From: Community-acquired polymicrobial pneumonia in the intensive care unit: aetiology and prognosis
Variable | Monomicrobial CAP (n= 157) | Polymicrobial CAP (n= 39) | P value |
---|---|---|---|
Demographics | |||
Age (years) | 61.6 ± 17.7 | 63.5 ± 14.1 | 0.48 |
Sex (male) | 106 (68%) | 23 (59%) | 0.31 |
Current smoking | 46 (30%) | 13 (35%) | 0.53 |
Current alcohol abuse | 32 (21%) | 12 (33%) | 0.11 |
Previous antibiotic | 30 (22%) | 2 (7%) | 0.051 |
Influenza vaccine | 50 (39%) | 9 (35%) | 0.65 |
Pneumococcal vaccine | 20 (16%) | 2 (8%) | 0.29 |
Inhaled corticosteroid | 29 (19%) | 11 (31%) | 0.10 |
Systemic corticosteroid | 11 (7%) | 4 (12%) | 0.34 |
Co-morbidity | |||
Chronic respiratory disease | 50 (32%) | 21 (54%) | 0.011 |
Chronic cardiovascular disease | 21 (14%) | 1 (3%) | 0.068 |
Diabetes mellitus | 26 (17%) | 4 (11%) | 0.40 |
Neurological disease | 19 (12%) | 9 (25%) | 0.052 |
Chronic renal disease | 10 (7%) | 2 (6%) | 0.84 |
Chronic liver disease | 9 (6%) | 5 (13%) | 0.11 |
Clinical findings | |||
Fever | 132 (84%) | 27 (69%) | 0.034 |
Diastolic blood pressure (mmHg) | 68.0 (20.0) | 70.0 (22.0) | 0.38 |
Systolic blood pressure (mmHg) | 120.0 (48.0) | 121.0 (63.0) | 0.23 |
Laboratory findings | |||
Creatinine (mg/dl) | 1.2 (0.8) | 1.3 (0.7) | 0.57 |
C-reactive protein level (mg/dl) | 25.2 (20.3) | 26.5 (11.6) | 0.24 |
White blood cell count (109 cells/l) | 13.1 (12.1) | 9.5 (13.4) | 0.019 |
Oxygen saturation (%) | 93 (7.9) | 92.0 (7.3) | 0.78 |
PaO2/FIO2 | 254.3 (84.6) | 247.6 (104.8) | 0.38 |
Inappropriate empirical treatment | 15 (10%) | 15 (39%) | < 0.001 |
Pneumonia severity index | |||
I to III | 44 (29%) | 10 (28%) | 0.89 |
IV | 60 (40%) | 8 (22%) | 0.053 |
V | 48 (32%) | 18 (50%) | 0.037 |
Severe CAP | 94 (68%) | 31 (86%) | 0.029 |
Bacteraemia | 47 (32%) | 14 (39%) | 0.45 |
Multilobar infiltration | 74 (47%) | 27 (69%) | 0.013 |
Pleural effusion | 36 (23%) | 9 (24%) | 0.94 |
Mechanical ventilation | 60 (43%) | 21 (62%) | 0.047 |
ARDS criteria | 6 (4%) | 12 (31%) | < 0.001 |
Septic shock | 38 (24%) | 14 (36%) | 0.14 |
Length of hospital stay (days) | 12.0 (11.0) | 15.0 (10.0) | 0.082 |
Thirty-day mortality | 17 (11%) | 8 (21%) | 0.10 |