Research Article
Bacteraemia in Intensive Care Unit: Clinical, Bacteriological, and Prognostic Prospective Study
Table 4
Characteristics of antimicrobial treatment.
| Characteristics | Initial treatment | Further treatment | Number | % | Number | % |
| (i) Delay of introduction: | | | | | (a) <24 h | 42 | 98% | — | — | (b) 24 h ≪ 48 h | 0 | 0% | — | — | (c) >48 h | 1 | 2% | — | — |
| (ii) Type of prescription: | | | | | (a) Not specifically adapted | 22 | 51% | — | — | (b) Probabilistic | 20 | 46,5% | 7 | 41% | (c) Documented | 1 | 2,5% | 10 | 59% |
| (iii) Type of treatment: | | | | | (a) Monotherapy | 18 | 43% | 3 | 18% | (b) Association | 25 | 57% | 14 | 82% |
| (iv) Average length of initial treatment: (mean +/− SD) | 4,2 +/− 0,6 | — |
| (v) Adequacy of treatment: | | | | | (a) Adequate | 31 | 72% | 16 | 93 | (b) Inadequate | 12 | 28% | 1 | 7% |
| (vi) Effectiveness: | | | | | (a) Efficient | 27 | 63% | 6 | 35% | (b) Ineffective | 16 | 37% | 11 | 65% |
| (vii) Initial treatment modification reason: | | | | | (a) Escalation | — | — | 4 | 21% | (b) Deescalation | — | — | 13 | 79% |
| (viii) Most prescribed family: | | | | | (a) Beta-lactams | 12 | 28% | 3 | 18% | (b) Polymyxins | 8 | 18,7% | — | — | (c) Beta-lactams + aminoglycoside | 8 | 18,7% | 1 | 6% | (d) Beta-lactams + polymyxins | 6 | 14% | 8 | 47% |
| (ix) The most commonly used antibiotics: | | | | | (a) Imipenem | 9 | 21,4% | 8 | 45,5% | (b) Colistin | 12 | 27% | 4 | 23,3% | (c) Amikacin | 28 | 12,1% | 2 | 9,1% | (d) Vancomycin | 22 | 9,4% | 2 | 9,1% |
| (x) Cost of treatment: | | (a) Total cost per patients | 899,27 Euros [259,85–1544,69] | (b) Daily cost per patients | 31,01 Euros [17,48–54,59] |
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