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Table 3 Application of 2016 Chinese CAP guidelines in hospitalized patients over 65 years with risk factors of Pseudomonas aeruginosa infection (n = 815)

From: Effects of age, comorbidity and adherence to current antimicrobial guidelines on mortality in hospitalized elderly patients with community-acquired pneumonia

Regimen

General ward inpatients (n = 722)

ICU patients (n = 93)

Consistent with guideline

348(48.2)

22(23.7)

 Antipseudomonal β-lactam

247(34.2)

0(0)

 Antipseudomonal fluoroquinolone

85(11.8)

0(0)

 Antipseudomonal β-lactam + macrolide

16(2.2)

0(0)

 Antipseudomonal β-lactam +fluoroquinolone

0(0)

21(22.6)

 Antipseudomonal β-lactam+ aminoglycosides

0(0)

1(1.1)

Undertreated by guideline

165(22.9)

69(74.2)

 β-lactam

132(18.3)

10(10.8)

 Antipseudomonal β-lactam

0(0)

32(34.4)

 Macrolide

5(0.7)

0(0)

 β-lactam + macrolide

23(3.2)

1(1.1)

 Antipseudomonal fluoroquinolone +/− β-lactam/ other

0(0)

9(9.7)

 Antipseudomonal β-lactam + macrolide

0(0)

4(4.3)

 Antipseudomonal fluoroquinolone + macrolide

0(0)

2(2.2)

 Other combination

5(0.7)

11(11.8)

Overtreated by guideline

209(28.9)

2(2.2)

 Antipseudomonal β-lactam + antipseudomonal fluoroquinolone + macrolide /other

6(0.8)

2(2.2)

 Antipseudomonal β-lactam + antipseudomonal fluoroquinolone

96(13.3)

0(0)

 Antipseudomonal fluoroquinolone +β-lactam

65(9.0)

0(0)

 Antipseudomonal fluoroquinolone+ macrolide

5(0.7)

0(0)

 Antipseudomonal fluoroquinolone + other

13(1.8)

0(0)

 Antipseudomonal β-lactam + other

24(3.3)

0(0)

  1. Data on empirical antimicrobial regimens in 12 patients were missing
  2. other = imidazoles, lincomycin, fosfomycin, glycopeptides and antifungal agents