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. Author manuscript; available in PMC: 2020 Mar 1.
Published in final edited form as: Pharmacotherapy. 2019 Jan 7;39(3):261–270. doi: 10.1002/phar.2201

Table 3:

Hazard ratios for new resistance development with each additional day of exposure grouped by AP

Adjusted hazard ratio (95% confidence interval)
Any AP Cefepime Meropenem Piperacillin-tazobactam
Each additional day of exposure 1.04 (1.04–1.05)a 1.08 (1.07–1.09)b 1.02 (1.01–1.03)c 1.08 (1.06–1.09)d
Sensitivity analyses (each additional day of exposure)e
  Among patients with multiple follow-up culturesf 1.01 (1.01–1.02)g 1.07 (1.06–1.08)h 1.00 (0.99–1.01)i 1.05 (1.04–1.06)i
  Among patients with ≥ 1 negative culture for AP resistance 60 days prior to cohort entry 1.01 (1.00–1.02) 1.22 (1.14–1.31) 1.02 (1.01–1.04) 1.10 (1.08–1.12)

AP: antipseudomonal beta-lactam

a

Adjusted for race, dementia, congestive heart failure, chronic obstructive pulmonary disease, cohort entry date relative to admission date (days), days in intensive care unit, mechanical ventilation days, central line days, and urinary catheter days

b

Adjusted for congestive heart failure, chronic obstructive pulmonary disease, days in intensive care unit, mechanical ventilation days, central line days, and urinary catheter days

c

Adjusted for age, chronic obstructive pulmonary disease, renal disease, cohort entry date relative to admission date (days), days in intensive care unit, mechanical ventilation days, and central line days

d

Adjusted for race, liver disease, diabetes, days in intensive care unit, mechanical ventilation days, central line days, and urinary catheter days

e

Details regarding variables included in the multivariable models for the sensitivity analyses are listed in Appendix 2

f

Sensitivity analysis accounting for possible surveillance bias by treating number of follow-up cultures as a time-varying exposure, then increasing the number until no significant difference existed between those with resistance and those censored

g

Among patients with ≥ 6 follow-up cultures

h

Among patients with ≥ 8 follow-up cultures

i

Among patients with ≥ 3 follow-up cultures