Table 2.
Bivariate and multivariable logistic regression model of variables associated with receipt of ≥1 parenteral antimicrobial dose among patients receiving outpatient chronic hemodialysis
Bivariate analysis
|
Multivariable analysis
|
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---|---|---|---|---|---|---|
Variable | OR | 95% CI | P value | OR | 95% CI | P value |
Age, each additional year | 1.00 | 0.98–1.01 | .82 | |||
Male sex | 0.58 | 0.35–0.97 | .04 | |||
Race-ethnicity | ||||||
White | ref | — | — | ref | — | — |
Black | 1.31 | 0.75–2.31 | .35 | |||
Other | 2.15 | 1.04–4.42 | .04 | 2.72 | 1.18–6.25 | .02 |
Primary indication for hemodialysis, diabetes mellitus (vs other) | 1.25 | 0.75–2.07 | .39 | |||
Tunneled catheter for access (vs arteriovenous access) | 3.33 | 1.95–5.66 | <.001 | 5.76 | 2.97–11.15 | <.001 |
Unit B | 1.33 | 0.80–2.22 | .27 | |||
Daytime shift (vs evening shift) | 3.39 | 0.98–11.73 | .05 | 4.80 | 1.26–18.25 | .02 |
Duration of study participation, each additional month | 1.16 | 1.08–1.26 | <.001 | 1.26 | 1.15–1.39 | <.001 |
Duration of hemodialysis at time of enrollment, each additional year | 1.04 | 0.96–1.12 | .36 | |||
Charlson Comorbidity Index score >4 | 1.83 | 1.10–3.05 | .02 | |||
Requires wheelchair or bedbound | 2.00 | 0.99–4.03 | .05 | |||
Chronic wound present on enrollment | 1.98 | 0.74–5.30 | .18 | |||
Immunosuppressive medication at time of enrollment* | 2.11 | 0.92–4.83 | .08 | |||
History of prior organ transplant | 1.07 | 0.41–2.74 | .89 | |||
Malignancy | 1.29 | 0.46–3.68 | .63 | |||
History of ≥1 multidrug-resistant organism in 12 mo preceding enrollment | 4.22 | 1.70–10.49 | .002 | 5.85 | 1.96–17.45 | .002 |
Hospitalizations in the 12 mo prior to enrollment | .09 | |||||
No hospitalizations | ref | — | — | |||
1–2 hospitalizations | 1.51 | 0.79–2.90 | .21 | |||
≥3 hospitalizations | 2.15 | 1.07–4.29 | .03 |
CI, confidence interval; OR, odds ratio; ref, reference.
Immunosuppressive medications include corticosteroids (prednisone dose equivalent of ≥20 mg/d), immunomodulators, and cancer chemotherapeutic treatment.