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Annals of Intensive Care
Fig. 3 | Annals of Intensive Care

Fig. 3

From: Relation between presence of extended-spectrum β-lactamase-producing Enterobacteriaceae in systematic rectal swabs and respiratory tract specimens in ICU patients

Fig. 3

Suggestion of decision tree for empirical antimicrobial therapy in patients with respiratory tract specimen positive culture and suspicion of pneumonia. Suggestion of decision tree to limit the use of carbapenems in the setting of empirical antimicrobial therapy in patients with respiratory tract specimen positive culture and suspicion of pneumonia. By “No Carbapenem,” the authors mean another empirical antimicrobial therapy based on local epidemiological data and the American Thoracic Society guidelines [11]. In the situation of an early positive respiratory tract specimen culture with previous ESBL-E positive rectal swab, the choice of empirical antimicrobial therapy should take into account patient’s severity and clinical condition. ICU intensive care unit, ESBL-E extended-spectrum β-lactamase-producing Enterobacteriaceae; PPV positive predictive value, NPV negative predictive value

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