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Table 4 Comparison of antibiotics and related treatments in elderly bedridden patients with hip fracture and lower respiratory tract infection

From: Elderly patients with concurrent hip fracture and lower respiratory tract infection: the pathogens and prognosis over different bedridden periods

Treatment Total (%), N = 101 Short-term bedridden group (%), N = 46 Middle-term bedridden group (%), N = 23 Long-term bedridden group (%), N = 32 P
Initiative antibiotic types
Second-generation cephalosporins 10 (9.9%) 3 (6.5%) 4 (17.4%) 3 (9.4%) 0.353
Third-generation cephalosporins (without enzyme inhibitors) 31 (30.7%) 18 (39.1%) 5 (21.7%) 8 (25.1%) 0.235
  Third-generation cephalosporins (with enzyme inhibitors) 22 (21.8%) 5 (10.9%) 11 (47.8%) 6 (18.8%) 0.002
  4th-generation cephalosporin 1 (1%) 0 (0) 0 (0) 1 (3.1%) 0.545
  Carbapenems 31 (30.7%) 17 (37%) 1 (4.3%) 13 (40.6%) 0.007
  Quinolones 7 (7%) 2 (4.3%) 3 (13%) 2 (6.3%) 0.469
  Glycopeptides 4 (4%) 2 (4.3%) 0 (0) 2 (6.3%) 0.685
  Clindamycin 1 (1%) 1 (2.2%) 0 (0) 0 (0) 1.000
Antibiotics need to be upgraded 32 (31.7%) 7 (15.2%) 8 (34.8%) 17 (53.1%) 0.002
Upgrade M (IQR) on the X-day of admission 6 (3.5–7) 5 (3–7) 6 (4–10) 6.5 (3.0–7.5) 0.259
  Number of antibiotic upgrades M (IQR) 0 (0–1) 0 (0–0) 0 (0–1) 1 (0–2) 0.001
Antifungal therapy 32 (31.7%) 6 (13.0%) 6 (26.1%) 20 (62.5%) < 0.001
Fluconazole is preferred 17 (16.8%) 3 (6.5%) 5 (21.7%) 9 (28.1%) 0.032
Upgrading ratio of antifungal drugs 3 (9.38%) 0 (0) 1 (16.7%) 2 (10%) 1.000
Upgrade M (IQR) on the X-day of admission 8.5 (5–15.5) 5.5 (4–13) 7 (7–10) 11.5 (5.5–20) 0.407
Upgrading times of antifungal agents M (IQR) 1 (1–1) - 1 1 -
Need parenteral nutrition support 26 (25.7%) 6 (13%) 6 (26.1%) 14 (43.8%) 0.010
Use of glucocorticoids 12 (11.9%) 5 (10.9%) 1 (4.3%) 6 (18.8%) 0.255
Intravenous glucocorticoid 9 (8.91%) 2 (4.3%) 1 (4.3%) 6 (18.8%)  
Oral glucocorticoid 3 (2.97%) 3 (6.5%) 0 0 0.086
Not used 89 (88.12%) 41 (89.1%) 22 (95.7%) 26 (81.3%)  
Tracheal intubation/incision 9 (8.9%) 2 (4.3%) 1 (4.3%) 6 (18.8%) 0.061
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