Table 2. Characteristics of resistant pathogens in repetitive intraoperative samples performed under current antibiotic therapy (Some episodes have mixed new Gram-positive and Gram-negative infections, which we display separately in both lateral columns).
New Gram-positives | Absence of new germs, n = 91 | Absence of new germs, n = 174 | New Gram-negatives | |||
---|---|---|---|---|---|---|
n = 283 | n = 192 | p value* | (Gram-positive) | (Gram-negative) | p value* | n = 109 |
Female sex | 57 (30%) | 0.606 | 701 (32%) | 701 (32%) | 0.763 | 36 (33%) |
Age (median) | 63 years | 0.250 | 56 years | 56 years | 0.413 | 59 years |
Immunosuppression+ | 73 (38%) | 0.146 | 732 (33%) | 732 (33%) | 0.042 | 50 (46%) |
Median numbers of prior debridements | 2 | 0.035 | 1 | 1 | 0.028 | 2 |
Prior (amino)penicillin therapy | 106 (55%) | 0.463 | 46 (51%) | 42 (24%) | 0.525 | 30 (28%) |
Prior 1st-3rd generation cephalosporins | 21 (11%) | 0.789 | 9 (10%) | 20 (11%) | 0.537 | 10 (9%) |
Prior glycopeptide & daptomycin therapy | 5 (3%) | 0.219 | 5 (5%) | 4 (3%) | 0.155 | 6 (6%) |
Prior carbapenem & tazobactam therapy | 14 (7%) | 0.455 | 9 (10%) | 13 (7%) | 0.610 | 10 (9%) |
Implant-associated infections | 65 (34%) | 0.740 | 29 (32%) | 65 (37%) | 0.062 | 29 (27%) |
Osteoarticular infection | 106 (55%) | 0.463 | 46 (51%) | 100 (58%) | 0.109 | 52 (48%) |
Initial polymicrobial infections | 86 (45%) | 0.760 | 39 (43%) | 73 (42%) | 0.343 | 52 (48%) |
Initial Gram-positive infections | 109 (57%) | 0.001 | 1535 (69%) | 1535 (69%) | 0.128 | 68 (62%) |
Initial Gram-negative infections | 66 (35%) | 0.001 | 413 (19%) | 413 (19%) | 0.001 | 37 (34%) |
Initial skin commensal infections° | 32 (17%) | 0.034 | 256 (12%) | 256 (12%) | 0.032 | 20 (18%) |
* Significant p values ≤0.05 are displayed in bold and italic.
+ Immunosuppression = diabetes mellitus, corticosteroid medication, organ transplantation, cirrhosis CHILD C, dialysis, cancer, untreated HIV disease, alcohol dependency, pregnancy, agranulocytosis, splenectomy
° Skin commensals = coagulase-negative staphylococci, micrococci, corynebacteria or propionibacteria