Table 2.
Analysis of risk factors for nephrotoxicity
Univariable Analysis
| ||
---|---|---|
Variable | Odds Ratio | 95% Confidence Interval |
|
||
Guideline-recommended vancomycin dosing | 0.95 | 0.40–2.28 |
Patient age of 80 years or greater | 0.37 | 0.12–1.17 |
Vancomycin trough > 15 mg/l | 1.77 | 0.73–4.27 |
Vancomycin area under the curve ≥ 400 mg*hr/L | 0.57 | 0.23–1.40 |
Vancomycin duration of 15 days or greater | 2.16 | 0.88–5.30 |
Charlson comorbity index > 5 | 1.28 | 0.37–4.52 |
Pitt bacteremia score of 4 or greater | 4.88 | 1.79–13.26 |
Intensive care unit residence | 5.83 | 2.12–15.89 |
Concomitant nephrotoxins (aminoglycosides, intravenous contrast and vasopressors) | 2.84 | 1.16–6.98 |
Weight of 100kg or greater | 0.96 | 0.29–3.26 |
Multivariable Analysis
| ||
Guideline-recommended vancomycin dosing | 1.13 | 0.40–3.19 |
Patient age of 80 years or greater | 0.53 | 0.14–2.03 |
Pitt bacteremia score of 4 or greater | 2.71 | 0.88–8.32 |
Intensive care unit residence | 3.58 | 1.15–11.09 |
Concomitant nephrotoxins (aminoglycosides, intravenous contrast and vasopressors) | 1.71 | 0.60–4.82 |