Copyright
©The Author(s) 2023.
World J Hepatol. Nov 27, 2023; 15(11): 1226-1236
Published online Nov 27, 2023. doi: 10.4254/wjh.v15.i11.1226
Published online Nov 27, 2023. doi: 10.4254/wjh.v15.i11.1226
Variable | Control (n = 32) | Protocol (n = 32) | P value |
Male | 19 (59.4) | 18 (56.2) | 0.21 |
Age (yr) | 57.9 (± 12.9) | 53.0 (± 12.7) | 0.13 |
Race | 0.01 | ||
White | 26 (81.3) | 24 (75) | |
Unavailable | 4 (12.5) | 2 (6.3) | |
Black | 1 (3.1) | 1 (3.1) | |
American Indian/Alaskan native | 1 (3.1) | 0 (0) | |
Asian | 0 (0) | 0 (0) | |
Multiracial-Multicultural | 0 (0) | 0 (0) | |
Weight (kg) | 85.4 (± 23.1) | 91.3 (± 29.2) | 0.37 |
Direct Intensive Care Unit Admission | 15 (46.9) | 12 (37.5) | 0.45 |
SOFA score | 10.2 (± 3.0) | 11 (± 3.2) | 0.34 |
NE requirements, mcg/kg/min | 0 (0, 0.136) | 0.023 (0, 0.309) | 0.02 |
MELD-Na | 28.5 (± 8.5) | 30.0 (± 8.2) | 0.48 |
West-Haven grade | 0.31 | ||
Unavailable | 10 (31.3) | 6 (18.8) | |
0 | 6 (18.8) | 8 (25) | |
1 | 6 (18.8) | 6 (18.8) | |
2 | 4 (12.5) | 6 (18.8) | |
3 | 5 (15.6) | 5 (15.6) | |
4 | 1 (3.1) | 1 (3.1) | |
Glasgow Coma Score | 9 (6, 14) | 11 (7, 15) | 0.69 |
Cirrhosis Etiology | 0.21 | ||
Ethanol | 17 (53.1) | 21 (65.6) | |
Non-alcoholic steatohepatitis | 9 (28.1) | 5 (15.6) | |
Primary biliary cholangitis | 2 (6.3) | 1 (3.1) | |
Autoimmune hepatitis | 2 (6.3) | 1 (3.1) | |
Primary sclerosing cholangitis | 0 (0) | 1 (3.1) | |
Unknown | 2 (6.3) | 0 (0) | |
Other | 0 (0) | 3 (9.4) | |
Pre-ICU rifaximin treatment | 12 (37.5) | 17 (48.6) | 0.21 |
Antibiotic Indication | 0.80 | ||
Empiric; source unknown | 20 (62.5) | 23 (71.9) | |
Pneumonia | 6 (18.8) | 3 (9.4) | |
Intraabdominal | 4 (12.5) | 4 (12.5) | |
Bloodstream infection | 1 (3.1) | 1 (3.1) | |
Skin and soft tissue | 1 (3.1) | 0 (0) | |
Bone and joint infection | 0 (0) | 1 (3.1) | |
Rifaximin regimen | 0.37 | ||
550 mg BID | 31 (96.9) | 31 (96.9) | |
400 mg BID | 1 (3.1) | 0 (0) | |
200 mg BID | 0 (0) | 1 (3.1) | |
Deep sedation use | 5 (15.6) | 9 (28.1) | 0.38 |
Benzodiazepine use | 3 (9.4) | 0 (0) | 0.29 |
Continuous neuromuscular blockade use | 2 (6.3) | 3 (9.4) | 1.00 |
Polyethylene glycol use | 9 (28.1) | 13 (40.6) | 0.29 |
Lactulose use | 29 (90.6) | 31 (96.9) | 0.30 |
Gastrointestinal bleeding treatment | 8 (25) | 14 (43.8) | 0.11 |
Alcohol withdrawal diagnosis | 1 (3.1) | 0 (0) | 1.00 |
Ileus | 6 (18.8) | 9 (28.1) | 0.56 |
C. difficile infection | 1 (3.1) | 2 (6.3) | 1.00 |
- Citation: Ward JA, Yerke J, Lumpkin M, Kapoor A, Lindenmeyer CC, Bass S. Evaluation of a protocol for rifaximin discontinuation in critically ill patients with liver disease receiving broad-spectrum antibiotic therapy. World J Hepatol 2023; 15(11): 1226-1236
- URL: https://www.wjgnet.com/1948-5182/full/v15/i11/1226.htm
- DOI: https://dx.doi.org/10.4254/wjh.v15.i11.1226