Criteria Amoxicillin susceptible (n = 78) Amoxicillin resistant (n = 35) valueDemographical characteristics Female gender, n (%) 32 (41) 14 (40) 1.000 Age, median (IQR) 62.5 (20–88) 67 (31-92) 0.545 BMI, median (IQR) 25.5 (43-16) 25 (19–42) 0.779 Medical history Recent bronchitis, n (%) 13 (16.6) 8 (22.8) 0.443 Previous pneumonia, n (%) 10 (12.8) 5 (14.2) 1.000 Risk factors Living in nursing home, n (%) 3 (3.8) 1 (2.8) 1.000 Smoking, n (%) 38 (48.7) 17 (48.5) 1.000 Alcohol abuse, n (%) 25 (32) 8 (22.8) 0.376 Comorbidities Immunosuppression, n (%) 10 (12.8) 7 (20) 0.395 Diabetes, n (%) 18 (23) 7 (20) 0.809 Cirrhosis, n (%) 7 (8.9) 2 (5.7) 0.718 Renal chronic failure, n (%) 3 (3.8) 2 (5.7) 0.644 Cardiac chronic failure, n (%) 15 (19.2) 6 (17.1) 1.000 COPD, n (%) 33 (42.3) 16 (45.7) 0.837 Type of pneumonia CAP, n (%) 65 (83.3) 28 (80) 0.790 HAP, n (%) 13 (16.6) 7 (20) 0.790 VAP, n (%) 9 (11.5) 6 (17.1) 0.549 Inhalation associated, n (%) 33 (42.3) 9 (25.7) 0.098 Coinfection, n (%) 23 (29.4) 8 (22.8) 0.504 Kind of sample Pulmonary sample, n (%) 75 (96.2) 31 (88.6) 0.200 Blood culture, n (%) 3 (3.8) 4 (11.4) Pleural fluid, n (%) 0 (0) 0 (0) Cerebrospinal fluid, n (%) 0 (0) 0 (0) Severity of pneumonia SAPS-II, median (IQR) 48 (14–104) 49 (24–90) 0.806 Local complication, n (%) 6 (7.7) 2 (5.7) 1.000 Organ failure, n (%) 73 (93.5) 35 (100) 0.321 ARDS, n (%) 10 (12.8) 7 (20) 0.395 MV, n (%) 74 (94.8) 33 (94.3) 1.000 OTI, n (%) 65 (83.3) 31 (88.6) 0.577 VAP during hospitalization, n (%) 21 (26.9) 10 (28.5) 1.000 Acute renal failure, n (%) 36 (46.1) 19 (54.3) 0.541 Dialysis, n (%) 3 (3.8) 4 (11.4) 0.200 CVC, n (%) 63 (80.7) 30 (85.7) 0.603 Septic shock, n (%) 32 (41) 13 (37.1) 0.680 ICU death, n (%) 19 (24.3) 10 (28.5) 0.647 OTI duration, median (IQR) 7 (1–70) 11 (1–41) 0.583 MV duration, median (IQR) 8 (0–70) 10 (0–41) 0.410 ICU duration, median (IQR) 10 (1–74) 12 (2–102) 0.337 Antimicrobial therapy Stream lining (de-escalation), n (%) 40 (51.2) 19 (54.3) 0.840 De-escalation possibility, n (%) 58 (74.3) 26 (74.3) 1.000 Outcome Death in ICU, n (%) 19 (24.4) 10 (28.6) 0.635