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. 2013 Jul 4;2(3):339–351. doi: 10.3390/antibiotics2030339

Table 2.

Studies showing no benefit of appropriate empiric antibiotics.

Reference Population Microbiological Threshold Number of IEAT AEAT Mortality p-value
Confirmation (cfu/mL) Patients Mortality Mortality Difference
Sanchez-Nieto et al., 1998 [24] Trauma, Medical,
Surgical
PSB or BAL ≥103 or ≥104
or ≥105
38 43% 25% 18% NS
or EA
Timsit et al., 2001 [25] Medical, Surgical PSB or BAL ≥103 or ≥104 47 33% 46% 13% 0.43
Dupont, 2001 [23] Medical, Surgical TPC or PSB ≥103 or ≥103
or ≥104
111 60.7% 47.3% 13.4% 0.21
or BAL
Fowler et al., 2003 [26] Medical, Surgical EA N/R 156 HR: 0.98 (0.45–2.15)
Mueller et al., 2003 [29] Trauma BAL ≥105 82 8.8% 3.6% 5.2% 0.62
Magnotti et al., 2008 [27] Trauma BAL ≥105 393 13% 12% 1% NS
Piskin et al., 2012 [28] General BAL or EA ≥104 or ≥105 130 65.1% 72.7% 7.6% 0.497

IEAT, inappropriate empiric antibiotic therapy; AEAT, appropriate empiric antibiotic therapy; cfu, colony forming units; PSB, protected specimen brushing; BAL, bronchoalveolar lavage; EA, endotracheal aspirate; TPC, telescopic plugged catheter; N/R, not reported; HR, hazards ratio.