Research Article

A Retrospective Study on Amoxicillin Susceptibility in Severe Haemophilus influenzae Pneumonia

Table 2

Demographical, microbiological, and clinical characteristics of patients affected by Haemophilus influenzae pneumonia according to amoxicillin susceptibility.

CriteriaAmoxicillin susceptible (n = 78)Amoxicillin resistant (n = 35) value

Demographical 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

ARDS = acute respiratory distress syndrome; BMI = body mass index; CAP = community-acquired pneumonia; COPD = chronic obstructive pulmonary disease; CVC = central venous catheter; HAP = hospital-acquired pneumonia; ICU = intensive care unit; IQR = interquartile range; MV = mechanical ventilation; OTI = orotracheal intubation; SAPS-II = Simplified Acute Physiology Score-II; VAP = ventilator-associated pneumonia.