Table 2 Treatment failure group. Causal microorganism and initial empirical treatment
MicroorganismTreatment
Antibiotic (cases)Pathogen sensitivity to antibioticCause of treatment failure
S pneumoniaeCef+MCL (8)8 SensitiveShock (6) (1MV)
Persistence of fever (2): 1 with pleural effusion
S pneumoniaeCef+Levofl (5)5 SensitiveShock and/or MV (2)
Radiographic progression (2)
Empyema (1)
S pyogenesCef+ MCL(1)1 SensitiveShock (1)
LegionellaBeta lactam+MCL (2)5 SensitiveImpairment respiratory failure (2)
Beta lactam+ Levofl (3)5 SensitiveShock (3) (2MV)
S aureusCef+MCL (2)4 SensitiveMV and/or shock (3)
Levofl (1)Nosocomial infection (1)
Piper+cefepime (1)
MR S aureusCef+MCL (1)1 ResistantMV and/or shock (1)
PseudomonasCef+MCL/Levofl (2)2 ResistantMV and shock (2)
Cefepime+MCL (1)1 SensitiveNosocomial infection (1)
Levofl (1)1 ResistantPersistence of fever (1)
Pseudomonas+MRSACefepime+ciprofl (1)MRSA resistantMV and shock (1)
H influenzaCef+Levofl (2)3 SensitiveMV (2)
Cef+MCL (1)Persistence of fever and pleural effusion (1)
E coliBeta lactam+MCL (4)1 ResistantImpairment of respiratory failure (2)
3 SensitiveShock (2) (1MV)
Impairment of respiratory failure (2),shock (2) (1MV)
E coli+ S aureusCef+MCL (1)1 SensitiveMV and shock (1)
EnterococcusLevofl (1)2 ResistantPersistence of fever (2)
Beta lactam+MCL (1)
AnaerobiosCef+MCL (1)1 ResistantPersistence of fever and pleural effusion (1)
NocardiaCef+Levofl1 ResistantShock (1)
FungiCef+MCL (1)1 ResistantPersistence of fever (1)
TuberculosisCef+MCL (1)2 ResistantPersistence of fever (2)
Levofl (1)
AcinetobacterCef+MCL1 ResistantMV and shock (1)
MorganellaImipenem1 SensitiveMV and shock (1)
  • Beta lactam, Coamoxiclav or cephalosporin 3rd or 4th generation; Cef, 3rd generation cephalosporin; Ciprofl, ciprofloxacin; Levofl, levofloxacin; MCL, macrolide (clarithromycin or azithromycin); MRSA, methicillin resistant Staphylococcus aureus; MV, mechanical ventilation; Piper, piperacillin-tazobactam.