. | Gram-Positive Cocci Bacteremia (Excluding CoNS) . | CoNS Bacteremia . | Gram-Negative Rod Bacteremia . | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Outcome and Antibiotic Use . | Historical (n = 54) . | AXDX (n = 46) . | AXDX + RTN (n = 36) . | P Value . | Historical (n = 79) . | AXDX (n = 75) . | AXDX + RTN (n = 76) . | P Value . | Historical (n = 50) . | AXDX (n = 31) . | AXDX + RTN (n = 33) . | P Value . |
LOS | ||||||||||||
Hospital LOS | 10.3 (6.2–18.2) | 9.5 (5.9–20.1) | 7.9 (6.1–13.6) | .567 | 7.2 (4.8–11.3) | 5.5 (3.3–8.9)a | 4.5 (2.9–9.7)a | .003 | 7.7 (4.4–15.0) | 3.8 (3.1–7.0)a, b | 8.0 (4.2–14.1) | .008 |
Hospital LOS following culture collection | 8.3 (5.9–11.0) | 7.5 (5.1–14.0) | 7.3 (5.7–11.2) | .813 | 6.1 (4.1–8.6) | 4.8 (3.0–7.7)a | 4.2 (2.9–7.3)a | .026 | 6.8 (4.4–10.5) | 3.8 (3.0–6.9)a | 5.5 (4.0–10.8) | .014 |
ICU LOS | 4.7 (2.0–10.7) | 6.0 (1.6–9.4) | 4.5 (3.1–6.7) | .866 | 2.0 (0.9–3.7) | 2.6 (1.4–4.1) | 2.1 (1.4–3.2) | .313 | 2.8 (1.6–6.5) | 1.9 (1.4–5.0) | 2.8 (1.6–4.0) | .864 |
ICU LOS following culture collection | 3.5 (1.7–6.2) | 3.0 (4.6–9.4) | 4.7 (3.1–5.5) | .728 | 1.6 (0.9–3.5) | 2.2 (1.3–4.0) | 2.0 (1.0–2.9) | .606 | 2.7 (1.6–3.8) | 1.9 (1.4–5.0) | 2.8 (1.6–4.0) | .898 |
Optimal therapy | ||||||||||||
Achieved optimal therapy, No. (%) | 51 (94.4) | 43 (93.5) | 36 (100.0) | .317 | 62 (78.5) | 71 (94.7)a | 71 (93.4)a | .002 | 42 (82.0) | 28 (90.3) | 31 (93.9) | .238 |
TTOT following culture collection | 2.8 (1.9–3.4) | 1.8 (0.8–2.8)a | 1.5 (1.1–1.9)a | ≤ .001 | 2.9 (0.5–3.5) | 1.3 (0.0–2.3)a | 1.0 (0.0–2.0)a | ≤ .001 | 3.2 (2.2–3.9) | 1.4 (0.5–2.0)a | 1.5 (1.0–2.1)a | ≤ .001 |
CDI within 90 d, No. (%) | 2 (3.7) | 1 (2.2) | 3 (8.3) | .385 | 1 (1.3) | 4 (5.3) | 5 (6.6) | .237 | 2 (4.0) | 3 (9.7) | 4 (12.1) | .373 |
In-hospital transition to hospice care, No. (%) | 4 (7.4) | 7 (15.2) | 2 (5.6) | .267 | 6 (7.6) | 4 (5.3) | 4 (5.3) | .788 | 2 (4.0) | 4 (12.9) | 2 (6.1) | .306 |
In-hospital mortality, No. (%) | 5 (9.3) | 7 (15.2) | 2 (5.6) | .345 | 6 (7.6) | 2 (2.7) | 4 (5.3) | .390 | 4 (8.0) | 2 (6.5) | 4 (12.1) | .704 |
Antibiotic use | ||||||||||||
Total antibiotic use | 8 (7–12) | 9 (6–14) | 8 (6–12) | .913 | 6 (4–9) | 5 (2–7) | 4 (3–7) | .060 | 8 (5–11) | 5 (4–8)a,b | 6 (5–12) | .007 |
BGP | 4 (2–7) | 5 (2–9) | 4 (2–7) | .845 | 4 (2–6) | 3 (1–6)a | 2 (1–4)a | .003 | 2 (0–4) | 2 (1–3) | 1 (0–4) | .719 |
Vancomycin | 3 (2–6) | 4 (2–9) | 4 (2–7) | .997 | 5 (3–7) | 3 (2–7) | 3 (2–4)a | .002 | 2 (1–4) | 2 (1–3) | 2 (1–6) | .438 |
