Characteristics | Baseline population | PS-matched patients | ||||||
---|---|---|---|---|---|---|---|---|
Cefoxitin n = 63 (57%) | Carbapenem n = 47 (43%) | SMD | p value | Cefoxitin n = 42 (50%) | Carbapenem n = 42 (50%) | SMD | p value | |
Age, years | 57 ± 17 | 57 ± 13 | < 0.001 | .585 | 55 ± 17 | 57 ± 12 | .121 | .864 |
≥ 65 | 27 (42) | 18 (40) | .093 | .630 | 17 (40) | 15 (36) | .098 | .653 |
Male | 42 (67) | 31 (66) | .015 | .938 | 29 (69) | 26 (62) | .151 | .491 |
Year of inclusion | ||||||||
2018–2022 | 32 (51) | 25 (53) | .048 | .803 | 23 (55) | 22 (52) | .048 | .827 |
Body-mass index | 27 ± 5 | 27 ± 8 | .123 | .582 | 27 ± 5 | 28 ± 8 | .140 | .567 |
Charlson comorbidity index | 4 (2–6) | 3 (1–4) | .328 | .141 | 3 ± 3 | 3 ± 2 | .161 | .664 |
Surgery, previous 30 days | 21 (34) | 13 (28) | .121 | .535 | 14 (33) | 11 (26) | .142 | .518 |
Immunosuppressive therapy | 4 (6) | 6 (13) | .224 | .319 | 4 (9) | 6 (14) | .157 | .520 |
Sickle cell disease | 2 (3) | 2 (4) | .059 | 1.00 | 1 (2) | 2 (5) | .134 | .616 |
Radio or chemotherapy within the last 3 months | 1 (2) | 1 (2) | .041 | 1.00 | 1 (2) | 1 (2) | .004 | 1.00 |
Unknown disease | 0 (0) | 1 (2) | .211 | .426 | 0 (0) | 1 (2) | .224 | .494 |
Origin | .021 | .913 | .101 | .645 | ||||
Community-acquired (ref) | 5 (8) | 4 (9) | 2 (5) | 3 (7) | ||||
Nosocomial infection | 58 (92) | 43 (91) | 40 (95) | 39 (93) | ||||
Source of bacteremia: | ||||||||
Central line associated | 24 (38) | 12 (26) | .272 | .165 | 17 (41) | 11 (26) | .306 | .165 |
With thrombophlebitis | 9 (15) | 3 (7) | .262 | .188 | 5 (12) | 3 (7) | .163 | .713 |
Pneumonia | 7 (11) | 14 (30) | .476 | .014 | 7 (17) | 12 (29) | .287 | .192 |
Urinary tract | 13 (21) | 3 (6) | .426 | .054 | 4 (10) | 3 (7) | .086 | 1.00 |
Intra-abdominal | 8 (13) | 4 (9) | .136 | .489 | 6 (14) | 4 (10) | .147 | .738 |
Liver abscess | 1 (1) | 1 (2) | .040 | 1.00 | 1 (2) | 1 (2) | < 0.001 | 1.00 |
Skin and soft tissue | 2 (3) | 0 (0) | .256 | .506 | 1 (2) | 0 (0) | .221 | 1.00 |
Neuromeningeal | 0 (0) | 4 (8) | .431 | .031 | 0 (0) | 3 (7) | .392 | .241 |
Unknown | 8 (13) | 9 (19) | .177 | .428 | 6 (14) | 8 (19) | .128 | .558 |
Time between admission to ICU and bacteremia, days | 12 ± 13 | 15 ± 13 | .252 | .053 | 12 ± 11 | 14 ± 12 | .166 | .485 |
SAPS II admission score | 47 ± 17 | 49 ± 22] | .111 | .557 | 48 ± 17 | 51 ± 21 | .168 | .443 |
SOFA score at inclusion | 9 ± 4] | 11 ± 5 | .415 | .046 | 10 ± 4 | 11 ± 5 | .297 | .193 |
Pitt bacteremia score at inclusion | 6 ± 3 | 7 ± 3 | .273 | .062 | 7 ± 3 | 7 ± 3 (6–9) | .129 | .303 |
Septic shock | 25 (40) | 19 (40) | .015 | .937 | 17 (40) | 18 (43) | .048 | .825 |
Mechanical ventilation | 40 (63) | 41 (87) | .573 | .005 | 33 (78) | 37 (88) | .258 | .380 |
Appropriate empirical therapy | 31 (56) | 28 (65) | .180 | .380 | 22 (52) | 27 (64) | .251 | .260 |
Duration of empirical therapy, days | 1 ± 1 | 1 ± 2 | .113 | .788 | 1 ± 1 | 1 ± 2 | .110 | .765 |
Time to effective antibiotic therapy, hours | 26 ± 25 | 12 ± 35 | .460 | .075 | 26 ± 24 | 11 ± 36 | .493 | .065 |
Co-infection at inclusion | 11 (18) | 4 (9) | .234 | .208 | 8 (19) | 6 (14) | .251 | .591 |
Other antibiotic therapy at inclusion | 12 (19) | 5 (11) | .208 | .298 | 8 (19) | 7 (17) | .120 | .816 |