Table 3.
Druga | Blood draw waiting time (h) |
Result | Reference or source | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
C. albicans | E. faecium | S. epidermidis | MSSA | S. pneumoniae SP2 | P. aeruginosa | E. coli | K. pneumoniae KP2 | B. fragilis | |||
AMC | — | — | 1.7 | <1 | NN | — | 0 | 0 | — | NN | 27 |
FEB | — | — | — | — | NN | 1.6 | NN | NN | — | NN | 28 |
CTX | — | — | — | — | NN | — | NN | <1 | — | NN | 29 |
CIP | — | — | 0 | 0 | 0 | 0 | 0 | <1 | — | <1 | 30 |
CLR | — | — | 0 | 0 | 0 | — | — | — | — | 0 | NA |
CLI | — | — | 0 | 0 | — | — | — | — | — | 0 | NA |
FLC | 0 | — | — | — | — | — | — | — | — | 0 | NA |
GEN | — | — | 0 | 0 | — | 0 | 0 | 0 | — | 0 | NA |
LZD | — | 0 | 0 | 0 | — | — | — | — | — | 0 | NA |
MEM | — | — | 5 | 2.1 | — | <1 | NN | <1 | NN | NN | 31 |
MZ | — | — | — | — | — | — | — | — | NN | NN | NA |
TZP | — | — | 0 | <1 | — | 0 | — | — | 0 | <1 | 32 |
TGC | — | 0 | 0 | 0 | 0 | — | 0 | 0 | 0 | 0 | NA |
VAN | — | 0 | 0 | 0 | — | — | — | — | — | 0 | NA |
AMC, amoxicillin-clavulanate; FEB, cefepime; CTX, cefotaxime; CIP, ciprofloxacin; CLR, clarithromycin; CLI, clindamycin; FLC, fluconazole; GEN, gentamicin; LZD, linezolid; MEM, meropenem; MZ, metronidazole; TZP, piperacillin-tazobactam; TGC, tigecycline; VAN, vancomycin.
Calculation of waiting times was based on the mean peak serum drug concentration (Cmax) and the more effectively neutralizing bottle within a blood culture pair. The cumulative substance-specific waiting time is shown: —, not tested; NN, not neutralized, i.e., maximum waiting time was reached; 0, complete neutralization, i.e., critical concentration was higher than the Cmax and there was no latency in the indicated setting; NA, not applicable. Values other than 0 indicate the waiting time that allowed for a <3-h delay in the TTD.