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Table 3 Microbiological and antimicrobial data

From: Clinical features and outcomes of infective endocarditis in Egypt: an 11-year experience at a tertiary care facility

Variable

Total (n = 398), No. (%)

Phase 1 (n = 237), No. (%)

Phase 2 (n = 161), No. (%)

P value

Negative blood culture

275 (69.1)

152 (64.1)

123 (76.4)

0.009

Detected organismsa

155 (38.9)

83 (36.4)

72 (50.3)

0.008

 - Staphylococcal species

88 (22.1)

46 (35.7)

42 (50.0)

0.038

 - Streptococci

36 (9.0)

26 (20.2)

10 (11.9)

0.116

 - Enterococci

16 (4.0)

9 (3.8)

7 (4.3)

0.991

 - Gram-negative bacilli

32 (8.0)

22 (17.1)

10 (11.9)

0.304

 - Zoonosesb

21 (5.3)

18 (14.0)

3 (3.6)

0.009

 - Fungal infectionc

32 (8.0)

17 (7.2)

15 (9.3)

0.440

Basis of choice of antibiotics

 - Culture/Serology based

86 (21.6)

42 (17.7)

44 (27.3)

0.022

 - Empirical

312 (78.4)

195 (82.3)

117 (72.7)

Therapeutic antibiotics usedd

(n = 1044)

(n = 610)

(n = 434)

 

 - Anti-Staphylococcale

228 (21.8)

120 (19.7)

108 (24.9)

0.045

 - Aminoglycosides

310 (29.7)

162 (26.6)

148 (34.1)

0.009

 - Quinolones

20 (1.9)

3 (0.5)

17 (3.9)

< 0.001

 - B-lactam and Cephalosporins

338 (32.4)

233 (38.2)

105 (24.2)

< 0.001

  1. aOrganisms are detected by either blood culture, positive histology or positive serology
  2. bZoonotic infections included: Brucella, Bartonella, and Coxiella
  3. cFungal infections included: Aspergillus, Candida, Mucormycosis, and Penicillium
  4. dNumbers are calculated according to the total number of antibiotics used
  5. eAnti-Staphylococci included; Vancomycin, Linezolid, and Teicoplanin