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Table 4 Impact of primary antibiotic therapy and duration of antibiotic exposure on detection of class I and class III pathogens in infants born < 32 weeks and < 28 weeks

From: Impact of early antibiotic exposure on the risk of colonization with potential pathogens in very preterm infants: a retrospective cohort analysis

 

GA < 32 weeks (n = 911, 64.7%)

GA < 32 weeks (n = 911, 64.7%)

Adjusted for birthweight, prenatal ABX, pPROM, admitting hospital and mode of delivery

Adjusted for pPROM, admitting hospital and mode of delivery

No class I P (n = 770, 54.7%)

At least 1 class I P (n = 141, 10.0%)

OR (95% CI)

p value

No class III P (n = 631, 44.8%)

At least 1 class III P (n = 280, 19.9%)

OR (95% CI)

p value

ABX 1st day

525 (68.2)

98 (69.5)

1.0 (0.6–1.8)

0.89

425 (67.4)

198 (70.7)

1.1 (0.8–1.6)

0.58

ABX 1-2d (%)

250 (32.5)

46 (32.6)

1

0.36

194 (30.8)

102 (36.4)

1

0.09

ABX 3-7d (%)

411 (53.4)

79 (56.0)

1.4 (0.8–2.2)

0.22

344 (54.6)

146 (52.1)

0.8 (0.5–1.0)

0.13

ABX > 7d (%)

109 (14.2)

16 (11.3)

0.9 (0.4–2.1)

0.86

93 (14.7)

32 (11.4)

0.6 (0.3–1.0)

0.04

 

GA < 28 weeks (n = 428, 30.4%)*

GA < 28 weeks (n = 428, 30.4%)*

Adjusted for GA, prenatal ABX, pPROM, admitting hospital and mode of delivery

Adjusted for pPROM and mode of Delivery

No class I P (n = 350, 24.9%)

At least 1 class I P (n = 78, 5.5%)

OR (95% CI)

p value

No class III P (n = 296, 21.0%)

At least 1 class III P (n = 132, 9.4%)

OR (95% CI)

p value

ABX 1st day

248 (71.0)

60 (76.9)

1.3 (0.6–2.8)

0.45

204 (68.9)

104 (78.8)

1.2 (0.7–2.2)

0.37

ABX 1-2d (%)

86 (24.6)

30 (38.5)

1

0.57

75 (25.3)

41 (31.1)

1

0.23

ABX 3-7d (%)

199 (57.0)

38 (48.7)

0.9 (0.5–1.7)

0.65

163 (55.3)

74 (56.1)

0.7 (0.4–1.2)

0.21

ABX > 7d (%)

65 (18.6)

10 (12.8)

0.6 (0.2–1.6)

0.29

58 (19.6)

17 (12.9)

0.6 (0.3–1.2)

0.11

  1. Significant p-values are printed in bold
  2. GA gestational age; ABX antibiotics. *subgroup analysis; adjusted for gestational age, birth weight, admitting hospital, prenatal ABX, pPROM and mode of delivery for class I pathogens and for admitting hospital, pPROM and mode of delivery for class III pathogens