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Table 9 Mortality in mixed/unspecified bacteremia patients receiving C/T

From: Ceftolozane/tazobactam for the treatment of bacteremia: a systematic literature review (SLR)

Author, year

Study design

Source

Pathogen type

Antibiotic resistance

Outcome definition

Time point

% (n/N)

Reporting mortality

Case–control study

 Fernandez-Cruz et al., 2019 [29]

Case–control study

Bacteremia secondary n = 7, and primary n = 3

Pseudomonas: 100% (not further specified)

MDR infection: 50%, XDR infection: 50%

–

30 days

All patients: 10.0% (1/10)a, b

Combination therapy: 25.0% (1/4)a,

Monotherapy: 0% (0/6)a

Retrospective cohort studies

 Caston et al., 2017 [14]

Retrospective cohort

Mixed hospital-acquired infections: Abdominal, Respiratory, Otitis and mastoiditis, Biliary, Venous Central Catheter

Pseudomonas: 100% (not further specified)

MDR infection: 100%

–

–

25.0% (3/12)

 Escola-Verge et al., 2018 [16]

Retrospective cohort

Mixed infections: lower respiratory tract, Soft tissue, Urinary tract, Bone, Intra-abdominal, BSI, Mediastinitis

Pseudomonas: 100% (not further specified)

XDR infection: 100%

Defined as the composite endpoint of attributable mortality, or a persistent or recurrent XDR-PA index infection at 90 days of follow-up. In accordance with previous studies, mortality was attributed to XDR-PA infection if the patient had signs and symptoms of infection at death or microbiologic evidence of an active XDR-PA infection, and other potential causes of death had been excluded

90 days

36.4% (4/11)c

 Jayakumar et al., 2018 [10]

Retrospective cohort

Mixed infections: Respiratory, Blood, Urinary, Tissue, Wound (patients could have more than one infection)

Pseudomonas: 95% (not further specified), K. pneumoniae: 5%, Polymicrobial infectione: Enterobacter (10%), Acinetobacter (10%), Providencia (5%),

Meningosepheum (5%),

Morganella (5%),

Candida (14%)

MDR infection: 86%

–

30 days

10.0% (2/20)d

–

30 days

24.0% (5/21)

 King et al., 2018 [11]

Retrospective cohort

Mixed infections:

pneumonia, UTI, intra-abdominal, wound

Pseudomonas: 100% (not further specified)

MDR infection: 100%

–

–

24.0% (6/25)e

–

30 days

28.0% (7/25)

 Rodriguez-Nunez et al., 2019 [21]

Retrospective cohort

Lower respiratory tract infection

Pseudomonas: 100% (not further specified)

–f

–

30 days

51.6% (16/31)

 Xipell et al., 2018 [22]

Retrospective cohort

Mixed infections: submandibular fasciitis or UTI and deep surgical-site infection

–

MDR infection: 17.39%,XDR infection: 79%, PDR infection: 4%g

–

–

50.0% (3/6)h

  1. MDR Multi drug resistant, PDR Pan drug resistant, XDR Extensively drug resistant
  2. aThere were 10 cases (8, 80% achieved cure), 6 received combination therapy (5, 83.3% achieved cure), 4 received monotherapy (3, 75% achieved cure)
  3. bCases, combination or monotherapy, Combination therapy, 36.4% (12/10) (discrepancy in n/N from publication)
  4. cTable 2 of the study PDF reports 3/12 patients reporting clinical failure had a positive blood culture. The text also notes that 4/12 clinical failures are due to death by sepsis
  5. dInfection-related mortality
  6. eIn-hospital mortality
  7. fMulti-drug resistant or extensive-drug resistant, exact resistance measure unclear
  8. gPoly-microbial infection
  9. hN represents patients with either confirmed bacteremia, septic shoc