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Table 2 Patients’ characteristics at time of peak density of Pseudomonas aeruginosa isolation from endotracheal aspirates

From: Airway Pseudomonas aeruginosa density in mechanically ventilated patients: clinical impact and relation to therapeutic efficacy of antibiotics

 

Low-PA group (n = 171)

Moderate-PA group (n = 149)

High-PA group (n = 141)

P value

VA-LRTI

   

< 0.01

 Non-VA-LRTI

95 (55.6%)

34 (22.8%)

25 (17.7%)

 

 VAT

60 (35.1%)

96 (64.4%)

81 (57.5%)

 

 VAP

16 (9.4%)

19 (12.8%)

35 (24.8%)

 

Length of MV, median (IQR), days

5 (2‒13)

11 (5‒20)

10 (4‒24)

< 0.01

SOFA

7 (5‒11)

8 (5‒11)

8 (5‒12)

0.51

CPIS

3 (2‒5)

4 (3‒5)

5 (3‒6)

< 0.01

Chest X-ray findings

   

0.02

 No infiltrate

84 (49.1%)

61 (40.9%)

44 (31.2%)

 

 Unilateral infiltrates

58 (33.9%)

65 (43.6%)

66 (46.8%)

 

 Bilateral infiltrates

29 (17%)

23 (15.4%)

31 (22%)

 

Laboratory findings, median (IQR)

 WBC (/µL)

10,900 (7600‒13,300)

9800 (6450‒13,450)

12,110 (7950‒16,600)

< 0.01

 CRP (mg/dL)

7.5 (3.3‒14.1)

5.7 (2.5‒9.7)

8.2 (2.9‒16)

< 0.01

Tracheal aspirates analysis

Neutrophil counts

   

< 0.01

 0 to 1 + 

47 (27.5%)

23 (15.4%)

27 (19.2%)

 

 2 + to 3 + 

74 (43.3%)

60 (40.3%)

42 (29.8%)

 

 4 + 

50 (29.2%)

66 (44.3%)

72 (51.1%)

 

Culture results

 Commensal colonizer

96 (56.1%)

68 (45.6%)

55 (39%)

< 0.01

 Candida sp.

46 (26.9%)

46 (30.9%)

42 (29.8%)

0.72

 Staphylococcus aureus

29 (17%)

20 (13.4%)

21 (14.9%)

0.67

 Stenotrophomonas maltophilia

32 (18.7%)

20 (13.4%)

13 (9.2%)

0.054

 Klebsiella pneumoniae

10 (5.6%)

13 (8.7%)

10 (7.1%)

0.61

Clinical outcomes

VFDs at 28 days

 Median (IQR), days

24 (6‒27)

21 (0‒27)

1 (0‒24)

< 0.01

 Adjusted coefficient B (95% CI)a

Reference

1.1 (− 0.2 to 2.42)

− 1.94 (− 3.28 to − 0.61)

0.1b, < 0.01c

ICU mortality

 No. of cases

17 (9.9%)

22 (14.8%)

36 (25.3%)

< 0.01

 Adjusted OR (95% CI)a

Reference

1.27 (0.46‒3.54)

2.78 (1.02‒7.58)

0.64b, 0.047c

  1. CI confidence interval, CPIS Clinical Pulmonary Infection Score, CRP C-reactive protein, ICU intensive care unit, IQR interquartile range, MV mechanical ventilation, OR odds ratio, PA Pseudomonas aeruginosa, SOFA Sequential Organ Failure Assessment score, VA-LRTI ventilator-associated lower respiratory tract infection, VAP ventilator-associated pneumonia, VAT ventilator-associated tracheobronchitis, VFDs ventilator-free days, WBC white blood cell
  2. aAdjusted for age, sex, respiratory diseases, APACHE II score at ICU admission, presence of VAT or VAP, length of MV, and SOFA score when the maximum density of PA was detected
  3. bModerate PA density versus low PA density
  4. cHigh PA density versus low PA density