a trend toward significancep =0.07
We found positive associations that were significant between vancomycin ARGs and vancomycin usage (IRR 10.25, CI 2.32–49.10, p <0.001) and showed a trend toward significance between carbapenem ARG abundance and carbapenem antimicrobial usage (IRR 1.91, CI 1.01–3.72, p =0.07).