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Table 3 Univariate analysis of factors associated with 28-day mortality

From: Double carbapenem as a rescue strategy for the treatment of severe carbapenemase-producing Klebsiella pneumoniae infections: a two-center, matched case–control study

Variable

Number (%) of patients

Univariate analysis

Alive (n = 84)

Deceased (n = 60)

p value

OR (95% CI)

Demographics and comorbidities

 Age (years)

57.7 ± 15

61.7 ± 10

0.08

1.02 (0.99–1.05)

 Males

58 (69.1)

35 (58.3)

0.19

0.63 (0.31–1.25)

 CHF

24 (28.6)

21 (35)

0.41

1.34 (0.66–2.74)

 COPD

14 (16.7)

9 (15)

0.79

0.88 (0.35–2.2)

 CRF

8 (9.5)

7 (11.7)

0.68

1.25 (0.43–3.67)

 Diabetes

25 (29.8)

23 (38.3)

0.28

1.47 (0.73–2.95)

 CLD

8 (9.5)

10 (16.7)

0.21

1.9 (0.7–5.14)

 Neoplasm

7 (8.3)

7 (11.7)

0.51

1.48 (0.48–4.38)

 Immunosuppressive status

27 (32.1)

18 (30)

0.78

0.9 (0.44–1.85)

 ICU stay before infection (days), median (IQR)

8.5 (1–21)

8 (1–23)

0.69

1 (0.98–1.01)

 Duration of MV before infection (days), median (IQR)

6 (1–13.5)

5.5 (0.5–15)

0.79

1.01 (0.98–1.03)

 Duration of vasopressors before infection (days), median (IQR)

2 (0–7.5)

2 (0–7)

0.68

0.99 (0.97–1.02)

Presenting features, type of infection, and therapy

 Medical admission

45 (53.6)

39 (65)

0.17

1.61 (0.81–3.18)

 Surgical admission

29 (34.5)

15 (25)

0.22

0.63 (0.3–1.32)

 Trauma admission

10 (11.9)

6 (10)

0.72

0.82 (0.28–2.4)

 SAPS II score, median (IQR)

39 (34–50)

55 (45.5–63)

<0.01

1.07 (1.04–1.08)

 SOFA score on occurrence of infection, median (IQR)

8 (5–9)

9 (8–11)

<0.01

1.36 (1.17–1.57)

 SS on occurrence of infection

42 (50)

37 (61.7)

0.17

1.6 (0.82–3.16)

 ARDS on occurrence of infection

21 (25)

20 (33.3)

0.28

1.5 (0.72–3.11)

 CRRT on occurrence of infection

22 (26.2)

24 (40)

0.08

1.88 (0.92–3.82)

 PCT on occurrence of infection (ng/ml), median (interval)

3.4 (0.71–7.5)

4.3 (2.3–8.6)

0.43

1 (0.99–1.01)

Type of infection and therapy

 Pneumonia

41 (48.8)

33 (55)

0.46

1.28 (0.66–2.49)

 IAI

14 (16.7)

5 (8.3)

0.15

0.45 (0.15–1.34)

 SSTI

8 (9.5)

4 (6.7)

0.55

0.67 (0.19–2.37)

 UTI

6 (7.1)

6 (10)

0.54

1.44 (0.44–4.72)

 CVC BSI

11 (13.1)

7 (11.7)

0.8

0.88 (0.32–2.41)

 Primary BSI

9 (10.7)

7 (11.7)

0.86

1.1 (0.39–3.14)

 Secondary BSI

30 (35.7)

19 (31.7)

0.61

0.83 (0.41–1.69)

 Polymicrobial infection

8 (9.5)

15 (25)

0.01

3.17 (1.25–8.06)

 Double carbapenem therapy

34 (40.5)

14 (23.3)

0.03

0.45 (0.21–0.94)

 IIAT

26 (30.9)

27 (45)

0.08

1.82 (0.92–3.63)

 Combination targeted therapy

48 (57.1)

39 (65)

0.34

1.39 (0.7–2.76)

 Duration of active treatment (days), median (IQR)

14 (8–18.5)

10 (8–14.5

0.13

0.96 (0.93–1.01)

  1. Data presented as N (%), unless otherwise indicated. Bold data are significant
  2. OR odds ratio, IQR interquartile range, SAPS Simplified Acute Physiology Score, SOFA Sequential Organ Failure Assessment, ICU intensive care unit, MV mechanical ventilation, SS septic shock, ARDS acute respiratory distress syndrome, CRRT continuous renal replacement therapy, PCT procalcitonin, CHF chronic heart failure, COPD chronic obstructive pulmonary disease, CRF chronic renal failure, CLD chronic liver disease, IAI intra-abdominal infection, SSTI skin and soft tissue infection, UTI urinary tract infection, CVC central vascular catheter, BSI bloodstream infection, IIAT initial inappropriate antimicrobial therapy