Characteristic . | No. (%) . |
---|---|
Patient characteristics | |
Age, y, median (range; IQR) | 62 (23–82; 53–71) |
Sex | |
Female | 31 (21.1) |
Male | 116 (78.9) |
Hospital admission | |
Emergency | 134 (91.2) |
Scheduled | 9 (6.1) |
Other | 4 (2.7) |
Infection | |
Site of primary infection | |
Respiratory | 96 (65.3) |
BSI (catheter related) | 16 (10.9) |
BSI (unknown source) | 23 (15.6) |
Othera | 12 (8.2) |
Secondary BSI | 47 (32.0) |
Polymicrobial infection | 36 (24.5) |
ICU/ventilation | |
Any time in ICU | 136 (92.5) |
Time in ICU, d, median (IQR) | 37 (23.5–51.0) |
In ICU receiving mechanical ventilation | 116/136 (85.3) |
Respiratory infection and receiving mechanical ventilation | 82/96 (85.4) |
Ventilator-associated respiratory infection | |
VAP | 70/82 (85.4) |
V-HAP | 11/82 (13.4) |
Unknownb | 1/82 (1.2) |
ECMO during hospitalization | 22 (15.0) |
Patient status and comorbidities | |
Septic shockc | 70/126 (55.6) |
COVID-19 during hospitalization | 120 (81.6) |
Septic shockc and COVID-19 during hospitalization | 58 (39.5) |
SOFA scored quartile (score range) in ICU, no./No. (median score) | |
1 (0–5) | 35/131 (3) |
2 (6–9) | 44/131 (8) |
3 (10–11) | 32/131 (11) |
4 (12–17) | 20/131 (13) |
Treatment regimen | |
No. of prior antimicrobial therapiese | |
0 | 22 (15.0) |
1 | 35 (23.8) |
2 | 48 (32.7) |
3 | 29 (19.7) |
4 | 10 (6.8) |
≥5 | 3 (2.0) |
Prior antimicrobial therapye,f | |
Colistin | 86 (58.5) |
Meropenem | 62 (42.2) |
Tigecycline | 40 (27.2) |
Piperacillin/tazobactam | 22 (15.0) |
Ampicillin/sulbactam | 13 (8.8) |
Reason for discontinuation of prior antimicrobial therapyg | |
Lack of resolution | 65 (44.2) |
New resistance | 34 (23.1) |
Adverse events | 5 (3.4) |
Other | 19 (12.9) |
Duration of cefiderocol treatment, d, median (IQR) | 10.0 (8.0–15.0) |
Cefiderocol administered as monotherapy | 49 (33.3) |
Septic shockc present | 21/42 (50.0) |
SOFA scored, median (IQR) | 7.5 (3.0–9.0) |
Cefiderocol administered as combination therapy | 98 (66.7) |
Septic shockc present | 49/84 (58.3) |
SOFA scored, median (IQR) | 9.0 (7.0–11.0) |
Antibiotic therapy started with cefiderocol administration | |
Colistin | 27 (18.4) |
Tigecycline | 22 (15.0) |
Fosfomycin | 19 (12.9) |
Meropenem | 3 (2.0) |
Ampicillin/sulbactam | 2 (1.4) |
Trimethoprim/sulfamethoxazole | 2 (1.4) |
Other | 12 (8.2) |
Characteristic . | No. (%) . |
---|---|
Patient characteristics | |
Age, y, median (range; IQR) | 62 (23–82; 53–71) |
Sex | |
Female | 31 (21.1) |
Male | 116 (78.9) |
Hospital admission | |
Emergency | 134 (91.2) |
Scheduled | 9 (6.1) |
Other | 4 (2.7) |
Infection | |
Site of primary infection | |
Respiratory | 96 (65.3) |
BSI (catheter related) | 16 (10.9) |
BSI (unknown source) | 23 (15.6) |
Othera | 12 (8.2) |
Secondary BSI | 47 (32.0) |
Polymicrobial infection | 36 (24.5) |
ICU/ventilation | |
Any time in ICU | 136 (92.5) |
Time in ICU, d, median (IQR) | 37 (23.5–51.0) |
