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Table 4 Antibiotic and clinical outcomes

From: Enhanced antimicrobial de-escalation for pneumonia in mechanically ventilated patients: a cross-over study

 

Enhanced antibiotic de-escalation

(n = 144)

Routine antibiotic management

(n = 139)

P value

Early failure of initial antibiotics

40 (27.8)

33 (23.7)

0.438

Antibiotics de-escalated*

70/104 (67.3)

70/106 (66.0)

0.845

Deterioration post de-escalation*

8/70 (11.4)

6/70 (8.6)

0.573

Total antibiotic days

7.0 (4.0, 8.8)

7.0 (4.0, 9.0)

0.616

Mortality

51 (35.4)

35 (25.2)

0.061

ICU length of stay

6.0 (3.0, 12.0)

6.0 (4.0, 12.0)

0.935

Hospital length of stay

11.0 (6.0, 22.0)

12.0 (6.0, 20)

0.918

Ventilator days

4.5 (2.0, 9.0)

4.0 (2.0, 9.0)

0.953

Secondary pneumonia

12 (8.3)

12 (8.6)

0.928

Secondary pneumonia due to antibiotic-resistant pathogen

9 (6.3)

6 (4.3)

0.468

  1. Values expressed as median (interquartile range) and number (percent). ICU intensive care unit. *The percentages were derived from the subgroups of patients who did not have failure of initial antibiotics