Conference Coverage

For Gram-negative bacteremias, 7 days of antibiotics is enough


 

REPORTING FROM ECCMID 2018

Likewise, none of the secondary outcomes posted a significant difference in favor of one treatment arm, including relapse (2.9% vs. 2.7%) and resistance development (10.8% vs. 9.7%).

Dr. Yahav pointed out that total antibiotic-use days were significantly less in the 7-day group, (5 days) than in the 14-day group (10 days). Patients in the short-duration group returned to their normal activities a day earlier than those in the longer-term group (2 days vs. 3 days), a difference that was statistically significant.

The total hospital stay from randomization to day 90 was only half a day shorter in the short-term group (mean, 3 days vs. 3.5 days). That was not a significant finding.

There were some differences in adverse events, although none was statistically significant. The short-duration arm had slightly more cases of kidney injury (0.5%), fewer cases of liver function abnormalities (–1.5%), and half as many rashes (two vs. four). There were two cases of Clostridium difficile in the short-use arm and one in the long-use arm, also not a significant difference.

Pages

Recommended Reading

Common food additive makes C. difficile more virulent
MDedge Internal Medicine
Drug combo indicated for bacterial pneumonia
MDedge Internal Medicine
Reported penicillin allergies hike inpatient costs
MDedge Internal Medicine
FDA warns against clarithromycin use in patients with heart disease
MDedge Internal Medicine
Unusual antibiotic resistance found in more than 200 bacteria
MDedge Internal Medicine
MDedge Daily News: Antibiotic resistance leads to ‘nightmare’ bacteria
MDedge Internal Medicine
FDA advisory committee votes to recommend first once-daily aminoglycoside antibiotic
MDedge Internal Medicine
Don’t shorten therapy for older, sicker cellulitis patients
MDedge Internal Medicine
ESBL-resistant bacteria spread in hospital despite strict contact precautions
MDedge Internal Medicine
Three days of beta-lactam beat clinically stable CAP
MDedge Internal Medicine