonamidesSulfonamides2210
Imipenem10
Ceftazidime10

All antibioticsAll antibiotics1112
Fluoroquinolone1110
Levofloxacin10
3GC110
Carbapenem110
Cloxacillin10
Macrolides1

β-Lactam antibioticsβ-Lactam antibiotics10
3GC210
Carbapenem110

CloxacillinCloxacillin10

TetracyclineTetracycline0
Fluoroquinolone10
Nalidixic acid10
Carbapenem10

CeftazidimeCeftazidime1
Imipenem1
Meropenem11

GlycopeptidesGlycopeptides110/21
Amikacin0/10/10/10
Gentamicin0/11(1)3
Carbapenem11
Piperacillin/tazobactam110
Extended-spectrum cephalosporin1
Amikacin1111
Oxacillin10

Others12 (1)0

3GC: third-generation cephalosporins.