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Table 2 Treatment and outcomes

From: Efficacy of single antibiotic therapy versus antibiotic combination in implant-free staphylococcal post-surgical spinal infections: a retrospective observational study

 

Overall

(N = 20)

Single therapy (N = 11)

Combination therapy (N = 9)

P value

Duration of intravenous antibiotics, days (median [IQR])

6.00 [4.75;7.25]

7.00 [4.50;12.5]

5.00 [5.00;6.00]

0.25

Duration of oral antibiotics, days (median [IQR])

34.0 [29.5;36.0]

33.0 [27.0;35.5]

36.0 [33.0;37.0]

0.12

Total duration on antibiotics, days (median [IQR])

40.0 [38.0;41.5]

40.0 [38.0;41.0]

41.0 [38.0;43.0]

0.76

Intravenous antibiotics used

    

 Cefazoline (n, %)

12 (60.0%)

6 (54.5%)

6 (66.7%)

0.24

 Amoxicillin (n, %)

3 (15.0%)

3 (27.3%)

0 (0.00%)

 Cloxacillin (n, %)

2 (10.0%)

0

2 (22.2%)

 Vancomycin (n, %)

2 (10%)

1 (9%)

1 (11.1%)

 Daptomycin (n, %)

1 (5.0%)

1 (9%)

0

Switch to oral antibiotics (n, %)

20 (100%)

11 (100%)

9 (100%)

1.00

Oral antibiotics used

    

 Levofloxacin (n, %)

11 (55.0%)

3 (27.3%)

8 (88.9%)

0.08

 Clindamycin (n, %)

9 (45.0%)

5 (45.5%)

4 (44.4%)

 Amoxicillin (n, %)

3 (15.0%)

2 (18.2%)

1 (11.1%)

 Rifampin (n, %)

3 (15.0%)

0

3 (33.3%)

 Doxycycline (n, %)

1 (5.0%)

0

1 (11.1%)

 Linezolid (n, %)

1 (5.0%)

1 (9.09%)

0

Secondary adverse events imputed to antibiotics

1 (5.00%)

1 (11.1%)

0 (0%)

 

Patients undergoing new surgical debridement (n, %)

4 (20.0%)

3 (27.3%)

1 (11.1%)

0.59

Delay between initial revision and new surgical debridement (days) (median [IQR])

20 [10.5 ; 114.8]

12 [9 ; 20]

376

0.5

Patients with microbiological failure (n, %)

0

0

0

 

Deaths from any cause at 1 year (n, %)

1 (5.0%)

0

1 (11.1%)

 

Primary endpoint (n, %)

1 (5.0%)

0

1 (11.1%)

 

Deaths from any cause during follow-up (n, %)

2 (10.0%)

0

2 (22.2%)

 

Duration of follow-up, days (median [IQR])

1024 [580;1512]

862 [573;1157]

1493 [699;1715]

0.18

  1. Regular doses of oral antimicrobial therapy are listed here: levofloxacin 750 mg/d, clindamycin 600 mg 4 times a day, amoxicillin 100–150 mg/kg/d, rifampicin 600 to 900 mg/d, doxycycline 200 mg/d, linezolid 600 mg 2 times a day.