BGN | 4 (2–6) | 4 (1–6) | 3 (2–5) | .636 | 4 (1–7) | 2 (0–7) | 3 (0–5)a | .046 | 7 (4–10) | 4 (2–7)a | 5 (2–8)a | .028 |
NBL | 3 (0–8) | 4 (0–6) | 4 (1–7) | .749 | 0 (0–1) | 0 (0–2)a | 0 (0–2)a | .010 | 1 (0–4) | 0 (0–2) b | 3 (2–5)a | .001 |
. | Gram-Positive Cocci Bacteremia (Excluding CoNS) . | CoNS Bacteremia . | Gram-Negative Rod Bacteremia . | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Outcome and Antibiotic Use . | Historical (n = 54) . | AXDX (n = 46) . | AXDX + RTN (n = 36) . | P Value . | Historical (n = 79) . | AXDX (n = 75) . | AXDX + RTN (n = 76) . | P Value . | Historical (n = 50) . | AXDX (n = 31) . | AXDX + RTN (n = 33) . | P Value . |
LOS | ||||||||||||
Hospital LOS | 10.3 (6.2–18.2) | 9.5 (5.9–20.1) | 7.9 (6.1–13.6) | .567 | 7.2 (4.8–11.3) | 5.5 (3.3–8.9)a | 4.5 (2.9–9.7)a | .003 | 7.7 (4.4–15.0) | 3.8 (3.1–7.0)a, b | 8.0 (4.2–14.1) | .008 |
Hospital LOS following culture collection | 8.3 (5.9–11.0) | 7.5 (5.1–14.0) | 7.3 (5.7–11.2) | .813 | 6.1 (4.1–8.6) | 4.8 (3.0–7.7)a | 4.2 (2.9–7.3)a | .026 | 6.8 (4.4–10.5) | 3.8 (3.0–6.9)a | 5.5 (4.0–10.8) | .014 |
ICU LOS | 4.7 (2.0–10.7) | 6.0 (1.6–9.4) | 4.5 (3.1–6.7) | .866 | 2.0 (0.9–3.7) | 2.6 (1.4–4.1) | 2.1 (1.4–3.2) | .313 | 2.8 (1.6–6.5) | 1.9 (1.4–5.0) | 2.8 (1.6–4.0) | .864 |
ICU LOS following culture collection | 3.5 (1.7–6.2) | 3.0 (4.6–9.4) | 4.7 (3.1–5.5) | .728 | 1.6 (0.9–3.5) | 2.2 (1.3–4.0) | 2.0 (1.0–2.9) | .606 | 2.7 (1.6–3.8) | 1.9 (1.4–5.0) | 2.8 (1.6–4.0) | .898 |
Optimal therapy | ||||||||||||
Achieved optimal therapy, No. (%) | 51 (94.4) | 43 (93.5) | 36 (100.0) | .317 | 62 (78.5) | 71 (94.7)a | 71 (93.4)a | .002 | 42 (82.0) | 28 (90.3) | 31 (93.9) | .238 |
TTOT following culture collection | 2.8 (1.9–3.4) | 1.8 (0.8–2.8)a | 1.5 (1.1–1.9)a | ≤ .001 | 2.9 (0.5–3.5) | 1.3 (0.0–2.3)a | 1.0 (0.0–2.0)a | ≤ .001 | 3.2 (2.2–3.9) | 1.4 (0.5–2.0)a | 1.5 (1.0–2.1)a | ≤ .001 |
CDI within 90 d, No. (%) | 2 (3.7) | 1 (2.2) | 3 (8.3) | .385 | 1 (1.3) | 4 (5.3) | 5 (6.6) | .237 | 2 (4.0) | 3 (9.7) | 4 (12.1) | .373 |
In-hospital transition to hospice care, No. (%) | 4 (7.4) | 7 (15.2) | 2 (5.6) | .267 | 6 (7.6) | 4 (5.3) | 4 (5.3) | .788 | 2 (4.0) | 4 (12.9) | 2 (6.1) | .306 |
In-hospital mortality, No. (%) | 5 (9.3) | 7 (15.2) | 2 (5.6) | .345 | 6 (7.6) | 2 (2.7) | 4 (5.3) | .390 | 4 (8.0) | 2 (6.5) | 4 (12.1) | .704 |
Antibiotic use | ||||||||||||
Total antibiotic use | 8 (7–12) | 9 (6–14) | 8 (6–12) | .913 | 6 (4–9) | 5 (2–7) | 4 (3–7) | .060 | 8 (5–11) | 5 (4–8)a,b | 6 (5–12) | .007 |
