TABLE 5.
Variableb | Univariate |
Multivariate |
||||
---|---|---|---|---|---|---|
HR | 95% CI | P | HR | 95% CI | P | |
Age | 1.01 | 0.78–1.12 | 0.09 | 1.01 | 1.001–1.03 | 0.04c |
Male sex | 1.73 | 0.44–1.17 | 0.53 | |||
Cause of ICU admission | ||||||
Respiratory failure | 1.87 | 0.89–2.2 | 0.08 | |||
Trauma | 1.1 | 0.78–1.22 | 0.71 | |||
Septic shock not caused by KPC-Kp or MDR-AB | 1.24 | 0.98–1.65 | 0.65 | |||
Cardiac/hemorrhagic shock/postsurgery | 0.87 | 0.76–1.31 | 0.42 | |||
Comorbidities | ||||||
Chronic liver disease | 0.84 | 0.76–1.22 | 1.0 | |||
Neoplasm | 1.08 | 0.12–9.75 | 1.0 | |||
Diabetes | 3.62 | 0.44–29.69 | 0.28 | |||
Heart failure | 0.82 | 0.74–1.9 | 0.2 | |||
Coronary artery disease | 3.66 | 0.94–14.1 | 0.07 | |||
Chronic renal disease | 2.13 | 0.25–17.9 | 0.68 | |||
COPD | 1.26 | 0.32–4.99 | 1.0 | |||
Previous hospitalization (90 days) | 3.62 | 0.44–29.6 | 0.28 | |||
Previous ICU admission (90 days) | 2.13 | 0.25–17.98 | 0.68 | |||
Previous surgery (30 days) | 1.93 | 0.55–6.69 | 0.38 | |||
Previous antibiotic therapy (30 days) | 1.89 | 0.58–6.16 | 0.38 | |||
Colonization at time of ICU admission | 0.52 | 0.05–5.39 | 0.48 | |||
Source of infection | ||||||
Primary bacteremia | 3.35 | 0.4–27.5 | 0.45 | |||
CVC-related bacteremia | 0.84 | 0.67–1.31 | 1.0 | |||
Pneumonia | 0.57 | 0.14–2.25 | 0.53 | |||
SSTI | 0.44 | 0.08–1.02 | 0.15 | |||
Intra-abdominal | 0.7 | 0.07–6.79 | 0.57 | |||
Isolation of a colistin-resistant strain | 0.87 | 0.81–1.02 | 1.0 | |||
Other infections during ICU stay | 1.93 | 0.39–9.41 | 0.51 | |||
Steroid therapy during ICU stay | 0.64 | 0.18–2.2 | 0.56 | |||
Length of hospitalization | 1.13 | 0.68–1.36 | 0.71 | |||
Length of ICU stay | 0.8 | 0.7–1.33 | 0.54 | |||
Length of antibiotic therapy | 0.77 | 0.56–1.81 | 0.8 | |||
SAPS II at time of infection onset | 1.09 | 0.87–1.49 | 0.6 | |||
SAPS II at time of septic shock onset | 1.17 | 0.28–1.56 | 0.82 | 1.02 | 1.003–1.04 | 0.02d |
No. of antibiotics used | ||||||
Only 1 as definitive therapy | 0.45 | 0.22–1.12 | 0.34 | |||
2 in combination as definitive therapy | 1.73 | 0.44–6.75 | 0.53 | |||
3 in combination as definitive therapy | 0.66 | 0.21–2.06 | 0.56 | |||
4 in combination as definitive therapy | 0.36 | 0.08–1.61 | 0.17 | |||
5 in combination as definitive therapy | 0.66 | 0.45–1.32 | 1.0 | |||
Colistin-containing regimen as definitive therapy | 0.25 | 0.03–2.09 | 0.28 | |||
Tigecycline-containing regimen as definitive therapy | 1.64 | 0.47–5.7 | 0.55 | |||
Gentamicin-containing regimen as definitive therapy | 0.87 | 0.76–2.1 | 0.7 | |||
Rifampin-containing regimen as definitive therapy | 0.29 | 0.09–1.01 | 0.07 | |||
Carbapenem-containing regimen as definitive therapy | 0.84 | 0.24–2.96 | 1.0 | |||
Use of colistin aerosol inhalation therapy | 0.53 | 0.12–2.27 | 0.41 | |||
≥2 in vitro active antibiotics used within 24 h | 0.56 | 0.41–2.12 | 0.22 | |||
Definitive therapy with ≥2 antibiotics displaying in vitro activity | 0.7 | 0.07–6.79 | 0.57 | |||
Time to initial definitive therapy | 0.64 | 0.31–1.96 | 0.9 |
MDR-AB, multidrug-resistant Acinetobacter baumannii.
ICU, intensive care unit; COPD, chronic obstructive pulmonary disease; CVC, central venous catheter; SSTI, skin and soft tissue infection; SAPS, simplified acute physiology score.
Age >60 years.
SAPS II >45 points.