TABLE 4.
Multivariable logistic regression for factors associated with CDI
| Variable | Odds ratio | 95% CIa | P |
|---|---|---|---|
| Age | 1.01 | 1.006–1.013 | <0.0001 |
| Charlson comorbidity score | 1.05 | 1.02–1.07 | <0.0001 |
| Chronic pulmonary disease | 0.85 | 0.76–0.95 | 0.005 |
| Diabetes mellitus | 0.73 | 0.65–0.83 | <0.0001 |
| Malignancy | 0.83 | 0.71–0.96 | 0.012 |
| Hepatic disease | 1.3 | 1.1–1.4 | <0.0001 |
| Hematological malignancy | 3.1 | 2.3–4.1 | <0.0001 |
| Hematopoietic stem cell transplant | 5.7 | 3.8–8.4 | <0.0001 |
| Corticosteroids | 1.2 | 1.1–1.4 | 0.001 |
| Gastric acid suppression | 1.4 | 1.3–1.6 | <0.0001 |
| Recent hospitalization (past 60 days)b | 2.2 | 1.5–3.4 | <0.0001 |
| Recent intensive care unit stay (past 60 days)c | 6.5 | 3.8–11.3 | <0.0001 |
| Intensive care unit (current admission) | 1.9 | 1.6–2.1 | <0.0001 |
| Gastrointestinal procedure (prior 90 days) | 3.1 | 2.7–3.5 | <0.0001 |
| Absolute neutrophil count | 1.02 | 1.01–1.03 | <0.0001 |
| Serum creatinine concn | 1.004 | 1.001–1.007 | 0.006 |
| Antibiotic DOT during index admissione | 1.007 | 1.005–1.009 | <0.0001d |
| Antibiotic DOT in the prior 60 dayse | 1.128 | 1.122–1.134 | <0.0001d |
CI, confidence interval.
OR after introducing a multiplicative interaction term between recent hospitalization and any antibiotic received in the prior 60 days.
OR after introducing a multiplicative interaction term between recent intensive care unit stay and any antibiotic received in the prior 60 days.
P values adjusted for a 5% false-discovery rate via the Benjamini-Hochberg method.
Individual prior antibiotics were substituted for cumulative antibiotics in the final model. See Table 2 for individual antibiotics.