TABLE 4.
Favorable response rates for patients who received regimens that included extended-spectrum cephalosporins that were shown to be effective against the infecting organism by in vitro susceptibility testing for more than 5 daysa
Time of therapy | No. of patients with favorable response/ no. of patients evaluated (%)b
|
Pc | ||
---|---|---|---|---|
ESBL group | Non-ESBL group | Total | ||
3rd day | 6/17 (35.3) [1] | 33/51 (64.7) [0] | 39/68 (57.4) [2] | 0.035 |
5th day | 6/17 (35.3) [4] | 36/50 (72.0) [1] | 42/67 (62.7) [5] | 0.007 |
End | 9/17 (52.9) [4] | 47/50 (94.0) [1] | 56/67 (83.6) [5] | <0.001 |
Effective aminoglycosides were also administered during the course of cephalosporin therapy for 64.7% of the patients in the ESBL group and 78.4% of the patients in the non-ESBL group (P = 0.302).
The values in brackets represent the number of fatal cases. The times from the onset of sepsis to the time of cephalosporin therapy were 3.17 ± 2.80 and 2.53 ± 2.83 days (mean ± standard deviation) for the ESBL and non-ESBL groups, respectively (the mean for all patients in both groups was 2.69 ± 2.75 days). The P value for the comparison of the times for the two groups was 0.401 by the Student t test.
P value by the Mann-Whitney U test.