TABLE 7.
Thirty-day mortality rates in patients with ESBL-producing K. pneumoniae and E. coli bacteremia according to the appropriateness of empirical antimicrobial therapya
Organism | Mortalityb with:
|
P value | |
---|---|---|---|
Appropriate empirical antimicrobial therapyc | Inappropriate empirical antimicrobial therapyd | ||
Overall | 9/58 (15.5) | 7/37 (18.9) | 0.666 |
K. pneumoniae | 7/33 (21.2) | 3/14 (21.4) | 1.000 |
E. coli | 2/25 (8) | 4/23 (17.4) | 0.407 |
Of 133 patients with bloodstream infection due to ESBL-EK, 95 patients who had received appropriate antimicrobial agents, such as a carbapenem or ciprofloxacin, as definitive therapy were examined. The remaining 38 patients were excluded because they had received inappropriate definitive antimicrobial therapy.
Data are number of deaths/number of episodes (percent).
This group included patients who had received antimicrobial agents to which the ESBL-EK isolate was susceptible in vitro as initial empirical antibiotics.
This group included patients who had not received any empirical antimicrobial agents or who had received antimicrobial agents to which the ESBL-EK isolate was not susceptible in vitro as initial empirical antibiotics.