TABLE 2.
Antibiotic therapyb | KPC-Kp (n = 128) | MDR-AB (n = 92) | Pc |
---|---|---|---|
No. of antibiotics used | |||
Only 1 as definitive therapy | 7 (5.5) | 9 (9.8) | 0.2 |
2 in combination as definitive therapy | 41 (32) | 28 (30.4) | 0.8 |
3 in combination as definitive therapy | 53 (41.4) | 38 (41.3) | 1.0 |
4 in combination as definitive therapy | 27 (21.1) | 10 (10.9) | 0.06 |
5 in combination as definitive therapy | 0 | 1 (1.1) | 0.4 |
Colistin-containing regimen as definitive therapy | 67 (52.3) | 73 (79.3) | <0.001 |
Tigecycline-containing regimen as definitive therapy | 91 (71.1) | 35 (38) | <0.001 |
Gentamicin-containing regimen as definitive therapy | 35 (27.3) | 5 (5.4) | <0.001 |
Rifampin-containing regimen as definitive therapy | 16 (12.5) | 36 (39.1) | <0.001 |
Carbapenem-containing regimen as definitive therapy | 98 (76.5) | 67 (72.8) | 0.6 |
Use of colistin aerosol inhalation therapy | 0 | 13 (14.1) | <0.001 |
≥2 in vitro-active antibiotics used within 24 h | 48 (37.5) | 1 (1.1) | <0.001 |
Definitive therapy with ≥2 antibiotics displaying in vitro activity | 61 (47.7) | 5 (5.4) | <0.001 |
Time to initial definitive therapy (mean ± SD) (days) | 2.7 ± 0.8 | 3.1 ± 0.7 | 0.08 |
Data are presented as the number (%), unless otherwise stated. KPC-Kp, Klebsiella pneumoniae carbapenemase-producing K. pneumoniae; MDR-AB, multidrug-resistant Acinetobacter baumannii.
During the study period, the usual antimicrobial dosages, adopted for the most used antibiotics, were the following: for colistin, a loading dose of 6 to 9 million IU, followed by 3 million IU every 8 h (in the period from 2010 to 2011) or a loading dose of 9 million IU followed by 4.5 million IU every 12 h; for tigecycline, a loading dose of 150 to 200 mg followed by 100 mg every 12 h; for gentamicin, a dosage of 5 mg/kg every 24 h; for rifampin, a dosage of 10 mg/kg/day; for meropenem, a dosage of 2 g every 8 h or 1.5 g every 6 h.
P values in bold are statistically significant.