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Table 4 Antimicrobial treatment in relation to de-escalation policy

From: Bloodstream infections and sepsis in Greece: over-time change of epidemiology and impact of de-escalation on final outcome

Antimicrobial combination

Non-de-escalation

De-escalation

p

 

2006-2009 study period (n,%)

 

β-lactamase inhibitors

0 (0)

15 (28.3)

 

2nd generation cephalosporins

0 (0)

16 (30.2)

 

3rd generation cephalosporins

6 (14.6)

2 (3.8)

 

Piperacillin/tazobactam

27 (65.8)

3 (5.6)

<0.0001

Carbapanem

3 (.3)

0 (0)

 

Carbapanem + glycopeptide

5 (12.2)

0 (0)

 

Ciprofloxacin

0 (0)

17 (32.1)

 
 

2010-2013 study period (n,%)

 

β-lactamase inhibitors

0 (0)

8 (22.2)

 

2nd generation cephalosporins

0 (0)

15 (41.7)

 

3rd generation cephalosporins

7 (7.5)

5 (13.9)

 

Piperacillin/tazobactam

59 (63.4)

2 (5.5)

<0.0001

Piperacillin/tazobactam + glycopeptide

9 (9.7)

0 (0)

 

Carbapanem

10 (10.8)

0 (0)

 

Carbapanem + glycopeptide

8 (8.6)

0 (0)

 

Ciprofloxacin

0 (0)

6 (16.7)

 
  1. Antimicrobials prescribed to patients after culture results and the antibiogram became known to the attending physicians are shown.