Skip to main content
. 2021 Apr 27;8(8):ofab212. doi: 10.1093/ofid/ofab212

Table 3.

Definitive β-Lactam Therapy Management

Variable
Total Obese Nonobese P Value
(N = 589) (n = 257) (n = 332)
Definitive antibiotic selection
 β-lactam/β-lactamase inhibitors 1 (0.2) 1 (0.4) 0 (0) .436
 First-generation cephalosporins 47 (8) 14 (5.4) 33 (9.9) .046
 Third-generation cephalosporins 276 (46.9) 128 (49.8) 148 (44.6) .207
 Cefepime 263 (44.7) 113 (44) 150 (45.2) .769
 Anti-pseudomonal carbapenems 2 (0.3) 2 (0.8) 0 (0) .190
Definitive drug regimens
 Piperacillin-tazobactam 3.375 g q6h 1 (100) 1 (100) 0 (0)
 First-generation cephalosporins
  500 mg q8h 1 (2.1) 0 (0) 1 (3) 1.000
  1 g q8h 27 (57.4) 9 (64.3) 18 (54.5) .537
  1 g q12h 3 (6.4) 0 (0) 3 (9.1) .544
  1 g q24h 1 (2.1) 1 (7.1) 0 (0) .298
  2 g q8h 14 (29.8) 4 (28.6) 10 (30.3) 1.000
  2 g q12h 1 (2.1) 0 (0) 1 (3) 1.000
 Third-generation cephalosporins
  0.5 g q24h 1 (0.4) 1 (0.8) 0 (0) .464
  1 g q8h 1 (0.4) 1 (0.8) 0 (0) .464
  1 g q12h 3 (1.1) 2 (1.6) 1 (0.7) .598
  1 g q24h 215 (77.9) 94 (73.4) 121 (81.8) .097
  2 g q12h 2 (0.7) 0 (0) 2 (1.4) .501
  2 g q24h 54 (19.6) 30 (23.4) 24 (16.2) .132
 Cefepime
  0.5 g q24h 2 (0.8) 0 (0) 2 (1.3) .508
  1 g q6h 72 (27.4) 27 (23.9) 45 (30) .272
  1 g q8h 85 (32.3) 37 (32.7) 48 (32) .898
  1 g q12h 37 (14.1) 14 (12.4) 23 (15.3) .497
  1 g q24h 25 (9.5) 14 (12.5) 11 (7.3) .166
  2 g q8h 22 (8.4) 14 (12.4) 8 (5.3) .041
  2 g q12h 12 (4.6) 2 (1.8) 10 (6.7) .060
  2 g q24h 8 (3) 5 (4.4) 3 (2) .295
 Anti-pseudomonal carbapenems 1 g q6h 2 (100) 2 (100) 0 (0)
Duration of definitive therapy, days
 β-lactam/β-lactamase inhibitors 2 days 2 days
 First-generation cephalosporins, median (IQR) 5 (4–7) 5 (4–6) 6 (4–7.5) .364
 Third-generation cephalosporins, median (IQR) 4 (3–6) 4 (3–6) 4 (3–6) .169
 Cefepime, median (IQR) 5 (4–7) 5 (4–7) 5 (4–7) .216
 Anti-pseudomonal carbapenems 4 days, 8 days 4 days, 8 days

Data are presented as No. (%) unless otherwise indicated.

Abbreviations: IQR, interquartile range; q6h, every 6 hours; q8h, every 8 hours; q12h, every 12 hours; q24h, every 24 hours.