TABLE 3.
Antibiotic therapy of 416 Staphylococcus aureus bacteremia episodes, by study period
| Variable, n (%) | Preimplementation (n = 176)a | Postimplementation (n = 240)b | P value |
|---|---|---|---|
| Initial antistaphylococcal therapyc | |||
| Vancomycin | 133 (76) | 197 (82) | 0.11 |
| Daptomycin | 5 (3) | 2 (1) | 0.12 |
| Linezolid | 8 (5) | 13 (5) | 0.69 |
| Ceftaroline | 2 (1) | 4 (2) | 0.65 |
| Cefazolin | 2 (1) | 7 (3) | 0.31 |
| Ceftriaxone | 11 (6) | 14 (6) | 0.86 |
| Antistaphylococcal penicillin | 2 (1) | 6 (3) | 0.48 |
| No antibiotics | 0 (0) | 2 (1) | 0.34 |
| Definitive antibiotic therapyd | |||
| Vancomycin | 61 (35) | 52 (22) | 0.003 |
| Daptomycin | 19 (11) | 36 (15) | 0.21 |
| Linezolid | 2 (1) | 11 (5) | 0.05 |
| Ceftaroline | 11 (6) | 33 (14) | 0.01 |
| Cefazolin | 27 (14) | 58 (24) | 0.027 |
| Ceftriaxone | 41 (23) | 38 (16) | 0.055 |
| Antistaphylococcal penicillin | 21 (12) | 47 (20) | 0.037 |
| Combination antistaphylococcal therapy | 11 (6) | 38 (16) | 0.003 |
| Daptomycin-ceftaroline | 6 (3) | 23 (10) | 0.02 |
| Vancomycin-ceftaroline | 2 (1) | 5 (2) | 0.7 |
| Vancomycin-β-lactams | 2 (1) | 10 (4) | 0.08 |
| Other combinations | 1 (1) | 0 (0) | 0.23 |
| Recommended treatment duration, wks, median (IQR) | 6 (4–6) | 6 (4–6) | 0.32 |
Preimplementation period from 1 January 2018 to 13 January 2019.
Postimplementation period from 14 January 2019 to 31 December 2019.
Antibiotic therapy within the day of index blood culture.
Antibiotic therapy at discharge or final infectious diseases recommendations.