Table 5

Host and bacterial factors in ICU patients treated with intravenous (iv) β-lactam monotherapy and β-lactam plus macrolide/quinolone

β-lactam iv only (n=147)β-lactam iv+macrolide/quinolone (n=25)p Value
Age
 Mean63.757.80.09
 ≥6572 (49.0)10 (40.0)0.40
 <6575 (51.0)15 (60.0)
Sex
 Men69 (46.9)12 (48.0)0.92
Heart disease
 Yes43 (29.3)3 (12.0)0.08
 No82 (55.8)19 (76.0)
 N/S22 (15.0)3 (12.0)
Liver disease
 Yes16 (10.9)0 (0)0.13
 No110 (74.8)23 (92.0)
 N/S21 (14.3)2 (8.0)
Renal disease
 Yes9 (6.1)2 (8.0)0.69
 No114 (77.6)21 (84.0)
 N/S24 (16.3)2 (8.0)
Serotype category according to case-fatality rate†
 High55 (37.4)7 (28.0)0.07*
 Medium53 (36.1)9 (36.0)
 Low22 (15.0)8 (32.0)
Penicillin non-susceptible‡
 Yes4 (2.7)1 (4.0)0.55
 No143 (97.3)24 (96.0)
  • *p Value for trend.

  • †Serotypes classified as associated with low (serotype 1, 4, 5, 7F, 8), medium (serotypes 9V, 12F, 14, 22F) and high (serotypes 3, 6A, 6B, 9N, 19A, 19F, 23F) case fatality rate in a recent meta-analysis.9

  • ‡Non-susceptibility for penicillin was defined as minimal inhibitory concentration ≥0.12 mg/l and for erythromycin a zone diameter of ≤21 mm.22