BGP | 4 (2–7) | 5 (2–9) | 4 (2–7) | .845 | 4 (2–6) | 3 (1–6)a | 2 (1–4)a | .003 | 2 (0–4) | 2 (1–3) | 1 (0–4) | .719 |
Vancomycin | 3 (2–6) | 4 (2–9) | 4 (2–7) | .997 | 5 (3–7) | 3 (2–7) | 3 (2–4)a | .002 | 2 (1–4) | 2 (1–3) | 2 (1–6) | .438 |
BGN | 4 (2–6) | 4 (1–6) | 3 (2–5) | .636 | 4 (1–7) | 2 (0–7) | 3 (0–5)a | .046 | 7 (4–10) | 4 (2–7)a | 5 (2–8)a | .028 |
NBL | 3 (0–8) | 4 (0–6) | 4 (1–7) | .749 | 0 (0–1) | 0 (0–2)a | 0 (0–2)a | .010 | 1 (0–4) | 0 (0–2) b | 3 (2–5)a | .001 |
Data presented as median days (interquartile range) unless otherwise indicated. Statistically significant values are highlighted in bold (P ≤ .05). The Candida subgroup analysis was not included due to low incidence.
Abbreviations: AXDX, Accelerate Pheno system; BGN, broad gram negative; BGP, broad gram positive; CDI, Clostridioides difficile infection; CoNS, coagulase-negative staphylococci; ICU, intensive care unit; LOS, length of stay; NBL, narrow β-lactam; RTN, real-time notification; TTOT, time to optimal therapy.
aStatistically significant (P ≤ .05) compared to historical cohort.
bStatistically significant (P ≤ .05) compared to the AXDX-RTN cohort.
. | Gram-Positive Cocci Bacteremia (Excluding CoNS) . | CoNS Bacteremia . | Gram-Negative Rod Bacteremia . | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Outcome and Antibiotic Use . | Historical (n = 54) . | AXDX (n = 46) . | AXDX + RTN (n = 36) . | P Value . | Historical (n = 79) . | AXDX (n = 75) . | AXDX + RTN (n = 76) . | P Value . | Historical (n = 50) . | AXDX (n = 31) . | AXDX + RTN (n = 33) . | P Value . |
LOS | ||||||||||||
Hospital LOS | 10.3 (6.2–18.2) | 9.5 (5.9–20.1) | 7.9 (6.1–13.6) | .567 | 7.2 (4.8–11.3) | 5.5 (3.3–8.9)a | 4.5 (2.9–9.7)a | .003 | 7.7 (4.4–15.0) | 3.8 (3.1–7.0)a, b | 8.0 (4.2–14.1) | .008 |
Hospital LOS following culture collection | 8.3 (5.9–11.0) | 7.5 (5.1–14.0) | 7.3 (5.7–11.2) | .813 | 6.1 (4.1–8.6) | 4.8 (3.0–7.7)a | 4.2 (2.9–7.3)a | .026 | 6.8 (4.4–10.5) | 3.8 (3.0–6.9)a | 5.5 (4.0–10.8) | .014 |
ICU LOS | 4.7 (2.0–10.7) | 6.0 (1.6–9.4) | 4.5 (3.1–6.7) | .866 | 2.0 (0.9–3.7) | 2.6 (1.4–4.1) | 2.1 (1.4–3.2) | .313 | 2.8 (1.6–6.5) | 1.9 (1.4–5.0) | 2.8 (1.6–4.0) | .864 |
ICU LOS following culture collection | 3.5 (1.7–6.2) | 3.0 (4.6–9.4) | 4.7 (3.1–5.5) | .728 | 1.6 (0.9–3.5) | 2.2 (1.3–4.0) | 2.0 (1.0–2.9) | .606 | 2.7 (1.6–3.8) | 1.9 (1.4–5.0) | 2.8 (1.6–4.0) | .898 |
Optimal therapy | ||||||||||||
