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Table 3 Microbiologic blood culture results and initial antibiotics use among patients with severe sepsis

From: Characteristics, management, and in-hospital mortality among patients with severe sepsis in intensive care units in Japan: the FORECAST study

Microbiological results of blood cultures

n = 560

 Gram-negative

 E. coli

182 (32.5)

 Klebsiella

72 (12.9)

 Pseudomonas

16 (2.9)

 Gram-positive

 Staphylococci

91 (16.3)

 Streptococci

109 (19.5)

 MRSA

16 (2.9)

 Enterococcus

25 (4.5)

 Anaerobic

24 (4.3)

 Fungi

14 (2.5)

Antibiotics

n = 1140

 Penicillin derivative (PCG, ABPC, ABPC/MCIPC)

30 (2.6)

 Ampicillin/sulbactam

78 (6.8)

 PIPC/TAZ

238 (20.9)

 Sulbactam/cefoperazone

11 (1.0)

 First-generation cephalosporin

28 (2.5)

 Second-generation cephalosporin (CTM, CMZ, FMOX)

32 (2.8)

 Third-generation cephalosporin (CTX, CPZ, CTRX)

99 (8.7)

 Third-generation cephalosporin against pseudomonas

4 (0.4)

 Fourth generation cephalosporin against pseudomonas

26 (2.3)

 Carbapenem

627 (55.0)

 Aminoglycoside

8 (0.7)

 Quinolone

19 (1.7)

 Tetracycline

7 (0.6)

 Macrolide

–

 Metronidazole

12 (1.1)

 CLDM

48 (4.2)

 Vancomycin

203 (17.8)

 Other anti-methicillin-resistant Staphylococcus aureus drugs

67 (5.9)

 Antifungals

50 (4.4)

 Others

83 (7.3)

  1. Reported counts (proportions). Missing data: microbiology data = 76, antibiotics = 44. There was no intravenous macrolide during the study period in Japan
  2. PCG penicillin G, ABPC ampicillin, ABPC/MCIPC ampicillin/cloxacillin, PIPC/TAZ tazobactam/piperacillin, CTM cefotiam, CMZ cefmetazole, FMOX flomoxef, CTX cefotaxime, CPZ cefoperazone, CTRX ceftriaxone, CLDM clindamycin, CNS central nervous system