Table 3.
Summary of the results of the multivariate models of ESBL-E VAP (all variables significant in the univariate analysis (see Tables 1, 2) were included in the selection process at the first step of the stepwise selection, i.e., urinary bladder before ICU admission, albumin level, ARDS in the 7 days before VAP; ESBL E. coli only, SOFA score at the time of VAP)
| Parameter | Odds ratio | CI 95% min | CI 95% max | Pr > chi-sq |
|---|---|---|---|---|
| Model 1 including rectal semi-quantitative result (AUC 0.769) | ||||
| Rectal colonization (semi-quantitative) density | 0.0076* | |||
| None/very rare/rare | 1 | |||
| Some | 3.103 | 0.457 | 21.072 | 0.2467 |
| Numerous | 11.594 | 2.343 | 57.379 | 0.0027 |
| Very numerous | 11.166 | 1.715 | 72.698 | 0.0116 |
| ESBL E. coli only | 0.291 | 0.122 | 0.695 | 0.0055 |
| Model 2 including throat qualitative result (AUC 0.838) | ||||
| Throat colonization with ESBL-E (qualitative) | 17.321 | 6.452 | 46.503 | < 0.0001 |
| Urinary bladder at admission | 2.727 | 0.954 | 7.799 | 0.0613 |
| Model 3 including both throat and rectal semi-quantitative results (AUC: 0.872) | ||||
| Throat colonization with ESBL-E (qualitative) | 21.161 | 6.91 | 64.802 | < 0.0001 |
| Rectal colonization (semi-quantitative) density | 0.0117* | |||
| None/very rare/rare | 1 | |||
| Some | 2.61 | 0.3 | 22.705 | 0.3846 |
| Numerous | 15.732 | 2.469 | 100.225 | 0.0035 |
| Very numerous | 7.701 | 0.908 | 65.308 | 0.0613 |
ESBL-E extended spectrum beta-lactamase producing Enterobacterales, VAP ventilator-associated pneumonia
*The p value referred to the global impact of the semi-quantitative value. OR: italicized referred to comparison of one particular density to the reference