Achieved optimal therapy, No. (%) | 51 (94.4) | 43 (93.5) | 36 (100.0) | .317 | 62 (78.5) | 71 (94.7)a | 71 (93.4)a | .002 | 42 (82.0) | 28 (90.3) | 31 (93.9) | .238 |
TTOT following culture collection | 2.8 (1.9–3.4) | 1.8 (0.8–2.8)a | 1.5 (1.1–1.9)a | ≤ .001 | 2.9 (0.5–3.5) | 1.3 (0.0–2.3)a | 1.0 (0.0–2.0)a | ≤ .001 | 3.2 (2.2–3.9) | 1.4 (0.5–2.0)a | 1.5 (1.0–2.1)a | ≤ .001 |
CDI within 90 d, No. (%) | 2 (3.7) | 1 (2.2) | 3 (8.3) | .385 | 1 (1.3) | 4 (5.3) | 5 (6.6) | .237 | 2 (4.0) | 3 (9.7) | 4 (12.1) | .373 |
In-hospital transition to hospice care, No. (%) | 4 (7.4) | 7 (15.2) | 2 (5.6) | .267 | 6 (7.6) | 4 (5.3) | 4 (5.3) | .788 | 2 (4.0) | 4 (12.9) | 2 (6.1) | .306 |
In-hospital mortality, No. (%) | 5 (9.3) | 7 (15.2) | 2 (5.6) | .345 | 6 (7.6) | 2 (2.7) | 4 (5.3) | .390 | 4 (8.0) | 2 (6.5) | 4 (12.1) | .704 |
Antibiotic use | ||||||||||||
Total antibiotic use | 8 (7–12) | 9 (6–14) | 8 (6–12) | .913 | 6 (4–9) | 5 (2–7) | 4 (3–7) | .060 | 8 (5–11) | 5 (4–8)a,b | 6 (5–12) | .007 |
BGP | 4 (2–7) | 5 (2–9) | 4 (2–7) | .845 | 4 (2–6) | 3 (1–6)a | 2 (1–4)a | .003 | 2 (0–4) | 2 (1–3) | 1 (0–4) | .719 |
Vancomycin | 3 (2–6) | 4 (2–9) | 4 (2–7) | .997 | 5 (3–7) | 3 (2–7) | 3 (2–4)a | .002 | 2 (1–4) | 2 (1–3) | 2 (1–6) | .438 |
BGN | 4 (2–6) | 4 (1–6) | 3 (2–5) | .636 | 4 (1–7) | 2 (0–7) | 3 (0–5)a | .046 | 7 (4–10) | 4 (2–7)a | 5 (2–8)a | .028 |
NBL | 3 (0–8) | 4 (0–6) | 4 (1–7) | .749 | 0 (0–1) | 0 (0–2)a | 0 (0–2)a | .010 | 1 (0–4) | 0 (0–2) b | 3 (2–5)a | .001 |
. | Gram-Positive Cocci Bacteremia (Excluding CoNS) . | CoNS Bacteremia . | Gram-Negative Rod Bacteremia . | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Outcome and Antibiotic Use . | Historical (n = 54) . | AXDX (n = 46) . | AXDX + RTN (n = 36) . | P Value . | Historical (n = 79) . | AXDX (n = 75) . | AXDX + RTN (n = 76) . | P Value . | Historical (n = 50) . | AXDX (n = 31) . | AXDX + RTN (n = 33) . | P Value . |
LOS | ||||||||||||
Hospital LOS | 10.3 (6.2–18.2) | 9.5 (5.9–20.1) | 7.9 (6.1–13.6) | .567 | 7.2 (4.8–11.3) | 5.5 (3.3–8.9)a | 4.5 (2.9–9.7)a | .003 | 7.7 (4.4–15.0) | 3.8 (3.1–7.0)a, b | 8.0 (4.2–14.1) | .008 |
Hospital LOS following culture collection | 8.3 (5.9–11.0) | 7.5 (5.1–14.0) | 7.3 (5.7–11.2) | .813 | 6.1 (4.1–8.6) | 4.8 (3.0–7.7)a | 4.2 (2.9–7.3)a | .026 | 6.8 (4.4–10.5) | 3.8 (3.0–6.9)a | 5.5 (4.0–10.8) | .014 |
ICU LOS | 4.7 (2.0–10.7) | 6.0 (1.6–9.4) | 4.5 (3.1–6.7) | .866 | 2.0 (0.9–3.7) | 2.6 (1.4–4.1) | 2.1 (1.4–3.2) | .313 | 2.8 (1.6–6.5) | 1.9 (1.4–5.0) | 2.8 (1.6–4.0) | .864 |
