Table 3. Effect modification onset of infection (community-associated vs hospital-associated) for established predictors of extended-spectrum β-lactamase-producing Enterobacterales infection, University Hospital Basel, Switzerland, January 2010–December 2016 (n = 376).
Parameter | Effect modification by onset of infection (community-associated vs hospital-associated) |
||
---|---|---|---|
ORa | 95% CI | p value | |
Recent hospitalisationb | 2.35 | 0.81–6.79 | 0.116 |
Admission from other healthcare facility | NA | NA | NA |
Antibiotic therapy with β-lactams or fluoroquinolonesc | 3.84 | 1.17–12.56 | 0.026 |
Urinary catheterisationd | 2.26 | 0.68–7.50 | 0.181 |
Charlson Comorbidity Index ≥ 4 | 1.53 | 0.32–7.39 | 0.598 |
Age ≥ 70 years | 0.71 | 0.25–1.97 | 0.507 |
History of ESBL-PE colonisation/infectione | 1.06 | 0.20–5.62 | 0.943 |
Hospitalisation in ESBL high-burden regione,f | NA | NA | NA |
Chronic indwelling vascular hardwareg | 1.98 | 0.58–6.78 | 0.278 |
Any antibiotic exposure within last 6 monthsh | 2.50 | 0.80–7.81 | 0.114 |
Age ≥ 43 years | 1.12 | 0.15–8.31 | 0.910 |
CI: confidence interval; ESBL-PE: extended-spectrum β lactamase-producing Enterobacterales; NA: not applicable; OR: odds ratio.
a Odds ratios and respective 95% CIs represent interactions terms.
b More than 2 days within 12 months before index hospitalisation.
c Lasting > 48 h during the 3 months preceding admission.
d Within 30 days before index blood culture.
e Within 6 months before index hospitalisation.
f India (1), France (1) and North Macedonia (1).
g Central venous catheters (including peripherally inserted central catheter (PICC)-lines, ports, pace-makers) and central dialysis catheters
h Extended-spectrum penicillins, third/fourth generation cephalosporins, carbapenems, aztreonam, fluoroquinolones and aminoglycosides.
Bold print indicates significant p values.