Table 1.
Univariate analysis of in-hospital mortality in patients with extended-spectrum beta-lactamase (ESBL)-positive or -negative Escherichia coli and Klebsiella pneumoniae bloodstream infection.
All patients (N = 3533) | Survivors (n = 2967) | Non-survivors (n = 566) | P value | |
---|---|---|---|---|
Pathogen species | ||||
E. coli ESBL-negative | 2384 (67.5) | 2075 (69.9) | 309 (54.6) | <0.001* |
E. coli ESBL-positive | 229 (6.5) | 184 (6.2) | 45 (8.0) | |
K. pneumoniae ESBL-negative | 875 (24.8) | 681 (23.0) | 194 (34.3) | |
K. pneumoniae ESBL-positive | 45 (1.3) | 27 (0.9) | 18 (3.2) | |
Age (years) | 66.9 ± 14.4 | 66.6 ± 14.5 | 68.2 ± 14.2 | 0.016* |
Male | 1530 (43.3) | 1199 (40.4) | 331 (58.5) | <0.001* |
IIAT | 401 (11.4) | 316 (10.7) | 85 (15.0) | 0.004* |
Time to antibiotics (hours) | 1.82 ± 1.02 | 1.84 ± 1.02 | 1.70 ± 1.03 | 0.003* |
qSOFA score | ||||
qSOFA < 2 | 3061 (86.6) | 2685 (90.5) | 376 (66.4) | <0.001* |
qSOFA ≧ 2 | 472 (13.4) | 282 (9.5) | 190 (33.6) | |
Major comorbidities | ||||
Liver cirrhosis | 505 (14.3) | 356 (12.0) | 149 (26.3) | <0.001* |
Diabetes mellitus | 1332 (37.7) | 1172 (39.5) | 160 (28.3) | <0.001* |
Chronic renal insufficiency | 593 (16.8) | 423 (14.3) | 170 (30.0) | <0.001* |
Congestive heart failure | 108 (3.1) | 85 (2.9) | 23 (4.1) | 0.142 |
Cerebrovascular disease | 375 (10.6) | 329 (11.1) | 46 (8.1) | 0.037* |
Malignancy | 823 (23.3) | 559 (18.8) | 264 (46.6) | <0.001* |
Infection site | ||||
Respiratory tract | 644 (18.2) | 421 (14.2) | 223 (39.4) | <0.001* |
Urinary tract | 1762 (49.9) | 1630 (54.9) | 132 (23.3) | <0.001* |
Skin and soft tissue | 120 (3.4) | 95 (3.2) | 25 (4.4) | 0.162 |
Intra-abdominal | 881 (24.9) | 748 (25.2) | 133 (23.5) | 0.397 |
Others or unknown source | 613 (17.4) | 462 (15.6) | 151 (26.7) | <0.001* |
ESBL: extended-spectrum beta-lactamase; IIAT: inappropriate initial antibiotic therapy; qSOFA: quick sepsis-related organ failure assessment; E. coli: Escherichia coli; K. pneumonia: Klebsiella pneumoniae.
Data are presented as n (%) or mean ± standard deviation.
P < 0.05.