Abstract | BACKGROUND: METHODS: RESULTS: Five hundred thirty-five patients were included in this analysis, of whom 187 (35%) received aminoglycosides in addition to another antibiotic effective against gram-negative bacteria. Overall hospital mortality was 59.6% (58.3% vs. 60.3% in patients receiving and not receiving combination therapy; P = 0.71). Lack of association between mortality and aminoglycosides was confirmed after adjustment for confounders and center effect (adjusted OR 1.14 [0.69-1.89]) and in a propensity matched cohort (adjusted OR = 0.89 [0.49-1.61]). No association was found between aminoglycosides and need for RRT (adjusted OR = 0.83 [0.49-1.39], P = 0.477), nor between aminoglycoside use and outcome in neutropenic patients or in patients with confirmed bacterial pneumonia (adjusted OR 0.66 [0.23-1.85] and 1.25 [0.61-2.57], respectively). CONCLUSION:
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Authors | René Lopez, Jordi Rello, Fabio Silvio Taccone, Omar Ben Hadj Salem, Philippe R Bauer, Amélie Séguin, Andry van de Louw, Victoria Metaxa, Kada Klouche, Ignacio Martin Loeches, Luca Montini, Sangeeta Mehta, Fabrice Bruneel, T Lisboa, William Viana, Peter Pickkers, Lene Russell, Katerina Rusinova, Achille Kouatchet, François Barbier, Djamel Mokart, Elie Azoulay, Michael Darmon |
Journal | Shock (Augusta, Ga.)
(Shock)
Vol. 54
Issue 6
Pg. 731-737
(12 2020)
ISSN: 1540-0514 [Electronic] United States |
PMID | 32496415
(Publication Type: Clinical Trial, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
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Chemical References |
- Aminoglycosides
- Anti-Bacterial Agents
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Topics |
- Aged
- Aminoglycosides
(administration & dosage)
- Anti-Bacterial Agents
(administration & dosage)
- Critical Illness
- Disease-Free Survival
- Female
- Humans
- Immunocompromised Host
- Male
- Middle Aged
- Pneumonia, Bacterial
(complications, drug therapy, mortality)
- Prospective Studies
- Shock, Septic
(complications, drug therapy, mortality)
- Survival Rate
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