Table 1: Time to Therapy.

Organism Number Identified Average Time to Optimal Therapy (hrs) Average Time to Targeted Therapy based on FA Result (hrs) Average Time to Targeted Therapy based on NV result (hrs)
ESBL Klebsiella pneumoniae 1 29 1.15 2.5
KPC Klebsiella pneumoniae 1 33.9 1.15 2.5
Other gram-negative organisms* 28 55.8 1.15 2.5
MSSA Ŧ 20 52 1.15 2.0
MRSA Τ 3 17.8 1.15 2.0
VRE ¶ 3 48.7 1.15 2.0
Other gram-positive organisms § 19 48.6 1.15 2.0
C. albicans** 3 77.1 1.15 N/A
All isolates 77 52.3 1.15 2.0-2.52.0-2.5

*11 Pseudomonas aeruginosa, 35 were Enterobacteriaceae, 2 Stenotrophomonas spp., 2 Gemella spp., 1 Pantoea spp., 1 Achromobacter spp., 1 Bacteroides spp., 6 Enterococcus faecalis. For these patients with Gram-negative organisms 28 patients were on therapy that required modification based on susceptibility results.

Τ 3 of 17 patients with MRSA required therapy modification; 2 patients were not initiated on vancomycin (1 not initially treating the isolate prior to susceptibilities and 1 was receiving alternative Gram-positive coverage with linezolid that was modified to bactericidal antibiotic daptomycin after susceptibilities known), 1 patient was started on vancomycin initially, but after MIC of 2 was reported with susceptibilities it was changed to daptomycin for targeted therapy.

Ŧ 20 of 22 patients with MSSA required therapy modification, 2 patients continued on vancomycin despite susceptibility result.

¶ 3 of 5 patients with VRE required modification in therapy.

§ Coagulase negative Staphylococcus spp. (CoNS) (n = 30), Streptococcus spp. (n = 11), Bacillus spp. (n = 1), and Corynebacterium spp. (n=1). For the 43 patients with other Gram-positive organisms, 15 required modification based on susceptibility results.

**All 3 patients with C. albicans required therapy modification, however 1 patient remained on broader spectrum amphotericin, despite susceptibility results - this patient was deemed as being on appropriate targeted therapy as ID consult was following the patient and recommended continuation of amphotericin as optimal targeted therapy for this patient.