TABLE 2.
Category | Parameter |
Value for: |
||||
---|---|---|---|---|---|---|
Cefazolin (0.63935) | Cefepime (1.17828) | Ceftriaxone (0.94419) | Ciprofloxacin (0.43047) | Piperacillin-tazobactam (2.18690) | ||
Demographics | Age | 0.00019 | 0.01168 | |||
Age squared | 0.00010 | 0.00007 | ||||
Age cubed | −0.00001 | −0.00001 | −0.00001 | −0.00001 | ||
Sex: maleb | −0.71695 | −0.45621 | −0.70641 | −0.53074 | −0.16150 | |
History of smokingb | 0.12988 | 0.08713 | ||||
Race: blackb | 0.30388 | 0.36458 | 0.36887 | 0.23907 | 0.01110 | |
Race: otherb | 0.29024 | 0.09832 | 0.22255 | 0.28785 | −0.36885 | |
Medical history | Admission from nursing homeb | −0.29785 | −0.18948 | −0.29092 | −0.10103 | −0.27365 |
1 ED visitb ,c | 0.30499 | 0.27674 | 0.18183 | 0.02006 | 0.29449 | |
≥2 ED visitsb ,c | 0.01528 | 0.44160 | ||||
1 ED to inpatientb ,c | −0.08453 | −0.22877 | −0.08165 | −0.05306 | −0.29808 | |
≥2 ED to inpatientb ,c | −0.12733 | −0.16352 | −0.00564 | |||
1 inpatient visitb ,c | −0.22318 | −0.20348 | −0.21192 | −0.21073 | ||
≥2 inpatient visitsb ,c | 0.00571 | −0.11337 | ||||
ICU location in first 24 hoursb | 0.07366 | 0.11776 | 0.15119 | |||
Elixhauser score | −0.01383 | −0.01102 | −0.01155 | −0.00357 | −0.00658 | |
Antimicrobials in past 30 days | Sulfonamide | −0.25820 | −0.21812 | −0.17295 | −0.05543 | −0.06770 |
Quinolone | −0.51539 | −0.65805 | −0.53185 | −1.29377 | −0.61818 | |
Cephalosporin | −0.59423 | −0.25652 | −0.60599 | −0.43066 | ||
Penicillin | −0.11334 | 0.06402 | −0.14594 | −0.32084 | ||
Carbapenem | −0.32128 | −0.54253 | −0.44776 | −0.45540 | ||
Antimicrobials in past 30–90 days | Sulfonamide | −0.19242 | −0.18646 | −0.19487 | −0.14391 | −0.19486 |
Quinolone | −0.29001 | −0.31754 | −0.32479 | −0.44247 | −0.01208 | |
Cephalosporin | −0.12215 | −0.11174 | 0.00980 | |||
Penicillin | −0.08546 | −0.05267 | −0.30380 | |||
Carbapenem | −0.14987 | −0.30757 | −0.16412 | |||
Resistant organisms in past 6 months | MDRO | −0.76878 | −0.51511 | −0.80317 | −0.51611 | −0.66253 |
MRSA | 0.58438 | 0.44875 | 0.63166 | 0.45980 | ||
VRE | 0.16156 | 0.04077 | −0.00365 | |||
CephR Klebsiella | −0.85975 | |||||
ESBL | 0.57457 | 0.22556 | ||||
MDR Acinetobacter | 0.67298 | 0.46587 | 0.56299 | |||
Resistant organisms in past 6–12 months | MDRO | −0.97448 | −0.61115 | −1.02161 | −0.10190 | −1.09366 |
MRSA | 1.13502 | 0.53233 | 1.04338 | 1.22636 | ||
VRE | 0.17833 | 0.40149 | −0.05931 | 0.52085 | ||
Antibiotic resistance in past 6 months | Sulfonamide | 0.25044 | 0.37538 | 0.31095 | 0.10899 | |
Quinolone | −0.31482 | −0.17482 | −0.34883 | −1.49533 | −0.40215 | |
Cephalosporin | −0.81174 | −0.53988 | −0.56341 | −0.47589 | ||
Penicillin | 0.35729 | 0.33486 | 0.40173 | 0.38544 | 0.23992 | |
Carbapenem | −0.05393 | 0.02238 | −0.32193 | 0.07712 | ||
Documented medication allergy | Penicillin | −0.04274 | −0.05982 | −0.07149 | −0.20527 | |
Quinolone | −0.56013 | −0.28042 | −0.43616 | |||
Sulfonamide | −0.06064 | 0.01466 | 0.17357 | |||
Cephalosporin | −0.14100 | 0.00746 | −0.09309 | −0.11350 | −0.16364 | |
Glycopeptide | −0.24265 | −0.37125 | −0.27998 | −0.13965 | ||
Aminoglycoside | 0.25439 | 0.28761 | ||||
Metronidazole | 0.52051 | 0.32151 | 0.28773 | 0.06804 | ||
Carbapenem | −1.22837 | |||||
Final model characteristics | Goodness of fit (P value) | 0.25 | 0.09 | 0.22 | 0.11 | 0.20 |
AUC (95% CI): training/test | 71.5 (70.1–72.9) | 68.3 (66.8–69.8) | 71.3 (69.9–72.7) | 69.5 (68.1–71.0) | 69.9 (68.7–72.5) | |
AUC (95% CI): validation | 69.1 (66.3–72.1) | 65.0 (61.8–68.1) | 68.8 (65.9–71.7) | 65.3 (62.3–68.3) | 68.2 (64.1–72.4) |
Values in parentheses after the drug names are intercepts. Shading indicates covariates included in the model; bold indicates covariates associated with a decrease in the odds of susceptibility to the antibiotic. ED, emergency department; ICU, intensive care unit; VRE, vancomycin-resistant Enterococcus; ESBL, extended-spectrum beta-lactamase; CephR, cephalosporin resistant.
Reference groups: female sex, nonsmoker, white race, no admission from nursing home, no ED visits, no ED visits to inpatient visits, no inpatient visits, non-ICU stay.
In the past 90 days.