Table 4.
Risk factor analysis
A. Multinomial logistic regression for the prediction of drug resistance | ||||
Factors | Total | Odds Ratio | CI (95%) | p-Value |
Multidrug resistance (MDR)a (n = 201) | ||||
History of surgery | 48 | 2.73 | (1.33–5.58) | 0.006* |
History of chemotherapy | 71 | 4.95 | (2.15–11.40) | 0.000* |
Recent antibiotic use | 157 | 2.46 | (1.74–6.48) | 0.001* |
Prior hospitalization | 164 | 2.93 | (1.08–7.92) | 0.034* |
Type of bacteria | 50 | 23.44 | (3.76-145.84) | 0.001* |
Neutropenia (ANC < 500) | 08 | 1.24 | (1.04–1.42) | 0.009* |
Extensively drug resistance (XDR)a (n = 124) | ||||
History of surgery | 13 | 1.92 | (1.56–4.53) | 0.040* |
History of chemotherapy | 43 | 3.84 | (1.48–9.96) | 0.006* |
Recent antibiotic use | 106 | 3.43 | (1.65–10.84) | 0.021* |
Prior hospitalization | 103 | 3.87 | (1.25-12.00) | 0.019* |
Neutropenia (ANC < 500) | 05 | 1.34 | (1.12–1.61) | 0.001* |
B. Binomial logistic regression for predictor analysis of 30-day mortality | ||||
Cancer recurrence | 66 | 27.65 | (2.00-38.75) | 0.013* |
Sepsis | 36(1.33) | 6.79 | (1.23–37.68) | 0.028* |
Chemotherapy | 148(32.7) | 3.54 | (1.06–11.80) | 0.039* |
Foley catheter Ryles tube Central venous catheter |
274(36.81) 143(15.68) 33 (2.72) |
4.13 2.74 12.51 |
(1.72–9.92) (1.18–6.33) (2.85–54.96) |
0.002* 0.018* < 0.001* |
NCI category-III NCI category-IV Neutrophilia |
11(2.7) 41(7.0) 228(47.0) |
1.09 1.39 1.26 |
(0.08–14.23) (0.08–1.89) (0.11–0.63) |
0.045 0.002 0.003 |
MASCC score (< 21) | 174(31.3) | 2.49 | (1.08–5.73) | 0.032* |
Klebsiella pneumoniae | 94(17.3) | 1.40 | (0.46–2.20) | 0.040 |
Pneumonia | 55(0.3) | 2.10 | (1.20–4.10) | 0.018* |
VAP | 11(9.7) | 2.35 | (0.75–3.25) | 0.032 |
Polymicrobial | 89(17.3) | 1.58 | (0.36–2.35) | 0.027 |
Community acquired | 113(21.3) | 1.53 | (0.49–4.70) | 0.012 |
MDR isolates XDR isolates |
201(35.11) 124(13.09) |
3.40 8.12 |
(2.12–5.44) (4.11–16.06) |
< 0.001* < 0.001* |
* p value less than 0.05 indicates statistical significance. Abbreviations: NCI- National Cancer Institute, MASCC- Multinational Association for Supportive Care in Cancer, VAP- Ventilator-associated pneumonia, MDR- Multidrug resistant, XDR- Extensively drug resistant