Table 4.
Univariate analysis of clinical and laboratory variables as predictors of outcome for fosfomycin treatment of urinary tract infection in adults. Cure and fail are classified according to ‘functional’ definition (results presented in data columns 1–3) or ‘microbiological’ definition (results presented in data columns 4–6)
Predictor | ‘Cure’ (functional definition) Total n = 42 | ‘Fail’ (functional definition) Total n = 19 | p-value (functional definition) | ‘Cure’ (microbiological definition) Total n = 21 | ‘Fail’ (microbiological definition) Total n = 19 | p-value (microbiological definition) |
---|---|---|---|---|---|---|
ESBL-positive | 20/37 | 10/19 | 1.0a | 12/21 | 10/19 | 1a |
Nitrofurantoin resistant | 17/37 | 12/19 | 0.3a | 8/21 | 12/19 | 0.2a |
Fosfomycin resistant | 1/35 | 1/19 | 1.0a | 0/20 | 1/19 | 0.49a |
Male | 14/42 | 4/19 | 0.4a | 4/21 | 4/19 | 0.72a |
Klebsiella pneumoniae | 2/37 | 5/19 | 0.03a | 2/21 | 5/19 | 0.22a |
Comorbidity (any) | 32/42 | 15/19 | 1.0a | 12/21 | 15/19 | 0.19a |
Transplant | 8/42 | 3/19 | 1.0a | 4/21 | 3/19 | 1a |
Urethral catheter | 4/42 | 3/19 | 0.66a | 2/21 | 3/19 | 0.65a |
Median age, years (IQR) | 75 (62–81) | 64 (42–79) | 0.13b | 70 (58–78) | 64 (42–79) | 0.47b |
Median eGFR, ml/min (IQR) | 70 (41–87) | >90 (29– > 90) | 0.2b | 64 (38–89) | >90 (29– > 90) | 0.26b |
Median CRP, mg/L (IQR) | 21 (3–93) | 25 (6–62) | 1.0b | 16 (2–78) | 25 (6–62) | 0.84b |
Total number of patients represented is 61 for functional cure (‘cure’ group (n = 42) is patients with a sterile urine on follow-up culture, or no follow-up culture; ‘fail’ group (n = 19) is patients with recurrent growth of an indistinguishable organism). Total number of patients is 40 for microbiological cure (‘cure’ group (n = 21) is patients with a sterile urine on follow-up culture; ‘fail’ group (n = 19) is patients with recurrent growth of an indistinguishable organism)
The denominator in some rows is smaller than the overall total due to missing data, including no culture / susceptibility data and ESBL-status unknown or not applicable
eGFR estimated glomerular filtration rate, CRP C-reactive protein
aFisher’s Exact Test; b Mann Whitney U test