Table 1.
Prolonged IV Antibiotic Treatment (n = 45) | IV-Oral Switch (n = 61) | P | |
---|---|---|---|
Male, n (%) | 27 (60.0) | 44 (72.1) | .193 |
Mean age, years | 61.4 | 58.9 | .926 |
Charlson comorbidity index | 3.8 | 3.3 | .446 |
Community acquisition, n (%) | 19 (42.2) | 28 (45.9) | .883 |
Persistent fever (>72 hours), n (%) | 27 (60.0) | 24 (39.3) | .043 |
Persistent positive blood cultures (>48 hours), n (%) | 25 (55.6) | 14 (22.9) | .001 |
Signs of infection >48 hours before start of adequate therapy, n (%) | 20 (44.4) | 26 (42.6) | .832 |
MRSA, n (%) | 2 (4.4) | 2 (3.3) | 1.000 |
Metastatic infection, n (%) | |||
Vertebral osteomyelitis | 14 (31.1) | 9 (14.8) | .044 |
Nonvertebral osteomyelitis | 7 (15.6) | 16 (26.2) | .091 |
Infected osteosynthesis | 3 (6.7) | 11 (18.0) | .089 |
Arthritis | 12 (26.7) | 11 (18.0) | .291 |
Prosthetic joint infection | 5 (11.1) | 7 (11.5) | .954 |
Splenic abscess | 0 | 2 (3.3) | .224 |
Soft tissue abscess | 25 (55.6) | 33 (54.1) | .883 |
Pulmonary foci | 17 (37.8) | 12 (19.7) | .039 |
Total, n | 83 | 101 | |
Relapse | 0 | 0 | |
3-Month mortality, n (%) | 6 (13.3) | 4 (6.6) | .242 |
Drainage, radiologically or surgically, n (%) | 26 (57.8) | 31 (50.1) | .666 |
Hospital admission duration, median (IQR), days | 29 (33) | 17 (11) | .001 |
Treatment duration, median (IQR), days | 45 (44) | 45 (49) | .355 |
Addition of rifampicin, n (%) | 15 (33.3) | 16 (26.2) | .643 |
Adverse events,a n (%) | 25 (55.6) | 30 (49.2) | .516 |
Phlebitis | 16 (35.6) | 24 (39.3) | .691 |
Central venous line–related infection | 0 | 1 (1.6) | 1.000 |
Central venous line–related thrombosis | 0 | 0 | |
Rash | 1 (2.2) | 1 (1.6) | 1.000 |
Acute kidney injury | 6 (13.3) | 2 (3.3) | .069 |
Nausea/vomiting | 1 (2.2) | 2 (3.3) | 1.000 |
Clostridiodes difficile infection | 2 (4.4) | 0 | |
Increased liver enzymes | 3 (6.7) | 0 |
Abbreviations: IQR, interquartile range; IV, intravenous; MRSA, methicillin-resistant Staphylococcus aureus.
aIn 4 patients, more than 1 adverse event occurred.