TABLE 1.
Reference | Study design; study period; countrya | No. of patients who received antibiotics; causative pathogen; source(s) of bacteremia | Aggregate Newcastle-Ottawa scale scoreb | Outcome by duration, no. of patients/total no. of patientsc |
|||||
---|---|---|---|---|---|---|---|---|---|
Clinical cure |
All-cause mortality |
Relapse |
|||||||
Short-course | Long-course | Short-course | Long-course | Short-course | Long-course | ||||
Chotiprasitsakul et al. (10) |
Retrospective propensity score-matched cohort; 2008–2014; USA | 770; Enterobacteriaceae (46.9% Escherichia coli); uncomplicated, 36.1% urinary tract, 19.9% gastrointestinal tract, 16.2% biliary tract, 13.8% catheter-associated, 9% pneumonia, 4% skin and soft tissue | ******* | NR | NR | 30-day, 37/385 | 30-day, 39/385 | 30-day, 5/385 | 30-day, 9/385 |
Giannella et al. (20) | Retrospective cohort; 2013–2016; Italy | 856; E. coli; 51.3% urinary tract, 15.4% primary, 13.7% biliary tract, 11.1% intra-abdominal, 3.9% lower respiratory tract, 2.1% CVCd, 1.1% skin and soft tissue | ******** | 90-day, 344/426 | 90-day, 341/430 | 90-day, 11/426 | 90-day, 13/430 | 90-day, 23/426 | 90-day, 19/430 |
Yahav et al. (19) | MC open-label noninferiority RCT; Israel, Italy | 604; 90% Enterobacteriaceae (65% E. coli); 68% urinary tract | NA | NR | NR | 90-day, 36/306 | 90-day, 32/298 | 90-day, 8/306 | 90-day, 8/298 |
Mercuro et al. (21) | Retrospective cohort; 2013–2016; USA | 224; Enterobacteriaceae (71.4% E. coli); 71% urinary tract, 21.4% intra-abdominal, skin and soft tissue, pneumonia, catheter-related, unknown source | ***** | 30-day, 45/51 | 30-day, 150/173 | NR | NR | NR | NR |
Nelson et al. (11) | Retrospective cohort; 2010–2013; USA | 411; Enterobacteriaceae (66% E. coli); uncomplicated, 69% urinary tract | ******* | NR | NR | 90-day, 8/91e | 90-day, 7/199e | 90-day, 6/91e | 90-day, 15/199e |
MC, multicenter; RCT, randomized clinical trial.
NA, not applicable.
NR, not reported.
CVC, central venous catheter.
The data provided by the authors of the study after request were the following: 13 and 19 treatment failures (defined as mortality plus relapse) in the short- and long-course groups, and 26 and 95 patients lost to follow-up at day 90 in each group, respectively; 91 and 199 patients were evaluable at day 90 in the short- and long-course groups, respectively; treatment failures comprised 8 deaths plus 6 recurrences (1 patient died after recurrence) in the short-course group and 7 deaths plus 15 recurrences (3 patients died after recurrence) in the long-course group.