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. 2017 Nov 22;61(12):e01050-17. doi: 10.1128/AAC.01050-17

TABLE 5.

Clinical predictors of inappropriate empirical antimicrobial therapy in adults with community-onset bacteremia

Variable Analysis resulta
Univariate
Multivariateb
OR (95% CI) P value AOR (95% CI) P value
Nursing home residents 2.33 (1.60–3.40) <0.001 1.66 (1.01–2.12) 0.049
Antimicrobial use within 4 wk before ED arrival 2.28 (1.80–2.89) <0.001 2.53 (1.60–4.02) <0.001
Polymicrobial bacteremia 2.55 (1.91–3.41) <0.001 1.53 (1.10–2.12) 0.01
Causative microorganism
    ESBL-producing EKP 14.00 (8.39–23.35) <0.001 11.83 (6.68–20.96) <0.001
    Methicillin-resistant S. aureus 10.90 (7.27–16.32) <0.001 7.88 (5.12–12.15) <0.001
    Levofloxacin nonsusceptible EKP 7.30 (5.39–9.89) <0.001 4.21 (3.04–5.85) <0.001
    Pseudomonas species 3.71 (2.40–5.71) <0.001 NS NS
Bacteremia source
    Vascular-line infection 2.56 (1.64–4.00) <0.001 NS NS
    Liver abscess 0.17 (0.05–0.54) 0.001 NS NS
Comorbidities
    Neurological disease 1.85 (1.47–2.33) <0.001 1.38 (1.03–1.86) 0.03
    Chronic kidney disease 1.41 (1.09–1.82) 0.008 NS NS
    Diabetes mellitus 1.24 (1.00–1.54) 0.046 NS NS
a

Calculated by chi-square or multivariate regression tests. Boldface indicates statistical significance, i.e., a P value of <0.05.

b

NS, no significance (after processing the backward multivariate regression).