TABLE 2.
Parameter | Value |
---|---|
ICU admissions | |
At least one ICU admission during hospitalization | 177 (42.5) |
Patients with >1 ICU admission during hospitalization | 43 (10.3) |
In ICU at index culture collection | 112 (26.9) |
ICU length of stay (days) | 14 (7, 32) |
Mechanical ventilation for ≥48 h prior to index positive culture | 68 (16.3) |
Duration of mechanical ventilation (days) | 22.5 (12, 36) |
Culture information | |
Hospital-acquired infection b | 206 (49.5) |
Culture specimen | |
Respiratory culture specimen | 103 (24.8) |
Aspirate | 20 (4.8) |
Bronchoalveolar lavage | 15 (3.6) |
Sputum | 68 (16.3) |
Wound | 87 (20.9) |
Blood | 81 (19.5) |
Fluid | 57 (13.7) |
Tissue | 53 (12.7) |
Urine | 17 (4.1) |
Fecal | 13 (3.1) |
Bone | 8 (1.9) |
Catheter tip | 2 (0.5) |
Concomitant bacteremia | 8 (1.9) |
ID consult | 380 (91.3) |
Surgery consult | 214 (51.4) |
Surgical intervention c | 219 (52.6) |
Active therapy before ERV d | 196 (47.1) |
Aminoglycoside | 22 (11.2) |
Carbapenem | 58 (29.6) |
Cefepime | 44 (10.6) |
Ceftazidime-avibactam | 16 (3.8) |
Ceftolozane-tazobactam | 2 (0.5) |
Meropenem-vaborbactam | 3 (0.7) |
Polymyxins | 2 (1) |
Quinolone | 11 (5.6) |
Tigecycline | 8 (1.9) |
Trimethoprim/sulfamethoxazole | 10 (2.4) |
Daptomycin | 23 (5.5) |
Linezolid/tedizolid | 25 (12.8) |
Vancomycin | 70 (16.8) |
Other | 72 (36.7) |
ERV treatment specifics | |
Rationale for ERV use | |
Consolidation of regimen | 165 (39.7) |
Lack of oral access | 16 (3.8) |
Double CRE coverage | 31 (7.5) |
ERV regimens | |
Dose | |
1 mg/kg | 403 (96.9) |
1.5 mg/kg | 13 (3.1) |
Frequency | |
Every 12 h | 395 (95) |
Every 12 h on day 1, then every 24 h | 14 (3.3) |
Every 24 h | 7 (1.7) |
ERV duration of therapy | 6.9 (4.1, 11.9) |
Concomitant therapy e | 211 (50.7) |
Amikacin | 18 (4.3) |
Aztreonam | 2 (0.5) |
Ciprofloxacin | 5 (1.2) |
Colistin | 5 (1.2) |
Ertapenem | 2 (0.5) |
Gentamicin | 1 (0.2) |
Imipenem | 5 (1.2) |
Levofloxacin | 7 (1.7) |
Meropenem | 37 (8.9) |
Polymyxin B | 6 (1.4) |
TMP/SMX | 9 (2.2) |
Tobramycin | 9 (2.2) |
Other | 111 (26.7) |
Discharge disposition | |
Home | 154 (37) |
LTAC | 108 (26) |
Rehab center | 35 (8.4) |
Outside hospital | 1 (0.2) |
Hospice | 28 (6.7) |
Morgue | 82 (19.7) |
Hospital length of stay (days) | 21 (11, 41) |
Data presented as number (%) or median (IQR), as appropriate.
Hospital-acquired infection: Index positive culture collected ≥48 h from hospital admission (includes time accrued at previous institution if the patient transferred from an outside hospital).
Surgical intervention: Incision and drainage (n = 68), debridement (n = 51), amputation (n = 10), valvular replacement (n = 2), invasive device removal (n = 6), other (n = 82).
Total may exceed n of 416 due to receipt of multiple antibiotics.
Active therapy: Demonstrated in vitro susceptibility.
Concomitant therapy: Antibiotic administered for ≥48 continuous hours while the patient received eravacycline.
ICU, intensive care units; ID, infectious diseases; ERV, eravacycline; CRE, carbapenem-resistant Enterobacterales; LTAC, long-term acute care.