In ICU receiving mechanical ventilation | 116/136 (85.3) |
Respiratory infection and receiving mechanical ventilation | 82/96 (85.4) |
Ventilator-associated respiratory infection | |
VAP | 70/82 (85.4) |
V-HAP | 11/82 (13.4) |
Unknownb | 1/82 (1.2) |
ECMO during hospitalization | 22 (15.0) |
Patient status and comorbidities | |
Septic shockc | 70/126 (55.6) |
COVID-19 during hospitalization | 120 (81.6) |
Septic shockc and COVID-19 during hospitalization | 58 (39.5) |
SOFA scored quartile (score range) in ICU, no./No. (median score) | |
1 (0–5) | 35/131 (3) |
2 (6–9) | 44/131 (8) |
3 (10–11) | 32/131 (11) |
4 (12–17) | 20/131 (13) |
Treatment regimen | |
No. of prior antimicrobial therapiese | |
0 | 22 (15.0) |
1 | 35 (23.8) |
2 | 48 (32.7) |
3 | 29 (19.7) |
4 | 10 (6.8) |
≥5 | 3 (2.0) |
Prior antimicrobial therapye,f | |
Colistin | 86 (58.5) |
Meropenem | 62 (42.2) |
Tigecycline | 40 (27.2) |
Piperacillin/tazobactam | 22 (15.0) |
Ampicillin/sulbactam | 13 (8.8) |
Reason for discontinuation of prior antimicrobial therapyg | |
Lack of resolution | 65 (44.2) |
New resistance | 34 (23.1) |
Adverse events | 5 (3.4) |
Other | 19 (12.9) |
Duration of cefiderocol treatment, d, median (IQR) | 10.0 (8.0–15.0) |
Cefiderocol administered as monotherapy | 49 (33.3) |
Septic shockc present | 21/42 (50.0) |
SOFA scored, median (IQR) | 7.5 (3.0–9.0) |
Cefiderocol administered as combination therapy | 98 (66.7) |
Septic shockc present | 49/84 (58.3) |
SOFA scored, median (IQR) | 9.0 (7.0–11.0) |
Antibiotic therapy started with cefiderocol administration | |
Colistin | 27 (18.4) |
Tigecycline | 22 (15.0) |
Fosfomycin | 19 (12.9) |
Meropenem | 3 (2.0) |
Ampicillin/sulbactam | 2 (1.4) |
Trimethoprim/sulfamethoxazole | 2 (1.4) |
Other | 12 (8.2) |
Data are from time of cefiderocol initiation and are presented as No. (%) or no./No. (%) unless otherwise indicated.
Abbreviations: BSI, bloodstream infection; COVID-19, coronavirus disease 2019; ECMO, extracorporeal membrane oxygenation; ICU, intensive care unit; IQR, interquartile range; SOFA, Sequential Organ Failure Assessment; VAP, ventilator-associated pneumonia; V-HAP, ventilated hospital-acquired pneumonia.
Included other (n = 4), skin and soft tissue infections (n = 3), bone or joint infections (n = 2), intra-abdominal infections (n = 2), and urinary tract infection (n = 1).
Unknown time of mechanical ventilation initiation.
Septic shock was defined as a score of 3 or 4 on the cardiovascular domain on the SOFA score.
SOFA scores of 0 were imputed for individual SOFA domains where data were missing, providing a value was recorded for at least 1 of the 6 SOFA domains.
Therapies suitable for gram-negative infections used to treat Acinetobacter spp infections.
Five most frequently used antimicrobials are shown. Patients may have received ≥1 antimicrobial prior to cefiderocol.
Reasons per prior antimicrobial are shown.
