Table 1.
Oral fluoroquinolone step down (n = 130) | Oral beta-lactam step down (n = 77) | p-value | |
---|---|---|---|
Age, median, years (IQR) | 70.5 (56.25–80.75) | 71 (54–80) | 0.72 |
Sex | 0.92 | ||
Female | 92 (71) | 54 (70) | |
Male | 38 (29) | 23 (30) | |
Comorbidities | |||
Diabetes Mellitus | 29 (22) | 20 (26) | 0.55 |
Heart Conditions | 75 (58) | 43 (56) | 0.8 |
Chronic Kidney Disease | 10 (8) | 3 (4) | 0.28 |
Peripheral Vascular Disease | 6 (5) | 4 (5) | 0.85 |
Asthma or COPD | 14 (11) | 7 (9) | 0.7 |
Liver Cirrhosis | 1 (1) | 2 (3) | 0.56 |
Recurrent UTI Risk factors | 38 (29) | 22 (29) | 0.92 |
IVDU | 5 (4) | 0 (0) | 0.16 |
Hepatitis C | 1 (1) | 1 (1) | 1.0 |
HIV | 0 (0) | 0 (0) | 1.0 |
Immunocompromised | 5 (4) | 4 (5) | 0.65 |
Charlson comorbidity index, median (IQR) | 1 (0–2) | 1 (0–3) | 0.96 |
Catheter associated UTI | 6 (5) | 4 (5) | 0.85 |
Hospital admission | 101 (78) | 62 (81) | 0.63 |
ICU admission | 9 (7) | 5 (6) | 0.91 |
Sepsis | 31 (25) | 25 (33) | 0.2 |
Septic shock | 8 (6) | 5 (6) | 0.92 |
Pitt bacteremia score, median (IQR) | 0.5 (0–1) | 1 (0–1) | 0.53 |
Site of acquisition | 0.02 | ||
Community-acquired | 110 (85) | 53 (69) | |
Community-acquired health-care associated | 15 (12) | 20 (26) | |
Hospital-acquired | 5 (4) | 4 (5) | |
Beta-lactam allergy | 15 (12) | 7 (9) | 0.58 |
Inadequate empiric treatment | 1 (1) | 1 (1) | 1.0 |
Stable at oral switch | 125 (96) | 74 (96) | 0.99 |
Duration of intravenous treatment, median, days (IQR) | 5 (3–7) | 5 (3–7) | 0.20 |
Duration of oral treatment, median, days (IQR) | 7 (7–10) | 7 (5.75–10) | 0.38 |
Total treatment duration, median, days (IQR) | 14 (12–14) | 14 (11–14) | 0.91 |
Data are number (percentage) of patients unless otherwise indicated
Abbreviations: COPD chronic obstructive pulmonary disease, ICU intensive care unit, IVDU intravenous drug use, UTI urinary tract infection;