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. 2018 Aug 24;68(9):1456–1462. doi: 10.1093/cid/ciy724

Table 2.

Multivariate Model of Risk Factors for Stage 2–3 Acute Kidney Injury in the Full Cohort as and Stratified According to Baseline Presence of Stage 1 Acute Kidney Injury

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.