Characteristic . | No. (%) . |
---|---|
Patient characteristics | |
Age, y, median (range; IQR) | 62 (23–82; 53–71) |
Sex | |
Female | 31 (21.1) |
Male | 116 (78.9) |
Hospital admission | |
Emergency | 134 (91.2) |
Scheduled | 9 (6.1) |
Other | 4 (2.7) |
Infection | |
Site of primary infection | |
Respiratory | 96 (65.3) |
BSI (catheter related) | 16 (10.9) |
BSI (unknown source) | 23 (15.6) |
Othera | 12 (8.2) |
Secondary BSI | 47 (32.0) |
Polymicrobial infection | 36 (24.5) |
ICU/ventilation | |
Any time in ICU | 136 (92.5) |
Time in ICU, d, median (IQR) | 37 (23.5–51.0) |
In ICU receiving mechanical ventilation | 116/136 (85.3) |
Respiratory infection and receiving mechanical ventilation | 82/96 (85.4) |
Ventilator-associated respiratory infection | |
VAP | 70/82 (85.4) |
V-HAP | 11/82 (13.4) |
Unknownb | 1/82 (1.2) |
ECMO during hospitalization | 22 (15.0) |
Patient status and comorbidities | |
Septic shockc | 70/126 (55.6) |
COVID-19 during hospitalization | 120 (81.6) |
Septic shockc and COVID-19 during hospitalization | 58 (39.5) |
SOFA scored quartile (score range) in ICU, no./No. (median score) | |
1 (0–5) | 35/131 (3) |
2 (6–9) | 44/131 (8) |
3 (10–11) | 32/131 (11) |
4 (12–17) | 20/131 (13) |
Treatment regimen | |
No. of prior antimicrobial therapiese | |
0 | 22 (15.0) |
1 | 35 (23.8) |
2 | 48 (32.7) |
3 | 29 (19.7) |
4 | 10 (6.8) |
≥5 | 3 (2.0) |
Prior antimicrobial therapye,f | |
Colistin | 86 (58.5) |
Meropenem | 62 (42.2) |
Tigecycline | 40 (27.2) |
Piperacillin/tazobactam | 22 (15.0) |
Ampicillin/sulbactam | 13 (8.8) |
Reason for discontinuation of prior antimicrobial therapyg | |
Lack of resolution | 65 (44.2) |
New resistance | 34 (23.1) |
Adverse events | 5 (3.4) |
Other | 19 (12.9) |
Duration of cefiderocol treatment, d, median (IQR) | 10.0 (8.0–15.0) |
Cefiderocol administered as monotherapy | 49 (33.3) |
Septic shockc present | 21/42 (50.0) |
SOFA scored, median (IQR) | 7.5 (3.0–9.0) |
Cefiderocol administered as combination therapy | 98 (66.7) |
Septic shockc present | 49/84 (58.3) |
SOFA scored, median (IQR) | 9.0 (7.0–11.0) |
Antibiotic therapy started with cefiderocol administration | |
Colistin | 27 (18.4) |
Tigecycline | 22 (15.0) |
Fosfomycin | 19 (12.9) |
Meropenem | 3 (2.0) |
Ampicillin/sulbactam | 2 (1.4) |
Trimethoprim/sulfamethoxazole | 2 (1.4) |
Other | 12 (8.2) |
Characteristic . | No. (%) . |
---|---|
Patient characteristics | |
Age, y, median (range; IQR) | 62 (23–82; 53–71) |
Sex | |
Female | 31 (21.1) |
Male | 116 (78.9) |
Hospital admission | |
Emergency | 134 (91.2) |
Scheduled | 9 (6.1) |
Other | 4 (2.7) |
Infection | |
Site of primary infection | |
Respiratory | 96 (65.3) |
BSI (catheter related) | 16 (10.9) |
BSI (unknown source) | 23 (15.6) |
Othera | 12 (8.2) |
Secondary BSI | 47 (32.0) |
Polymicrobial infection | 36 (24.5) |
ICU/ventilation | |
Any time in ICU | 136 (92.5) |
Time in ICU, d, median (IQR) | 37 (23.5–51.0) |
