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. 2022 Sep 29;11:119. doi: 10.1186/s13756-022-01146-3

Table 4.

Antimicrobial characteristics of study-related infections according to the empirical antimicrobial treatment strategy used

Total Broad-spectrum antimicrobial group Narrow-spectrum antimicrobial group p value
Mono/polytherapy
 Monotherapy 178 (70.1%) 104 (65.4%) 74 (77.9%) 0.047
 Combination therapy 76 (29.9%) 55 (34.6%) 21 (22.1%) 0.047
 2 Antimicrobial agents 58 (22.8%) 43 (27.0%) 15 (15.8%) 0.045
 ≥ 3 Antimicrobial agents 18 (7.1%) 12 (7.5%) 6 (6.3%) 0.805
Antimicrobial types
 Carbapenem 93 (36.6%) 81 (50.9%) 12 (12.6%)  < 0.001
 Antipseudomonal penicillin + β-lactamase inhibitor 69 (27.2%) 58 (36.5%) 11 (11.6%)  < 0.001
 Glycopeptide 46 (18.1%) 38 (23.9%) 8 (8.4%) 0.002
 Penicillin + β-lactamase inhibitor 40 (15.7%) 4 (2.5%) 36 (37.9%)  < 0.001
 Third-generation cephalosporin 28 (11.0%) 9 (5.7%) 19 (20.0%) 0.001
 First-generation cephalosporin 14 (5.5%) 1 (0.6%) 13 (13.7%)  < 0.001
 Macrolide 12 (4.7%) 6 (3.8%) 6 (6.3%) 0.373
 Fluoroquinolone 10 (3.9%) 8 (5.0%) 2 (2.1%) 0.329
 Second-generation cephalosporin 7 (2.8%) 0 (0.0%) 7 (7.4%) 0.001
 Penicillin 5 (2.0%) 4 (2.5%) 1 (1.1%) 0.653
 Lincosamide 5 (2.0%) 2 (1.3%) 3 (3.2%) 0.366
 Aminoglycoside 4 (1.6%) 4 (2.5%) 0 (0.0%) 0.300
 Oxazolidinone 4 (1.6%) 1 (0.6%) 3 (3.2%) 0.149
 Fourth-generation cephalosporin 3 (1.2%) 3 (1.9%) 0 (0.0%) 0.295
 Lipopeptide 3 (1.2%) 3 (1.9%) 0 (0.0%) 0.295
 Others 7 (2.8%) 6 (3.8%) 1 (1.1%) 0.262
 Duration of treatment for the infection under study (days) 10.5 (6–16) 12 (7–18) 7 (5–13)  < 0.001
 Inappropriate empirical antimicrobial prescriptiona 12 (4.7%) 8 (5.0%) 4 (4.2%)  > 0.999

Results are shown as n (%)

aPresence of a causative pathogen resistant to the initial agent(s) leading to addition or replacement of the empirical antimicrobial agent