Table 4—

Antibiotic therapy of 2,457 patients hospitalised for community-acquired pneumonia

TherapyEarly deaths ≤48 hEarly survivors >48 h
Late deathsp-value#Survivors at 30 daysp-valueAllp-value+
Subjects571322692400
Initial antibiotic therapy
 Monotherapy36 (63.2)91 (69.5)0.4021755 (77.3)0.0181846 (76.9)0.025
  β-Lactams32800.87912840.02713640.027
  Macrolides230.9871590.7661620.379
  Quinolones60.2332550.0072610.004
  Other220.752570.235590.735
 Combination therapy21 (36.8)40 (30.5)0.402514 (22.7)0.018554 (23.1)0.025
  β-lactams + macrolides12200.3311970.0932010.003
  β-lactams + quinolones7190.8602780.099297.146
  Other combinations210.454550.849560.642
Initial antibiotic therapy in high severity risk population§5211911741293
 Monotherapy33 (63)89 (74.8)0.4.83862 (73.4)0.146951 (73.5)0.113
  β-Lactams31760.7357350.2108110.124
  Macrolides30.553410.395440.394
  Quinolones90.312600.160690.086
  Other210.177260.276270.583
 Combination therapy19 (36.5)30 (25.2)0.483312 (26.6)0.146342 (26.5)0.113
  β-lactams + macrolides11140.6361100.0461240.010
  β-lactams + quinolones7160.4041900.3962060.846
  Other combinations100.400120.815120.815
Initial antibiotic therapy in pneumoccocal pneumonia1639663702
 Combination therapy4 (25)13 (33.3)0.749140 (21.1)0.757153 (21.8)0.763
  β-lactams + macrolides1312830.122310.525
  β-lactams + quinolones310111211221
  Other combinations003131
Discordant initial therapy§6/38 (15.8)5/85 (5.9)0.09218/1223 (1.5)<0.00123/1308 (1.7)<0.001
  • Data are presented as n or n (%), unless otherwise stated. Data for discordant initial therapy are presented as n/n of patients for whom concordance could be determined (%). #: comparison of early mortality and late deaths; : comparison of early deaths and survivors; +: comparison of early deaths and all the others; §: concordance of antibiotic therapy was examined in 1,346 patients with an aetiological diagnosis, 38 patients in early deaths and 1,308 patients in all the others.