TABLE 3.
Characteristics of patients in whom clinical failure occurred
Treatment group | Age (yr) | Sexa | Type of infection | Pathogen | Susceptibilityb | Treatment duration (days) | APACHE II score | Sepsis syndrome | Follow-up |
---|---|---|---|---|---|---|---|---|---|
Meropenem | 82 | F | Sepsis syndrome | None | 5 | 13 | Yes | Changed to cefuroxime and gentamicin | |
69 | M | Intra-abdominal | Escherichia coli, Streptococcus oralis | S | 3 | 18 | Yes | Died after ruptured infected aorta bypass | |
74 | F | Pneumonia | None | ND | 8 | 12 | No | No subsequent antibiotics | |
78 | F | Intra-abdominal | Klebsiella oxytoca, Escherichia coli, Bacteroides spp., Staphylococcus epidermidis | S | 4 | 14 | No | Changed to piperacillin-tazobactam | |
74 | M | Sepsis syndrome | Staphylococcus aureus | S | 8 | 20 | Yes | Changed to meropenem and vancomycin | |
69 | M | Pneumonia | None | NA | 6 | 10 | No | No subsequent antibiotics | |
83 | M | Pneumonia | Streptococcus pneumoniae | S | 0 | 16 | No | No subsequent antibiotics | |
Cefuroxime-gentamicin (±metronidazole) | 68 | M | Intra-abdominal | Klebsiella pneumonia | S | 17 | 19 | No | Changed to cotrimoxazole |
Pneumonia | Pseudomonas aeruginosa | R | |||||||
78 | M | Sepsis syndrome | Enterococcus spp. | R | 3 | 21 | Yes | No subsequent antibiotics | |
77 | M | Sepsis syndrome | Serratia spp. | I | 3 | 22 | Yes | Changed to cotrimoxazole | |
Pneumonia | Haemophilus influenzae | S | |||||||
76 | F | Pneumonia | Escherichia coli | S | 6 | 25 | No | No subsequent antibiotics | |
Streptococcus haemolyticus | ND | Died after asystole | |||||||
71 | M | Pneumonia | None | NA | 4 | 14 | No | Changed to erythromycin | |
73 | M | Pneumonia | Enterobacter spp. | I | 3 | 23 | No | Changed to imipenem-cilastatin | |
83 | M | Pneumonia | Enterobacter cloacae | S | 7 | 19 | No | Changed to piperacillin, tobramycin, and later to ceftazidime | |
Pseudomonas aeruginosa | R |
F, female.
S, susceptible; ND, no data available; NA, not applicable; R, resistant; I, intermediate.