In ICU receiving mechanical ventilation | 116/136 (85.3) |
Respiratory infection and receiving mechanical ventilation | 82/96 (85.4) |
Ventilator-associated respiratory infection | |
VAP | 70/82 (85.4) |
V-HAP | 11/82 (13.4) |
Unknownb | 1/82 (1.2) |
ECMO during hospitalization | 22 (15.0) |
Patient status and comorbidities | |
Septic shockc | 70/126 (55.6) |
COVID-19 during hospitalization | 120 (81.6) |
Septic shockc and COVID-19 during hospitalization | 58 (39.5) |
SOFA scored quartile (score range) in ICU, no./No. (median score) | |
1 (0–5) | 35/131 (3) |
2 (6–9) | 44/131 (8) |
3 (10–11) | 32/131 (11) |
4 (12–17) | 20/131 (13) |
Treatment regimen | |
No. of prior antimicrobial therapiese | |
0 | 22 (15.0) |
1 | 35 (23.8) |
2 | 48 (32.7) |
3 | 29 (19.7) |
4 | 10 (6.8) |
≥5 | 3 (2.0) |
Prior antimicrobial therapye,f | |
Colistin | 86 (58.5) |
Meropenem | 62 (42.2) |
Tigecycline | 40 (27.2) |
Piperacillin/tazobactam | 22 (15.0) |
Ampicillin/sulbactam | 13 (8.8) |
Reason for discontinuation of prior antimicrobial therapyg | |
Lack of resolution | 65 (44.2) |
New resistance | 34 (23.1) |
Adverse events | 5 (3.4) |
Other | 19 (12.9) |
Duration of cefiderocol treatment, d, median (IQR) | 10.0 (8.0–15.0) |
Cefiderocol administered as monotherapy | 49 (33.3) |
Septic shockc present | 21/42 (50.0) |
SOFA scored, median (IQR) | 7.5 (3.0–9.0) |
Cefiderocol administered as combination therapy | 98 (66.7) |
Septic shockc present | 49/84 (58.3) |
SOFA scored, median (IQR) | 9.0 (7.0–11.0) |
Antibiotic therapy started with cefiderocol administration | |
Colistin | 27 (18.4) |
Tigecycline | 22 (15.0) |
Fosfomycin | 19 (12.9) |
Meropenem | 3 (2.0) |
Ampicillin/sulbactam | 2 (1.4) |
Trimethoprim/sulfamethoxazole | 2 (1.4) |
Other | 12 (8.2) |
Data are from time of cefiderocol initiation and are presented as No. (%) or no./No. (%) unless otherwise indicated.
Abbreviations: BSI, bloodstream infection; COVID-19, coronavirus disease 2019; ECMO, extracorporeal membrane oxygenation; ICU, intensive care unit; IQR, interquartile range; SOFA, Sequential Organ Failure Assessment; VAP, ventilator-associated pneumonia; V-HAP, ventilated hospital-acquired pneumonia.
Included other (n = 4), skin and soft tissue infections (n = 3), bone or joint infections (n = 2), intra-abdominal infections (n = 2), and urinary tract infection (n = 1).
Unknown time of mechanical ventilation initiation.
Septic shock was defined as a score of 3 or 4 on the cardiovascular domain on the SOFA score.
SOFA scores of 0 were imputed for individual SOFA domains where data were missing, providing a value was recorded for at least 1 of the 6 SOFA domains.
Therapies suitable for gram-negative infections used to treat Acinetobacter spp infections.
Five most frequently used antimicrobials are shown. Patients may have received ≥1 antimicrobial prior to cefiderocol.
Reasons per prior antimicrobial are shown.
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