TABLE 4.
Comparison of clinical outcomes of patients admitted to the neurosurgical intensive care unit during the pre-antimicrobial stewardship (AMS) program and AMS periods.
| AMS (n = 526) | Pre-AMS (n = 487) | p-value | |
|---|---|---|---|
| Primary outcomes | |||
| Use of anti-pseudomonal beta-lactams as empirical treatment (≥2 days), n (%) | 231 (43.92) | 297 (60.99) | <0.001 |
| Use of anti-pseudomonal beta-lactams as definitive treatment (≥2 days), n (%) | 226 (42.97) | 199 (40.86) | 0.524 |
| DOT of anti-pseudomonal beta-lactams (day/patients), mean (SD) | 8.85 ± 7.10 | 8.7 ± 6.43 | 0.780 |
| Secondary outcomes, n (%) | |||
| Mortality | 55 (10.46) | 60 (12.32) | 0.373 |
| All-cause readmissions | 28 (5.32) | 12 (2.46) | 0.023 |
| Readmissions due to the same cause as the previous admission | 13 (2.47) | 9 (1.85) | 0.526 |
| Prescription adjustment patients | 245 (46.58) | 198 (40.66) | 0.058 |
| Prescription adjustment number (mean, IQR),items | 0 (0,2) | 0 (0,1) | <0.001 |
| Appropriate de-escalation | 147 (27.95) | 112 (22.30) | 0.072 |
| Adverse drug reactions | 60 (11.41) | 63 (12.94) | 0.501 |
AMS: antimicrobial stewardship; DOT: Days of therapy.