Table 3.
Effect of Antibiotic Allergy Testing on Antibiotic Usage
| Antibiotic Classification | Period of Analysis | Crude ORa (95% CI) | Adjusted ORb (95% CI) | ||||
|---|---|---|---|---|---|---|---|
| Pre-AAT | Post-AAT | 3 mo Pre- vs 3 mo Post-AAT | 12 mo Pre- vs 3 mo Post-AAT | 3 mo Pre- vs 3 mo Post-AAT | 12 mo Pre- vs 3 mo Post-AAT | ||
| 12 mo, No. (%) (n = 263) | 3 mo, No. (%) (n = 155) | 3 mo, No. (%) (n = 125) | |||||
| NS penicillin | 27 (10.3) | 11 (7.1) | 29 (23.2) | 4.69 (2.02–10.92) | 3.34 (1.69–6.63) | 2.81 (1.45–5.42) | 4.07 (1.78–9.32) |
| NS β-lactam | 49 (18.6) | 25 (16.1) | 49 (39.2) | 4.67 (2.27–9.58) | 3.68 (2.05–6.60) | 3.54 (1.98–6.33) | 5.27 (5.22–5.31) |
| βL/βLI | 13 (4.9) | 5 (3.2) | 27 (21.6) | 11.17 (3.25–38.36) | 6.58 (2.83–15.26) | 9.25 (3.57–24.01) | 25.02 (4.71–132.87) |
| Restricted antibiotic | 150 (57) | 98 (63%) | 20 (16) | 0.11 (.06–.20) | 0.13 (.07–.24) | 0.16 (.09–.29) | 0.11 (.06–.22) |
Abbreviations: AAT, antibiotic allergy testing; βL/βLI, β-lactam/β-lactamase inhibitor; CI, confidence interval; NS, narrow-spectrum; OR, odds ratio.
aFrom univariable mixed-effects logistic regression models.
bFrom multivariable mixed-effects logistic regression models, controlled for age-adjusted Charlson comorbidity index, infective episode setting (inpatient/outpatient), and indication category.