TABLE 2.
Characteristic | No. (%) |
P | |
---|---|---|---|
EOS group (n = 84) | i.v. group (n = 16) | ||
ID consultation | 76 (91) | 13 (81) | 0.28 |
Negative surveillance BC performedb | 73 (87) | 12 (75) | 0.22 |
Within 72 h of initial positive BC | 59 (70) | 7 (44) | 0.05 |
Echocardiogram performed | 41 (49) | 13 (81) | 0.03 |
TTE alone | 32 (38) | 9 (56) | 0.18 |
TEE alone | 6 (7) | 2 (13) | 0.47 |
Both TTE and TEE | 3 (4) | 2 (13) | <0.01 |
No echocardiography | 43 (51) | 3 (19) | 0.03 |
i.v. antibiotic therapy | |||
Flucloxacillin | 62 (74) | 13 (81) | 0.53 |
Cefazolin | 6 (7) | 2 (13) | 0.47 |
Vancomycin | 5 (6) | 1 (6) | 0.96 |
Benzylpenicillin | 5 (6) | 0 (0) | 0.32 |
Other beta-lactam | 4 (5) | 0 (0) | 0.37 |
No i.v. antibiotic | 2 (2) | 0 (0) | 0.54 |
Oral antibiotic therapy | |||
Flucloxacillin | 60 (71) | 2 (13) | |
Cefalexin | 7 (8) | 1 (6) | |
Other beta-lactam | 5 (6) | 0 (0) | |
Co-trimoxazole | 5 (6) | 0 (0) | |
Clindamycin | 3 (4) | 0 (0) | |
Adjunctive probenecid | 5 (6) | 0 (0) | |
No oral antibiotic | 4 (5)c | 13 (81) | |
Median antibiotic therapy duration, days (IQR) | |||
i.v. therapy | 5 (4–6) | 14 (14–15) | |
Oral therapy | 10 (9–14) | 6 (2–12) | |
Total | 16 (14–18) | 14 (14–17) | |
EOS | |||
EOS before 7 days of i.v. therapy | 64 (76) | ||
EOS before 10 days of i.v. therapy | 82 (98) | ||
Reasons for no oral switch prior to 14 days | |||
Clinical decision by ID team not to switch | 5 (31) | ||
EOS advice from ID team not followed | 8 (50) | ||
Compromised oral intake/absorption | 3 (19) |
Data indicate the numbers (%) of patients unless noted otherwise in column 1. EOS, early oral switch; ID, infectious diseases; BC, blood culture; TTE, transthoracic echocardiogram; TEE, transesophageal echocardiogram.
The inclusion criterion for the study was the absence of a further positive BC after 72 h, rather than a documented negative, which is why not all patients had clearance BCs.
EOS is defined as a switch from i.v. treatment prior to 14 days.