Table 1. Clinical manifestations of 78 patients with clinical isolations of carbapenem-resistant Enterobacteriacae that were acquired from community or healthcare setting.
Variable | No. (%) of community–acquired (n = 23) | No. (%) of healthcare-acquired (n = 66) | P value |
---|---|---|---|
Age ≥ 65 | 20 (87.0) | 32 (58.2) | 0.028 |
Male (%) | 9 (39.1) | 39 (70.9) | 0.018 |
Pathogens | |||
K. pneumoniae | 13 (56.5) | 29 (52.7) | 0.957 |
E. cloacae | 5 (21.7) | 19 (34.5) | 0.396 |
E. coli | 4 (17.4) | 7 (12.7) | 0.852 |
P. mirabilis | 1 (4.3) | 0 (0.0) | 0.661 |
Clinical significance | 0.154 | ||
Colonization | 5 (21.7) | 4 (7.3) | |
Infection | 18 (78.3) | 51 (92.7) | |
Pneumonia | 7 (38.9) | 21 (41.2) | 0.914 |
Urinary tract infection | 11 (61.1) | 13 (25.5) | 0.015 |
Intra-abdominal infections | 0 (0.0) | 16 (31.4) | 0.017 |
Central line-associated infection | 0 (0.0) | 1 (2.0) | 0.595 |
Bacteremia | 0 (0.0) | 6 (10.9) | 0.237 |
Underlying diseases/conditions | |||
Cancer | 6 (26.1) | 28 (50.9) | 0.078 |
Diabetes mellitus | 11 (47.1) | 17 (30.9) | 0.270 |
Chronic kidney disease | 7 (30.4) | 10 (18.2) | 0.374 |
Liver cirrhosis | 3 (13.0) | 7 (12.7) | 0.737 |
Steroid use | 5 (21.7) | 15 (27.3) | 0.816 |
Immunosuppressant use | 3 (13.0) | 20 (36.4) | 0.073 |
Receive total parenteral nutrition | 0 (0.0) | 5 (9.1) | 0.323 |
Intra-abdominal surgery | 0 (0.0) | 12 (21.8) | 0.037 |
Procedure within 3 months | |||
Esophagogastroduodenoscopy | 2 (8.7) | 19 (34.5) | 0.039 |
Bronchoscopy | 2 (8.7) | 3 (5.5) | 0.985 |
Colonoscopy | 0 (0.0) | 3 (5.5) | 0.614 |
In-hospital mortality | 4 (17.4) | 10 (18.2) | 0.811 |