Characteristic | Patients (n) receiving adequate adjusted antibiotic treatment | Patients (n) receiving inadequate adjusted antibiotic treatment | p-value | OR (95% CI) for adequate therapy |
---|---|---|---|---|
Number of patients | 121 (72.5%) | 46 (27.5%) | Â | Â |
Women | 54 (70.1%) | 23 (29.9%) | 0.534 | 0.81 (0.41–1.59) |
Age | Â | Â | Â | Â |
   Median age and range (years) | 65 [21–97] | 70 [19–95] | 0.115* |  |
   < 40 | 22 (78.6%) | 6 (21.4%) | 0.427 | 1.48 (0.56–3.93) |
   41 – 60 | 29 (80.6%) | 7 (19.4%) | 0.219 | 1.76 (0.71–4.35) |
   > 60 | 70 (68.0%) | 33 (32.0%) | 0.099 | 0.54 (0.26–1.13) |
Ward: | Â | Â | Â | Â |
   Medicine/Geriatrics | 85 (72.0%) | 33 (28.0%) | 0.472 | 0.77 (0.38–1.56) |
   Surgery | 36 (73.5%) | 13 (26.5%) | 0.955 | 0.98 (0.47–2.06) |
   Medical and surgical intensive care | 13 (86.7%) | 2 (13.3%) | 0.360†| 2.45 (0.53–11.28) |
   Neurology | 0 (0.0%) | 0 (0.0%) | N/A | N/A |
Died in hospital | 10 (90.9%) | 1 (9.1%) | 0.293†| 4.05 (0.50–32.60) |
Reason for switch: | Â | Â | Â | Â |
   Switch due to bacterial lab results | 58 (89.2%) | 7 (10.7%) | < 0.001 | 5.13 (2.13–12.37) |
   Switch due to other reason | 43 (64.2%) | 24 (35.8%) | 0.050 | 0.51 (0.25–1.01) |
Charlson Index: | Â | Â | Â | Â |
   Charlson index total 0 | 26 (76.5%) | 8 (23.5%) | 0.557 | 1.30 (0.54–3.13) |
   Charlson index total 1 – 5 | 84 (71.8%) | 33 (28.2%) | 0.770 | 0.89 (0.42–1.89) |
   Charlson index total > 5 | 11 (68.8%) | 5 (31.2%) | 0.771†| 0.82 (0.27–2.50) |
McCabe index | Â | Â | Â | Â |
   Not fatal | 97 (74.0%) | 34 (26.0%) | 0.380 | 1.43 (0.64–3.16) |
   Fatal (< 5 years) | 18 (75.0%) | 6 (25.0%) | 0.763 | 1.17 (0.43–3.15) |
   Fatal (< 6 months) | 6 (50.0%) | 6 (50.0%) | 0.055†| 0.35 (0.11–1.14) |
Number of microbiological exams performed: | Â | Â | Â | Â |
   None | 13 (76.5%) | 4 (23.5%) | 0.783†| 1.26 (0.39–4.10) |
   One or more | 108 (72%) | 42 (28%) | 0.783†| 0.79 (0.24–2.57) |
Infectious diseases consultants involved: | Â | Â | Â | Â |
   Within 24 hours | 22 (88.0%) | 3 (12.0%) | 0.059 | 3.19 (0.91–11.21) |
   Were involved | 52 (82.5%) | 11 (17.5%) | 0.023 | 2.40 (1.11–5.16) |
Hepatic failure reported | 1 (100.0%) | 0 (0.0%) | 1.000†| N/A |
Renal failure reported | 34 (70.8%) | 14 (29.2%) | 0.766 | 0.89 (0.43–1.88) |
Received broad-spectrum antibiotics or vancomycin | 37 (84.1%) | 7 (15.9%) | 0.520 | 1.28 (0.60–2.72) |
Allergy to antibiotics reported | 9 (64.3%) | 5 (35.7%) | 0.534†| 0.66 (0.21–2.08) |
Diagnoses | Â | Â | Â | Â |
   Biliary tract infections | 5 (83.3%) | 1 (16.7%) | 1.000†| 1.94 (0.22–17.06) |
   Bone and joint infections | 10 (100.0%) | 0 (0.0%) | 0.063†| N/A |
   CNS infections | 3 (100.0%) | 0 (0.0%) | 0.562†| N/A |
   Ear, nose and throat infections | 0 (0.00%) | 1 (100%) | 0.275†| N/A |
   Gastrointestinal infections | 17 (63.0%) | 10 (37.0%) | 0.228 | 0.59 (0.25–1.40) |
   Urinary tract infections, postatitis, epididimytis | 21 (67.7%) | 10 (32.3%) | 0.52 | 0.76 (0.33–1.76) |
   Neutropenic fever | 6 (85.7%) | 1 (14.3%) | 0.675†| 2.35 (0.28–20.05) |
   Respiratory tract infections | 34 (60.7%) | 22 (39.3%) | 0.016 | 0.43 (0.21–0.86) |
   Sepsis | 12 (92.3%) | 1 (7.7%) | 0.116†| 4.95 (0.63–39.24) |
   Skin and soft tissue infections | 10 (71.4%) | 4 (28.6%) | 1.000†| 0.95 (0.28–3.18) |
   Suspected systemic infections without identified focus | 5 (71.4%) | 2 (28.6%) | 1.000†| 0.95 (0.18–5.07) |
   Other | 8 (88.9%) | 1 (11.1%) | 0.447†| 3.19 (0.39–26.21) |