Table 1.
Demographics/risk factors | Univariate analysis | Multivariate analysis | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
ESBL group | % | Control group | % | Odds Ratio | 95% Confidence Interval | p-value | Odds Ratio | 95% Confidence Interval | p-value | |
Apache II score | 15.5a | (0–49) b | 13 a | (1–45) b | 1.04 | (1.01, 1.07) | 0.01 | |||
Male | 54 | 51.43 | 167 | 51.38 | 1.00 | (0.65, 1.56) | 0.99 | |||
Age >60 | 51 | 48.57 | 174 | 53.70 | 0.81 | (0.52, 1.26) | 0.36 | |||
Immunocompromised | 63 | 60.00 | 160 | 49.23 | 1.55 | (0.99, 2.42) | 0.06 | |||
Caucasian | 54 | 66.67 | 173 | 66.03 | 1.03 | (0.61, 1.74) | 0.92 | |||
Hispanic | 5 | 6.17 | 27 | 10.31 | 0.57 | (0.21, 1.54) | 0.27 | |||
Admitted from nursing home | 44 | 43.14 | 41 | 12.65 | 5.24 | (3.14, 8.73) | <.0001 | 4.64 | (2.64, 8.16) | <.0001 |
Number of days hospitalized before infection | 5 a | (0–328) b | 1 a | (0–141) b | 1.02 | (1.01, 1.03) | <.0001 | 1.02 | (1.01, 1.03) | 0.0015 |
Any hospitalization in past year | 84 | 80.00 | 242 | 74.46 | 1.37 | (0.80, 2.35) | 0.25 | |||
Any ICU admission in past year | 44 | 41.90 | 95 | 29.23 | 1.75 | (1.11, 2.75) | 0.02 | |||
Any surgery in past year | 47 | 44.76 | 113 | 34.77 | 1.52 | (0.97, 2.38) | 0.07 | |||
Dialysis in past year | 19 | 18.10 | 29 | 8.92 | 2.26 | (1.21, 4.22) | 0.01 | |||
Outpatient intravenous therapy in past year | 15 | 14.29 | 24 | 7.38 | 2.09 | (1.05, 4.15) | 0.04 | |||
Prior surgery within 30 days | 15 | 14.29 | 53 | 16.31 | 0.86 | (0.46, 1.59) | 0.62 | |||
Antibiotics in 30 days prior to enrollment | 48 | 47.06 | 76 | 23.38 | 2.91 | (1.83, 4.64) | <.0001 | 1.76 | (1.00, 3.08) | 0.0491 |
Carbapenem c | 8 | 7.62 | 8 | 2.46 | 3.27 | (1.20, 8.94) | 0.02 | |||
Ampicillin/sulbactam | 6 | 5.71 | 15 | 4.62 | 1.25 | (0.47, 3.32) | 0.65 | |||
Fluoroquinolone d | 12 | 11.43 | 28 | 8.62 | 1.37 | (0.67, 2.80) | 0.39 | |||
Cefepime | 18 | 17.14 | 17 | 5.23 | 3.75 | (1.85, 7.58) | 0.0002 | |||
Ceftriaxone | 4 | 3.81 | 4 | 1.23 | 3.18 | (0.78, 12.94) | 0.11 | |||
Piperacillin/tazobactam | 8 | 7.62 | 17 | 5.23 | 1.49 | (0.63, 3.57) | 0.37 | |||
Chronic renal failure | 28 | 26.67 | 41 | 12.62 | 2.52 | (1.46, 4.33) | 0.0008 | 2.09 | (1.11, 3.92) | 0.0223 |
Diabetes | 40 | 38.10 | 79 | 24.31 | 1.92 | (1.20, 3.06) | 0.006 | |||
Chronic obstructive lung disease | 11 | 10.48 | 45 | 13.85 | 0.73 | (0.36, 1.47) | 0.37 | |||
Cardiovascular disease | 29 | 27.62 | 77 | 23.69 | 1.23 | (0.75, 2.02) | 0.42 | |||
Peripheral vascular disease | 4 | 3.81 | 8 | 2.46 | 1.57 | (0.46, 5.32) | 0.47 | |||
Cerebrovascular disease | 9 | 8.57 | 27 | 8.31 | 1.03 | (0.47, 2.28) | 0.93 | |||
Peptic ulcer disease | 3 | 2.86 | 13 | 4.00 | 0.71 | (0.20, 2.53) | 0.59 | |||
liver disease | 17 | 16.19 | 35 | 10.77 | 1.60 | (0.86, 3.00) | 0.14 | |||
Malignancy | 14 | 13.33 | 61 | 18.77 | 0.67 | (0.36, 1.25) | 0.20 | |||
Solid organ malignancy | 10 | 9.52 | 53 | 16.31 | 0.54 | (0.26, 1.10) | 0.09 | |||
Transplant | 23 | 21.90 | 34 | 10.46 | 2.40 | (1.34, 4.30) | 0.003 | 2.48 | (1.24, 4.95) | 0.0103 |
Tracheostomy tube at enrollment | 26 | 24.76 | 29 | 8.92 | 3.36 | (1.87, 6.03) | <.0001 | |||
Gastrostomy tube at enrollment | 17 | 16.19 | 12 | 3.69 | 5.04 | (2.32, 10.95) | <.0001 | 3.36 | (1.38, 8.18) | 0.0076 |
Indwelling urinary catheter at enrollment | 26 | 24.76 | 51 | 15.69 | 1.77 | (1.04, 3.02) | 0.04 | |||
Vascular catheter at enrollment | 74 | 70.48 | 176 | 54.15 | 2.02 | (1.26, 3.24) | 0.004 |
Median.
Range.
Ertapenem, imipenem, meropenem.
Ciprofloxacin, levofloxacin, moxifloxacin.