TABLE 4.
Risk factor | Amoxicillin-clavulanate |
Cefuroxime |
Cefotaxime |
Ciprofloxacin |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
R (%) | P value by univariate analysis | OR (95% CI) by multivariate analysis | R (%) | P value by univariate analysis | OR (95% CI) by multivariate analysis | R (%) | P value by univariate analysis | OR (95% CI) by multivariate analysis | R (%) | P value by univariate analysis | OR (95% CI) by multivariate analysis | |
Age (yr) | ||||||||||||
<65 | 24.3 | 0.220 | 11.1 | 0.035 | 6.1 | 0.14 | 22.6 | <0.0001 | ||||
≥65 | 29.8 | 18.7 | 10.6 | 38.9 | ||||||||
Gender | ||||||||||||
Male | 35.9 | 0.091 | 24.6 | 0.029 | 10.9 | 0.454 | 45.2 | 0.003 | ||||
Female | 25.2 | 12.9 | 7.7 | 26.9 | ||||||||
Mode of APN acquisition | ||||||||||||
CA-APN | 22.3 | <0.0001 | 3.10 (1.74–5.54) | 10 | <0.0001 | 4.05 (2.02–8.13) | 5.2 | <0.0001 | 3.16 (1.34–7.44) | 22 | <0.0001 | 4.58 (2.62–8.03) |
HCA-APN | 47.9 | 36.1 | 22.2 | 61.4 | ||||||||
Diabetes mellitus | ||||||||||||
No | 28.0 | 0.312 | 13.9 | 0.361 | 7.6 | 0.349 | 28.5 | <0.0135 | ||||
Yes | 21.9 | 18.1 | 11 | 37.2 | ||||||||
Chronic renal disease | ||||||||||||
No | 26.8 | 1 | 14 | 0.408 | 7.8 | 0.423 | 29.1 | 0.359 | ||||
Yes | 27.3 | 18.5 | 11.1 | 35.6 | ||||||||
Urinary incontinence | ||||||||||||
No | 24.5 | 0.013 | 13.5 | 0.117 | 7.1 | 0.071 | 27.4 | 0.008 | ||||
Yes | 40.3 | 21.3 | 14.8 | 44.6 | ||||||||
Renal lithiasis | ||||||||||||
No | 26.2 | 0.346 | 14.5 | 0.81 | 8 | 0.547 | 29.6 | 0.592 | ||||
Yes | 33.3 | 15.8 | 10.3 | 34.1 | ||||||||
Recurrent UTIa | ||||||||||||
No | 24.9 | 0.256 | 9.8 | <0.0001 | 2.74 (1.41–5.31) | 5.7 | 0.007 | 23.8 | <0.0001 | |||
Yes | 30.7 | 26.5 | 14.5 | 43.2 | ||||||||
Previous antibiotic useb | ||||||||||||
No | 21.9 | 0.068 | 9.4 | 0.001 | 4.3 | 0.001 | 2.94 (1.27–6.80) | 23.3 | <0.0001 | 1.99 (1.22–3.27) | ||
Yes | 31 | 23 | 15.2 | 44.4 |
Treated at least three times for cystitis or acute pyelonephritis during the previous 12 months.
Use of antibiotics during the previous 3 months for any reason.
Abbreviations: APN, acute pyelonephritis; CA, community acquired; HCA, health care associated; R, resistance rate; OR, odds ratio; CI, confidence interval; UTI, urinary tract infection.