ICU LOS following culture collection | 3.5 (1.7–6.2) | 3.0 (4.6–9.4) | 4.7 (3.1–5.5) | .728 | 1.6 (0.9–3.5) | 2.2 (1.3–4.0) | 2.0 (1.0–2.9) | .606 | 2.7 (1.6–3.8) | 1.9 (1.4–5.0) | 2.8 (1.6–4.0) | .898 |
Optimal therapy | ||||||||||||
Achieved optimal therapy, No. (%) | 51 (94.4) | 43 (93.5) | 36 (100.0) | .317 | 62 (78.5) | 71 (94.7)a | 71 (93.4)a | .002 | 42 (82.0) | 28 (90.3) | 31 (93.9) | .238 |
TTOT following culture collection | 2.8 (1.9–3.4) | 1.8 (0.8–2.8)a | 1.5 (1.1–1.9)a | ≤ .001 | 2.9 (0.5–3.5) | 1.3 (0.0–2.3)a | 1.0 (0.0–2.0)a | ≤ .001 | 3.2 (2.2–3.9) | 1.4 (0.5–2.0)a | 1.5 (1.0–2.1)a | ≤ .001 |
CDI within 90 d, No. (%) | 2 (3.7) | 1 (2.2) | 3 (8.3) | .385 | 1 (1.3) | 4 (5.3) | 5 (6.6) | .237 | 2 (4.0) | 3 (9.7) | 4 (12.1) | .373 |
In-hospital transition to hospice care, No. (%) | 4 (7.4) | 7 (15.2) | 2 (5.6) | .267 | 6 (7.6) | 4 (5.3) | 4 (5.3) | .788 | 2 (4.0) | 4 (12.9) | 2 (6.1) | .306 |
In-hospital mortality, No. (%) | 5 (9.3) | 7 (15.2) | 2 (5.6) | .345 | 6 (7.6) | 2 (2.7) | 4 (5.3) | .390 | 4 (8.0) | 2 (6.5) | 4 (12.1) | .704 |
Antibiotic use | ||||||||||||
Total antibiotic use | 8 (7–12) | 9 (6–14) | 8 (6–12) | .913 | 6 (4–9) | 5 (2–7) | 4 (3–7) | .060 | 8 (5–11) | 5 (4–8)a,b | 6 (5–12) | .007 |
BGP | 4 (2–7) | 5 (2–9) | 4 (2–7) | .845 | 4 (2–6) | 3 (1–6)a | 2 (1–4)a | .003 | 2 (0–4) | 2 (1–3) | 1 (0–4) | .719 |
Vancomycin | 3 (2–6) | 4 (2–9) | 4 (2–7) | .997 | 5 (3–7) | 3 (2–7) | 3 (2–4)a | .002 | 2 (1–4) | 2 (1–3) | 2 (1–6) | .438 |
BGN | 4 (2–6) | 4 (1–6) | 3 (2–5) | .636 | 4 (1–7) | 2 (0–7) | 3 (0–5)a | .046 | 7 (4–10) | 4 (2–7)a | 5 (2–8)a | .028 |
NBL | 3 (0–8) | 4 (0–6) | 4 (1–7) | .749 | 0 (0–1) | 0 (0–2)a | 0 (0–2)a | .010 | 1 (0–4) | 0 (0–2) b | 3 (2–5)a | .001 |
Data presented as median days (interquartile range) unless otherwise indicated. Statistically significant values are highlighted in bold (P ≤ .05). The Candida subgroup analysis was not included due to low incidence.
Abbreviations: AXDX, Accelerate Pheno system; BGN, broad gram negative; BGP, broad gram positive; CDI, Clostridioides difficile infection; CoNS, coagulase-negative staphylococci; ICU, intensive care unit; LOS, length of stay; NBL, narrow β-lactam; RTN, real-time notification; TTOT, time to optimal therapy.
aStatistically significant (P ≤ .05) compared to historical cohort.
bStatistically significant (P ≤ .05) compared to the AXDX-RTN cohort.
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