Table 3:
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
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
Adjusted for congestive heart failure, chronic obstructive pulmonary disease, days in intensive care unit, mechanical ventilation days, central line days, and urinary catheter days
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
Adjusted for race, liver disease, diabetes, days in intensive care unit, mechanical ventilation days, central line days, and urinary catheter days
Details regarding variables included in the multivariable models for the sensitivity analyses are listed in Appendix 2
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
Among patients with ≥ 6 follow-up cultures
Among patients with ≥ 8 follow-up cultures
Among patients with ≥ 3 follow-up cultures