Table 2.
Time to adequate antibiotic therapy and risk ratios for in-hospital mortality and unfavourable outcome at discharge among patients with community-acquired bacterial meningitis
| Adequate antibiotic therapy initiated | Risk ratio for in-hospital mortality (95 % CI) | Risk ratio for unfavourable outcome (95 % CI) | ||
|---|---|---|---|---|
| Crude | Adjusteda | Crude | Adjustedb | |
| 0–2 h after admission | Ref. | Ref. | Ref. | Ref. |
| 2–4 h after admission | 1.1 (0.5–2.8) | 1.2 (0.5–2.7) | 1.4 (0.9–2.2) | 1.5 (0.9–2.2) |
| 4–6 h after admission | 1.4 (0.4–5.3) | 1.4 (0.5–3.6) | 1.1 (0.5–2.6) | 1.1 (0.6–2.2) |
| >6 h after admission | 2.1 (1.0–4.2)* | 1.6 (0.8–3.2) | 1.7 (1.2–2.5)* | 1.5 (1.0–2.2)* |
*p < 0.05. CI indicates confidence interval. aAdjusted for age >65 years, Glasgow Coma Score <13 and arterial systolic hypotension (<90 mmHg) at admission. bAdjusted for age >65 years, Glasgow Coma Score <13, arterial systolic hypotension (<90 mmHg), bacterial aetiology (S. pneumoniae yes/no) and adjunctive dexamethasone treatment (yes/no)