TABLE 2.
Clinical characteristics in patients with MRSA infective endocarditis
| Characteristic | No. (%) of patuents with a vancomycin AUC0–2/MICBMD ratio of: |
P | |
|---|---|---|---|
| ≤600 (n = 86) | >600 (n = 53) | ||
| Age (yr)* | 50 (43–57) | 54 (46–59) | 0.194 |
| Wt (kg)* | 71.1 (60.1–77.5) | 74.0 (63.5–83.6) | 0.140 |
| CLCR (ml/min)* | 59.1 (42.2–98.3) | 51.8 (34.6–87.2) | 0.118 |
| Male | 53 (61.6) | 40 (75.5) | 0.092 |
| Infection related | |||
| APACHE II* | 8 (6–12) | 13 (8–17) | 0.007 |
| ICU admission | 32 (37.2) | 29 (54.7) | 0.043 |
| ID consultation | 65 (75.6) | 47 (88.7) | 0.058 |
| Community-acquired IE | 81 (94.2) | 51 (96.2) | 0.708 |
| Left-sided IEb | 21 (24.4) | 12 (22.6) | 0.811 |
| hVISAc | 16 (18.6) | 4 (7.5) | 0.085 |
| Comorbidities | |||
| Charlson comorbidity index* | 1 (0–3) | 2 (1–5) | 0.059 |
| IDU | 59 (68.6) | 34 (64.2) | 0.588 |
| Diabetes | 14 (16.3) | 11 (20.8) | 0.505 |
| Heart disease | 11 (12.8) | 7 (13.2) | 0.943 |
| Acute renal failure | 25 (29.1) | 23 (43.4) | 0.084 |
| Liver disease | 26 (30.2) | 17 (32.1) | 0.819 |
| HIV | 6 (7.0) | 7 (13.2) | 0.220 |
| Other characteristics | |||
| Previous VAN | 35 (40.7) | 27 (50.9) | 0.238 |
| Received VAN LD | 18 (20.9) | 24 (45.3) | 0.002 |
| VAN loading dose* | 22.5 (20.3–25.0) | 24.8 (19.4–28.3) | 0.303 |
| VAN Cmin 24 (mg/liter)* | 8.4 (5.3–11.5) | 15.2 (10.5–20.9) | <0.001 |
| VAN Cmin 24 of ≥15 mg/liter | 9 (10.5) | 27 (50.9) | <0.001 |
| VAN duration (days)* | 10.5 (6–18) | 9 (4–15) | 0.231 |
Data are presented as the number (percentage) of patients unless otherwise indicated. Data indicated by an asterisk (*) in column 1 are presented as medians (interquartile ranges). ICU, intensive care unit; ID, infectious diseases; IDU, injection drug user; CLCR, estimated creatinine clearance by Cockcroft-Gault; ARF, acute renal failure; LD, loading dose; VAN, vancomycin; AUC, area under the concentration 24-h time curve; BMD, broth microdilution; hVISA, heterogeneous vancomycin-intermediate S. aureus.
Includes bilateral infective endocarditis (right- and left-sided IE).
Includes VISA.