Table 1.
Variable | Young (n = 44) | Older adults (n = 44) | Very elderly (n = 44) | p |
---|---|---|---|---|
Age (years) | 52 (41–59) | 70 (66–75) | 87 (82–90) | <0.01 |
Male sex | 21 (48) | 19 (43) | 20 (46) | 0.91 |
Baseline SCr (mg/dL) | 0.86 (0.67–1.2) | 1.00 (0.71–1.24) | 1.07 (0.96–1.36) | 0.01 |
CrCl (mL/min) | 73 (54–92) | 45 (37–60) | 34 (26–45) | <0.01 |
Charlson score | 1 (0–3) | 2 (1–3) | 2 (1–3) | 0.11 |
Race | ||||
Caucasian | 18 (40.9) | 11 (25.0) | 19 (43.2) | 0.11 |
African American | 21 (47.7) | 21 (47.7) | 22 (50.0) | |
Hispanic | 1 (2.3) | 0 (0.0) | 0 (0.0) | |
Asian | 1 (2.3) | 4 (9.1) | 0 (0.0) | |
Other | 3 (6.8) | 8 (18.2) | 3 (6.8) | |
Infection sitea | ||||
Abdominal | 1 (2.3) | 3 (6.8) | 0 (0.0) | 0.16 |
Blood | 11 (25.0) | 9 (20.5) | 13 (29.5) | 0.61 |
Bone | 3 (6.8) | 1 (2.3) | 1 (2.3) | 0.44 |
Central nervous system | 3 (6.8) | 0 (0.0) | 4 (9.1) | 0.14 |
Genitourinary | 2 (4.5) | 7 (15.9) | 8 (18.2) | 0.12 |
Joint | 0 (0) | 0 (0) | 1 (2.3) | 0.36 |
Lower respiratory tract | 13 (29.5) | 19 (43.2) | 17 (38.6) | 0.40 |
Skin and soft tissue | 9 (20.5) | 5 (11.4) | 5 (11.4) | 0.37 |
Wound | 2 (4.5) | 0 (0) | 0 (0) | 0.13 |
Other | 3 (6.8) | 2 (4.5) | 1 (2.3) | 0.59 |
Goal vancomycin trough 15–20 mg/L | 31 (70.5) | 30 (68.2) | 34 (77.3) | 0.61 |
Length of treatment (days) | 7 (5–9) | 9 (6–12) | 7 (5–10) | 0.05 |
Risk factors for nephrotoxicity | ||||
History of AKI or chronic kidney disease | 16 (36.4) | 16 (36.4) | 16 (36.4) | 1.00 |
High-dose vancomycinb or weight ≥110 kg | 1 (2.3) | 1 (2.3) | 1 (2.3) | 1.00 |
Vasopressors | 2 (4.5) | 2 (4.5) | 2 (4.5) | 1.00 |
Nephrotoxinsc | 16 (36.4) | 16 (36.4) | 1 (36.4) | 1.00 |
Data are median (interquartile range) or n (%)
AKI acute kidney injury, CrCl creatinine clearance, SCr serum creatinine
aInfection sites are not mutually exclusive
bAt least 4 g of vancomycin per day
cAcyclovir, IV aminoglycosides, IV amphotericin B, IV contrast dye, loop diuretics, IV colistin