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Table 2 Microbiological diagnosis

From: Early response to antibiotic treatment in European patients hospitalized with complicated skin and soft tissue infections: analysis of the REACH study

 

Definition 1

Definition 2

Characteristic, n (%)

Early responders

Not-early responders

Early responders

Not-early responders

n = 363

n = 237

n = 417

n = 173

Investigations or diagnostic test

    

  Blood cultures

231 (63.6)

165 (69.6)

270 (64.7)

117 (67.6)

  Superficial swab and culture

153 (42.1)

131 (55.3)

183 (43.9)

96 (55.5)

  Needle aspiration

31 (8.5)

25 (10.5)

36 (8.6)

19 (11.0)

  Surgical sample

38 (10.5)

37 (15.6)

48 (11.5)

25 (14.5)

Positive microbiological diagnosis

161 (44.4)

130 (54.9)

193 (46.3)

91 (52.6)

Gram-positive cocci*

130 (80.7)

89 (68.5)

156 (80.8)

56 (61.5)

  Methicillin-sensitive Staphylococcus aureus

54 (33.5)

32 (24.6)

61 (31.6)

22 (24.2)

  Methicillin-resistant Staphylococcus aureus

16 (9.9)

17 (13.1)

23 (11.9)

8 (8.8)

  Coagulase-negative Staphylococcus

24 (14.9)

11 (8.5)

27 (14.0)

8 (8.8)

  Streptococcus pyogenes (group A β-haemolytic streptococci)

10 (6.2)

6 (4.6)

13 (6.7)

2 (2.2)

  Streptococcus agalactiae (group B β-haemolytic streptococci)

4 (2.5)

8 (6.2)

7 (3.6)

5 (5.5)

  Other β-haemolytic streptococci

13 (8.1)

7 (5.4)

14 (7.3)

4 (4.4)

  Streptococcus pneumoniae

1 (0.6)

0 (0)

1 (0.5)

0 (0)

  Enterococcus faecalis

11 (6.8)

6 (4.6)

12 (6.2)

4 (4.4)

  Enterococcus faecium

4 (2.5)

3 (2.3)

5 (2.6)

2 (2.2)

Other Gram-positive bacteria

4 (2.5)

5 (3.8)

4 (2.1)

5 (5.5)

Enterobacteriaceae§, other Gram-negative bacteria, other strict anaerobic bacteria**

53 (32.9)

46 (35.4)

60 (31.1)

37 (40.7)

Non-fermenting Gram-negative bacilli††

16 (9.9)

15 (11.5)

20 (10.4)

11 (12.1)

Polymicrobial infections

47 (29.2)

29 (22.3)

53 (27.5)

19 (20.9)

Yeasts

2 (1.2)

3 (2.3)

2 (1.0)

3 (3.3)

Other microorganisms

4 (2.5)

1 (0.8)

4 (2.1)

1 (1.1)

Bacteraemia

20 (5.5)

22 (9.3)

27 (6.5)

12 (6.9)

  1. *Includes subgroups below and Staphylococcus warnerii, Staphylococcus lugdugensis, Staphylococcus haemolyticus, Staphylococcus epidermidis, Staphylococcus spp. non-aureus, Streptococcus mitis, Streptococcus constellatus, viridans Streptococcus, Group G streptococci, Streptococcus mitis, Enterococcus spp., unspecified Gram-positive cocci.
  2. Includes S. dysgalactiae, Group C streptococci, microaerophilic streptococci, S. mileri, S. intermedius, S. anginosus, S. bovis.
  3. Includes Bacillus anthracis, Corynebacterium spp., diphtheroids, Proprionibacterium spp., Lactobacillus spp., Clostridium spp., Gram-positive bacilli non-specified.
  4. §Includes Proteus mirabilis, Escherichia coli, Klebsiella spp, Enterobacter spp, Citrobacter spp, Serratia marcescens, Providencia stuartii, Morganella morganii, Pantoea spp.).
  5. Includes Neisseria spp, Aeromonas hydrophila, Pasteurella multocida.
  6. **Includes Gemella morbillorum, Bacteroides fragilis, Peptostreptococcus spp., Prevotella melaninogenica, Porphyromonas spp.
  7. ††Includes Pseudomonas spp., Acinetobacter spp., Stentrophomonas maltophilia, Shweanella putrefacians.