Table 2.
Antibiotic Treatment Groupa | Full Cohort | No AKI at Baseline | Stage 1 AKI at Baseline | |||
---|---|---|---|---|---|---|
OR (95% CI)b | P Value | OR (95% CI) | P Value | OR (95% CI)b |
P
Value |
|
PTZ/VAN vs CEF/VAN | 1.09 (.83–1.43) | .57 | 1.41 (.95– 2.04) | .085 | 0.75 (.50–1.12) | .17 |
PTZ/VAN vs MER/VAN | 1.50 (.78–1.72) | .49 | 1.22 (.71– 2.08) | .48 | 0.88 (.48–1.61) | .69 |
Abbreviations: AKI, acute kidney injury; CEF, cefepime; CI, confidence interval; MER, meropenem; OR, odds ratio; PTZ, piperacillin-tazobactam; VAN, vancomycin.
aThe reference antibiotic groups for the 2 models are CEF/VAN and MER/VAN, respectively.
bModel adjusted for the following covariates: age, sex, body mass index, Acute Physiology and Chronic Health Evaluation III score, Charlson Comorbidity Index, creatinine level at antibiotic initiation, creatinine clearance based on the Cockroft-Gault equation at antibiotic initiation, pH ≤7.3, use of mechanical ventilation, hemoglobin level <9 g/dL, sepsis defined according to Sepsis-3 criteria [24], vasopressor use, and nephrotoxin exposure. Consistent with the methods of Malhotra et al [23], nephrotoxin exposure reflects exposure to amphotericin B, aminoglycosides, iodinated contrast medium, nephrotoxic chemotherapy, nonsteroidal anti-inflammatory drugs (excluding low-dose maintenance aspirin), and nephrotoxic antiretroviral therapy in the 7 days before hospital admission through 48 hours after the index intensive care unit admission.