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.