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Table 5 Patient outcomes according to the empirical antimicrobial treatment strategy used

From: Use of broad-spectrum antimicrobials for more than 72 h and the detection of multidrug-resistant bacteria in Japanese intensive care units: a multicenter retrospective cohort study

 

Total

Broad-spectrum antimicrobial group

Narrow-spectrum antimicrobial group

p value

Emergence of new MDR pathogensa

23 (9.1%)

19 (11.9%)

4 (4.2%)

0.042

Clinical cure on day 7

135 (53.1%)

88 (55.3%)

47 (49.5%)

0.436

ICU mortalitya

18 (7.1%)

14 (8.8%)

4 (4.2%)

0.211

28-day mortality (n = 253)

31 (12.3%)

23 (14.6%)

8 (8.4%)

0.170

Number of days in the ICU (N = 236)a, b

7 (4–15)

7 (4–15)

7 (3–16)

0.707

On vasoactive drugs

2 (0–5)

3 (1–6)

1 (0–5)

0.001

On Invasive mechanical ventilation

3 (0–8)

4 (0–9)

2 (0–5)

0.015

Receiving renal replacement therapy

0 (0–0)

0 (0–0)

0 (0–0)

0.026

ICU-free days (N = 221)a, c

21 (11–24)

21 (10–24)

21 (11–25)

0.529

Hospital-free days (N = 221)a, c

0 (0–9)

0 (0–3)

0 (0–15)

0.013

Antimicrobial-free days (N = 221)a, c

14 (5–20)

13 (3–18)

17 (8–21)

0.001

Infection relapsea

14 (5.6%)

7 (4.5%)

7 (7.4%)

0.398

  1. Results are shown as n (%) or median (IQR) where applicable
  2. aMeasured from day 2 or later during the 28-day follow-up period and not present before day 2
  3. bIn the subgroup of intensive care unit (ICU) survivors
  4. cIn the subgroup of patients alive at day 28