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Table 2 Number of antibiotic-days by day 30 for varying adherence to antibiotic withholding guidance for the lowest procalcitonin level (≤ 0.1 mcg/L) in-hospital (inpatient and emergency department), low procalcitonin level (≤ 0.25 mcg/L) in the emergency department only, and low procalcitonin level (≤ 0.25 mcg/L) post-discharge

From: Impact of adherence to procalcitonin antibiotic prescribing guideline recommendations for low procalcitonin levels on antibiotic use

Adherence

Procalcitonin ≤ 0.1 mcg/L

ED and inpatient

Procalcitonin ≤ 0.25 mcg/L

ED only

Procalcitonin ≤ 0.25 mcg/L

Post-discharge

Mean

Days

Difference from usual care

(95% CI)

p-value

Mean

Days

Difference from usual care

(95% CI)

p-value

Mean

Days

Difference from usual care

(95% CI)

p-value

100%a

3.6

− 0.7 (− 1.6, − 1.3)

0.011

4.0

− 0.3 (− 1.2, − 0.9)

0.273

2.6

− 1.7 (− 2.5, − 2.2)

 < 0.001

95%

3.6

− 0.6 (− 0.7, − 0.6)

0.026

4.0

− 0.3 (− 0.3, − 0.3)

0.328

2.8

− 1.5 (− 1.5, − 1.4)

 < 0.001

90%

3.7

− 0.6 (− 0.6, − 0.5)

0.052

4.0

− 0.3 (− 0.3, − 0.2)

0.388

3.1

− 1.2 (− 1.3, − 1.1)

 < 0.001

85%

3.8

− 0.5 (− 0.5, − 0.4)

0.100

4.1

− 0.2 (− 0.2, − 0.2)

0.454

3.3

− 1 (− 1.1, − 0.9)

 < 0.001

80%

3.9

− 0.4 (− 0.4, − 0.4)

0.173

4.1

− 0.2 (− 0.2, − 0.2)

0.526

3.5

− 0.8 (− 0.9, − 0.7)

0.006

75%

4.0

− 0.3 (− 0.4, − 0.3)

0.282

4.1

− 0.2 (− 0.2, − 0.1)

0.605

3.7

− 0.6 (− 0.7, − 0.5)

0.052

70%

4.1

− 0.2 (− 0.3, − 0.2)

0.430

4.2

− 0.1 (− 0.1, − 0.1)

0.688

N/A

N/A

N/A

65%

4.1

− 0.2 (− 0.2, − 0.1)

0.616

4.2

− 0.1 (− 0.1, − 0.1)

0.774

N/A

N/A

N/A

  1. aExcept for 100% adherence, values presented are averaged across 1000 resampled datasets. All procalcitonin arm patients (n = 826) were used for each analysis
  2. SD standard deviation, CI confidence interval