Table 2.
Cefiderocol Group (n = 40) |
Colistin Group (n = 50) | |
---|---|---|
Age (years) | 67 (59–72) | 64 (55–76) |
Male gender | 35 (86) | 19 (38) * |
Surgical admission | 20 (50) | 28 (56) |
Immunosuppression | 13 (33) | 14 (28) |
Charlson Comorbidity Index | 5 (2–6) | 7 (2–8) |
Comorbidities | ||
Diabetes mellitus | 7 (18) | 18 (36) |
Cardiovascular disease | 12 (30) | 19 (50) |
Chronic respiratory disease | 6 (15) | 15 (30) |
Chronic kidney disease | 3 (8) | 7 (14) |
Chronic liver disease | 1 (3) | 1 (2) |
Solid cancer | 5 (13) | 6 (12) |
Active hematologic malignancies | 3 (8) | 4 (8) |
Solid organ transplantation | 4 (10) | 5 (10) |
Obesity (BMI > 30 kg/m2) | 4 (10) | 5 (10) |
APACHE II score on ICU admission | 24 (22–29) | 22 (20–24) * |
VAP onset from ICU admission (days) | 8 (6–12) | 9 (7–10) |
SOFA score at VAP onset | 9 (8–12) | 9 (8–11) |
Oxygenation at VAP onset | ||
PaO2 to FiO2 ratio >200 | 6 (15) | 7 (14) |
PaO2 to FiO2 ratio >100 and <200 | 27 (68) | 40 (80) |
PaO2 to FiO2 ratio <100 | 7 (18) | 3 (6) |
Infection severity at VAP onset | ||
Uncomplicated infection | 9 (23) | 6 (12) |
Sepsis | 10 (25) | 18 (36) |
Septic shock | 21 (53) | 26 (52) |
Bacteraemic VAP | 13 (33) | 16 (32) |
Augmented renal clearance | 8 (20) | 7 (14) |
Acute kidney injury at VAP onset # | 7 (19) | 12 (33) |
De novo acute kidney injury § | 13 (45) | 17 (47) |
CRRT | 7 (18) | 9 (18) |
vv-ECMO | 3 (8) | 1 (2) |
Known respiratory CRAB colonization | 22 (55) | 30 (60) |
Fast molecular diagnostics at VAP onset | 8 (20) | 12 (24) |
Timely (<24 h) targeted therapy | 30 (75) | 42 (84) |
Antibiotic therapy duration (days) | 13 (10–15) | 12 (10–14) |
Data are presented as no. (%) of included patients or as median (interquartile range), unless otherwise indicated. * p < 0.05 vs. cefiderocol group. # 6 IHD patients (4 patients in cefiderocol group, 2 patients in colistin group) were not included in analysis. § 6 IHD patients (4 patients in cefiderocol group, 2 patients in colistin group) and 19 patients with AKI at VAP onset (7 patients in cefiderocol group, 12 patients in colistin group) were not included in analysis. APACHE: Acute Physiologic Assessment and Chronic Health Evaluation; BMI: body max index; CRAB: carbapenem-resistant Acinetobacter baumannii; CRRT: continuous renal replacement therapy; SOFA: sequential organ failure assessment; VAP: ventilator-associated pneumonia; vv-ECMO: veno-venous extra-corporeal membrane oxygenation.