Table 1. Clinical and laboratory characteristics of study patients with A. baumannii bacteremia.
Characteristicsa | Total (n = 51) | Nonsurvivor group (n = 34) | Survivor group (n = 17) | P |
Age | 61.5 (48.9–74.2) | 59.9 (48.0–74.6) | 61.5 (49.0–71.7) | 0.84 |
Sex, M/F | 33/18 | 22/12 | 11/6 | 1.00 |
Days of prior hospitalizationb | 18 (10–41) | 19.5 (10–47.3) | 18 (10–29.5) | 0.75 |
Days of prior ICU stayb | 10 (0–18) | 10 (0.8–16.3) | 14 (0–18) | 0.80 |
APACHE II score, ICU admission | 26 (20.5–36) | 27 (20.5–36) | 25.5 (20.3–35) | 0.73 |
Underlying illness | ||||
Charlson score | 3 (2–6) | 3 (2–6) | 4 (2–6) | 0.91 |
Diabetes mellitus | 20 (39.2) | 11 (32.4) | 9 (52.9) | 0.23 |
Congestive heart failure | 7 (13.7) | 5 (14.7) | 2 (11.8) | 1.00 |
Chronic renal insufficiency | 16 (31.4) | 11 (32.4) | 5 (29.4) | 1.00 |
Immunosuppressantsc | 22 (43.1) | 18 (52.9) | 4 (23.5) | 0.07 |
Leukemia | 7 (13.7) | 7 (20.6) | 0 (0) | 0.08 |
Lymphoma | 3 (5.9) | 2 (5.9) | 1 (5.9) | 1.00 |
Focus of infection | ||||
Primary bacteremia | 11 (21.6) | 7 (20.6) | 4 (23.5) | 1.00 |
Pneumonia | 33 (64.7) | 24 (70.6) | 9 (52.9) | 0.23 |
Intra-abdominal infection | 4 (7.8) | 2 (5.9) | 2 (11.8) | 0.59 |
Surgical site infection | 4 (7.8) | 4 (11.8) | 0 (0) | 0.29 |
Laboratory data on day 0b | ||||
White blood cell count (1000/µL) | 10.29 (2.42–20.34) | 8.36 (0.55–20.64) | 12.07 (8.50–19.97) | 0.19 |
Hemoglobin (g/dL) | 9.4 (8.5–10.4) | 9.2 (8.2–10.5) | 9.6 (8.9–10.7) | 0.35 |
Platelet count (1000/µL) | 73 (41–134) | 56 (19–96.8) | 134 (74–275.5) | <0.001 |
ASTd (U/L) | 50 (25–95) | 67 (30–117) | 35 (17.5–58.3) | 0.15 |
Total bilirubin (mg/dL) | 2.56 (0.83–9.06) | 3 (0.8–25.5) | 1.9 (0.7–3.3) | 0.32 |
Creatinine (mg/dL) | 1.8 (1.1–3.2) | 1.9 (1.1–3.8) | 1.7 (1.1–3) | 0.81 |
C-reactive protein (mg/dL) | 9.6 (4.6–16.4) | 9.8 (5.3–21.1) | 8.7 (2.3–12.7) | 0.37 |
Data are median (interquartile range) for continuous variables and number of cases (percentage) for categorical variables, with two-tailed Mann-Whitney U test for the former and Fisher's exact test for the later.
Days of hospitalization and ICU stay prior to day 0, which was the day on which the first blood sample positive for A. baumannii by culture was drawn.
Immunosuppressants included antineoplastic therapy within 6 weeks of the onset of A. baumannii bacteremia, corticosteroids at a dose ≧ 20 mg of prednisolone daily for at least 2 weeks or 30 mg of prednisolone daily for at least 1 week before a positive blood culture for A. baumannii, and other immunosuppressants such as cyclophosphamide [15].
AST: aspartate aminotransferase.