Table 3. Univariate and Multivariate analyses for risk factors associated with 30-day mortality in patients with MRSA bacteremia.
Univariate analysis | Multivariate analysis | ||||||
Risk Factor | No.(%) of patients | p-value | HR | 95% CI | p-value | ||
Survival(n = 209) | Death(n = 98) | Lower | Upper | ||||
Agea | 58.6±16.0 | 63.1±14.1 | 0.017b | ||||
Acquisition | |||||||
Hospital-onset | 178 (85) | 81 (83) | 0.572 | ||||
Health care-acquired | 203 (97) | 93 (95) | 0.327 | ||||
Underlying diseases | |||||||
Diabetes | 63 (30) | 34 (35) | 0.424 | ||||
Cancer | 24 (12) | 21 (21) | 0.022b | 2.026 | 1.228 | 3.343 | 0.006b |
Liver cirrhosis | 19 (9) | 10 (10) | 0.756 | ||||
Renal replacement therapy | 20 (10) | 8 (8) | 0.690 | ||||
Congestive heart failure | 18 (9) | 12 (12) | 0.324 | ||||
Cerebrovascular accident | 44 (21) | 21 (21) | 0.940 | ||||
Chronic obstructive lung disease | 7 (3) | 11 (11) | 0.006b | ||||
Primary site of infection | |||||||
Skin and soft tissue | 46 (22) | 19 (19) | 0.600 | ||||
Bone and joint | 19 (9) | 7 (7) | 0.568 | ||||
Lung | 16 (8) | 13 (13) | 0.117 | ||||
Intravascular catheter-related | 74 (35) | 27 (28) | 0.172 | ||||
Intra-abdominal infection | 18 (0) | 5 (5) | 0.276 | ||||
Primary bacteremia | 38 (18) | 27 (28) | 0.061 | ||||
Complicated bacteremia | |||||||
Infective endocarditis | 1 (0) | 1 (1) | 0.537 | ||||
Other metastatic infection | 9 (4) | 8 (8) | 0.168 | ||||
Persistent bacteremia | 16 (8) | 12 (12) | 0.193 | ||||
APACHE II scorea | 16.5±6.9 | 27.0±9.3 | <0.001b | 1.127 | 1.102 | 1.152 | <0.001b |
Treatment | |||||||
Adequate antibiotics within 48 hours | 81 (39) | 36 (37) | 0.734 | ||||
Glycopeptides as definitive antibiotics | 163 (78) | 68 (69) | 0.104 | ||||
Eradication of infection foci | 95 (46) | 22 (22) | <0.001b | 0.575 | 0.349 | 0.950 | 0.031b |
Microbiological characteristics | |||||||
SCCmec IV/IVa MRSA | 38 (18) | 20 (20) | 0.642 | ||||
hetero-VISA | 13 (6) | 6 (6) | 0.974 | ||||
agr dysfunction | 72 (34) | 36 (37) | 0.696 | ||||
Vancomycin MIC = 2 µg/mL | 27 (13) | 12 (12) | 0.869 |
NOTE. HR, hazard ratio; CI, confidence interval; APACHE, acute physiology and chronic health evaluation; SCCmec IV/IVa MRSA, MRSA possessing SCCmec type IV or IVa; hetero-VISA, hetero-vancomycin-intermediate S. aureus; MIC, minimum inhibitory concentration.
Continuous variables are expressed as means (±SD).
Statistically significant (P≤0.05).