Core Concepts
Oral antibiotics are a safe alternative to prolonged IV antibiotics for uncomplicated gram-negative bacteremia.
Abstract
TOPLINE:
Oral antibiotics may be a safe alternative to prolonged IV antibiotics.
METHODOLOGY:
Study analyzed data from 914 adults with gram-negative bacteremia in Denmark.
Patients switched to oral antibiotics within 4 days showed lower mortality rates.
TAKEAWAY:
Patients on oral antibiotics had a lower risk of death compared to IV treatment.
IN PRACTICE:
Mortality rates were comparable between early stepdown and prolonged IV treatment.
SOURCE:
Study led by Sandra Tingsgård, MD, at Copenhagen University Hospital.
LIMITATIONS:
Data based on electronic health records, limited cases of multidrug-resistant infections.
DISCLOSURES:
Authors report no disclosures or funding sources.
Stats
Overall, 14.3% of patients on prolonged IV treatment died.
Patients switched to oral antibiotics had a 22% lower risk of death within 90 days.
Patients on oral antibiotics had a 1% lower odds of dying within 90 days.
Quotes
"These findings suggest that the mortality associated with early antibiotic stepdown treatment is comparable to that associated with receiving prolonged IV antibiotic treatment for individuals with uncomplicated gram-negative bacteremia." - Study Authors