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. 2019 Apr 25;63(5):e02495-18. doi: 10.1128/AAC.02495-18

TABLE 1.

Studies comparing for ≤10 versus >10 days of antibiotic treatment for bacteremia due to Enterobacteriaceae

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
a

MC, multicenter; RCT, randomized clinical trial.

b

NA, not applicable.

c

NR, not reported.

d

CVC, central venous catheter.

e

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.