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Table 3 Antibiotic treatment patterns by infection type

From: A prospective, multicenter, observational study of complicated skin and soft tissue infections in hospitalized patients: clinical characteristics, medical treatment, and outcomes

 

Overall

Diabetic foot infection

Surgical site infection

Deep soft tissue abscess

Cellulitis

(N=1,033)

(N=278)

(N=330)

(N=147)

(N=278)

Initial intravenous antibiotics: N (%) *

 Glycopeptidesa

630 (61.0)

167 (60.1)

186 (56.4)

109 (74.1)

169 (60.4)

 Penicillinsb

386 (37.4)

141 (50.7)

101 (30.6)

53 (36.1)

91 (32.7)

 Beta-lactamase -inhibitorsc

380 (36.8)

140 (50.4)

98 (29.7)

53 (36.1)

89 (32.0)

 Beta-lactamase -resistantd

7 (0.7)

1 (0.4)

3 (0.9)

0 (0.0)

3 (1.1)

 Non-beta-lactamase inhibitorse

7 (0.7)

2 (0.7)

1 (0.3)

0 (0.0)

4 (1.4)

 Cephalosporinsf

188 (18.2)

41 (14.8)

64 (19.4)

15 (10.2)

68 (24.5)

 First-generation

90 (8.7)

13 (4.7)

37 (11.2)

3 (2.0)

37 (13.3)

 Third-generation

69 (6.7)

18 (6.5)

15 (4.5)

11 (7.5)

25 (9.0)

 Fourth-generation

27 (2.6)

9 (3.2)

13 (3.9)

0 (0.0)

5 (1.8)

 Lincosamidesj

147 (14.2)

31 (11.2)

38 (11.5)

25 (17.0)

53 (19.1)

 Fluoroquinolonesk

90 (8.7)

28 (10.1)

35 (10.6)

11 (7.5)

16 (5.8)

 Daptomycin

28 (2.7)

5 (1.8)

13 (3.9)

4 (2.7)

6 (2.2)

 Nitroimidazole derivativesm

27 (2.6)

7 (2.5)

14 (4.2)

1 (0.7)

5 (1.8)

 Other Antibiotics n

26 (2.5)

8 (2.9)

8 (2.4)

4 (2.7)

6 (2.2)

Treatment duration of the most common initial intravenous antibiotics: mean (median, minimum-maximum)

 First-generation cephalosporins

2.5 (1.7, 0–27)

1.5 (1.7, 0–3)

3.2 (1.7, 0–27)

1.6 (1.5, 0–3)

2.2 (1.5, 0–12)

 Glycopeptides

3.2 (2.6, 0–24)

3.7 (2.7, 0–24)

3.1 (2.6, 0–16)

2.8 (2.6, 0–11)

3.0 (2.7, 0–14)

 Lincosamides

2.2 (1.6, 0–10)

1.9 (1.2, 0–8)

2.5 (1.5, 0–10)

2.3 (2.3, 0–7)

2.1 (1.7, 0–9)

 Penicillins (beta-lactamase-inhibitors)

3.4 (2.6, 0–36)

3.8 (2.8, 0–24)

3.9 (2.9, 0–36)

2.4 (2.1, 0–7)

2.8 (2.4, 0–13)

Reason for administration of initial intravenous antibiotics: N (%)*

 Empiric treatment prior to culture test results

917 (88.8)

243 (87.4)

292 (88.5)

137 (93.2)

245 (88.1)

 Not responding to previous antibiotic treatment

42 (4.1)

6 (2.2)

13 (3.9)

6 (4.1)

17 (6.1)

 Other

64 (6.2)

13 (4.7)

24 (7.3)

6 (4.1)

21 (7.6)

Reason for discontinuation of initial antibiotics: N (%)*

886

232

271

136

247

 Switched to another route/formulation^

475 (53.6)

108 (46.6)

147 (54.2)

82 (60.3)

138 (55.9)

 Infection improved, resolved, or cured^

386 (43.6)

105 (45.3)

99 (36.5)

62 (45.6)

120 (48.6)

 Culture results indicate this antibiotic agent not needed

155 (17.5)

43 (18.5)

56 (20.7)

32 (23.5)

24 (9.7)

 Pathogen not susceptible to this antibiotic agent^

36 (4.1)

8 (3.4)

19 (7.0)

3 (2.2)

6 (2.4)

  1. *Not mutually exclusive.
  2. ^Percentages reported based on the number of patients who discontinued.
  3. aIncludes vancomycin; bIncludes c, d, e below; cIncludes amoxi-clavulanico (amoxicillin, clavulanic acid), clavucar (clavulanic acid, ticarcillin), duocid (ampicillin, sulbactam), piperacillin w/tazobactam; dIncludes dicloxacillin, nafcillin, oxacillin, piperacillin; eIncludes amoxicillin, ampicillin, benzylpenicillin; fIncludes g, h, i below; gIncludes cefadroxil, cefalexin, cefazolin; hIncludes cefixime, cefotaxime, cefpodoxime, ceftazidime, ceftriaxone; iIncludes cefepime; jIncludes clindamycin; kIncludes ciprofloxacin, levofloxacin, moxifloxacin; lIncludes daptomycin, linezolid; mIncludes metronidazole; nIncludes linezolid, tigecycline, aztreonam, azithromycin, erythromycin, rifampicin, rifaximin, doxycycline, minocycline.