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Table 3 Patient characteristics at time of ventilator-associated pneumonia diagnosis

From: From starting mechanical ventilation to ventilator-associated pneumonia, choosing the right moment to start antibiotic treatment

 

All patients (n = 71)

Nongradual VAP (n = 28)

Gradual VAP (n = 43)

p Value

MV duration before VAP, days

7 [4.5–10.5]

4.5 [3–9]

8 [6.5–11.5]

0.002

Early VAP

21 (29 %)

16 (57 %)

5 (12 %)

<0.001

SOFA score

5.5 [8–11.5]

10 [8–12]

7 [5–11]

0.142

mCPIS score

7 [6–8]

7 [6–8]

7 [6–8]

0.908

PaO2/FiO2

197 [137–247]

200 [160–282]

180 [130–226]

0.119

Temperature, °C

38 [37–38.7]

38 [36.7–38.6]

38 [37–38.7]

0.928

Leukocytes, cells/mm3

12250 [8050–17,400]

12,000 [9100–16,800]

12,400 [7500–17,500]

0.930

CRP (mg/L)

151 [90–315]

200 [100–340]

132 [73.5–265]

0.301

PCT (ng/ml)

1.4 [0.5–4.3]

1.4 [0.5–6.08]

1.4 [0.5–4.1]

0.961

Etiology

 Nonfermenting GNB

42 (52 %)

17 (61 %)

25 (58 %)

0.829

Enterobacteriaceae

14 (20 %)

6 (21 %)

8 (19 %)

0.770

Staphylococcus aureus

8 (11 %)

2 (7 %)

6 (14 %)

0.315

Haemophilus influenzae

5 (7 %)

2 (7 %)

3 (7 %)

0.661

Streptococcus

1 (1 %)

0

1 (2 %)

0.606

Aspergillus

1 (1 %)

1 (3 %)

0

0.394

Treatment failure (72 h)

39 (55 %)

17 (61 %)

22 (51 %)

0.442

Microbial persistence (72 h)

43 (61 %)

16 (57 %)

27 (63 %)

0.361

Relapse

8 (11 %)

3 (11 %)

5 (11 %)

0.121

ICU stay, days,)

19 [13–29]

16 [12–28.5]

20.5 [14–29]

0.346

Hospital stay, days

24 [12–51]

19.5 [9–42]

29 [16–57]

0.054

Days of MV

13 [8–18]

13.5 [8.5–19.5]

12.5 [8–17]

0.679

28-day mortality

43 (61 %)

18 (64 %)

25 (58 %)

0.605

  1. MV mechanical ventilation, VAP ventilator-associated pneumonia, SOFA Sepsis-related Organ Failure Assessment, mCPIS modified Clinical Pulmonary Infection Score, CRP C-reactive protein, PCT procalcitonin, GNB gram-negative bacteria, PaO 2 /FiO 2 ratio of partial pressure of arterial oxygen to fraction of inspired oxygen, ICU intensive care unit
  2. Results are expressed as median [interquartile range] for continuous variables and number (%) for categorical variables