TABLE 3.
Factorb | Overall (n = 5,357) |
ACH (n = 2,956) |
ILTCFs (n = 2,401) |
||||||
---|---|---|---|---|---|---|---|---|---|
aOR | 95% CI | P | aOR | 95% CI | P | aOR | 95% CI | P | |
Age (yr) | 0.99 | 0.97–1.01 | 0.313 | 0.99 | 0.96–1.01 | 0.347 | 0.99 | 0.94–1.04 | 0.609 |
Male gender | 1.04 | 0.58–1.88 | 0.898 | 1.60 | 0.76–3.36 | 0.217 | 0.27 | 0.07–1.12 | 0.072 |
≤4 beds in the same cubicle | 0.95 | 0.42–2.17 | 0.907 | 1.03 | 0.41–2.56 | 0.949 | 0.94 | 0.12–7.08 | 0.951 |
Hospital stay ≥3 wks | 1.37 | 0.69–2.74 | 0.372 | 2.67 | 1.17–6.05 | 0.019 | 0.65 | 0.16–2.73 | 0.558 |
Current location | |||||||||
LTCFs | Ref | Ref | |||||||
ITCFs | 4.13 | 1.08–15.76 | 0.038 | 4.32 | 0.60–31.08 | 0.146 | |||
ACH | 4.57 | 1.14–18.44 | 0.033 | ||||||
Yr of sample collection | |||||||||
2014 | Ref | Ref | Ref | ||||||
2015 | 2.61 | 1.13–6.04 | 0.025 | 2.52 | 0.95–6.64 | 0.062 | 2.12 | 0.34–13.20 | 0.422 |
2016 | 2.98 | 1.30–6.80 | 0.010 | 2.99 | 1.15–7.75 | 0.024 | 2.13 | 0.32–14.12 | 0.434 |
Prior admission to any facilities | 0.78 | 0.38–1.61 | 0.504 | 0.70 | 0.31–1.61 | 0.405 | 1.42 | 0.14–14.20 | 0.767 |
Prior ICU admission | 1.36 | 0.33–5.68 | 0.672 | 2.84 | 0.59–13.58 | 0.192 | NA | ||
Prior surgical operations | 0.94 | 0.48–1.86 | 0.860 | 0.95 | 0.42–2.11 | 0.893 | 1.14 | 0.22–5.86 | 0.873 |
Prior wound | 0.96 | 0.52–1.79 | 0.909 | 0.57 | 0.26–1.25 | 0.158 | 5.30 | 1.01–27.72 | 0.048 |
Prior vascular access procedures | 1.29 | 0.39–4.25 | 0.681 | 2.11 | 0.26–16.95 | 0.483 | 0.39 | 0.06–2.77 | 0.350 |
Prior respiratory procedures | 1.73 | 0.75–3.97 | 0.198 | 0.86 | 0.27–2.76 | 0.795 | 4.97 | 1.09–22.71 | 0.038 |
Prior gastrointestinal procedures | 0.94 | 0.45–1.95 | 0.864 | 0.64 | 0.25–1.64 | 0.355 | 2.59 | 0.51–13.05 | 0.249 |
Prior urinary procedures | 0.88 | 0.46–1.69 | 0.700 | 1.29 | 0.60–2.77 | 0.511 | 0.33 | 0.07–1.54 | 0.157 |
Aminoglycosides | 0.72 | 0.35–1.47 | 0.362 | 0.84 | 0.38–1.84 | 0.656 | 0.15 | 0.01–1.84 | 0.139 |
Carbapenems | 1.09 | 0.46–2.57 | 0.851 | 0.74 | 0.24–2.27 | 0.600 | 3.49 | 0.66–18.57 | 0.143 |
Cephalosporins | 1.08 | 0.56–2.09 | 0.817 | 1.46 | 0.67–3.21 | 0.341 | 0.63 | 0.14–2.72 | 0.533 |
Fluoroquinolones | 1.55 | 0.77–3.13 | 0.221 | 1.68 | 0.67–4.19 | 0.267 | 1.58 | 0.37–6.74 | 0.536 |
Penicillins | 1.96 | 0.90–4.26 | 0.088 | 3.00 | 1.05–8.56 | 0.040 | 0.69 | 0.17–2.90 | 0.614 |
Vancomycins | 0.71 | 0.33–1.51 | 0.372 | 0.47 | 0.19–1.18 | 0.110 | 2.41 | 0.49–11.99 | 0.281 |
Any others antibiotics | 1.36 | 0.65–2.84 | 0.413 | 1.01 | 0.37–2.72 | 0.992 | 2.34 | 0.55–9.85 | 0.248 |
Corticosteroids | 1.49 | 0.70–3.19 | 0.300 | 1.51 | 0.62–3.69 | 0.370 | 0.48 | 0.05–4.17 | 0.503 |
Antacids | 0.37 | 0.05–2.99 | 0.353 | NA | 0.46 | 0.03–7.55 | 0.583 | ||
PPI | 2.06 | 0.93–4.57 | 0.074 | 3.20 | 1.05–9.80 | 0.041 | 1.15 | 0.27–4.83 | 0.853 |
H2 receptor blockers | 1.26 | 0.57–2.80 | 0.568 | 1.55 | 0.61–3.95 | 0.360 | 1.15 | 0.20–6.81 | 0.874 |
Diabetes | 0.71 | 0.38–1.31 | 0.274 | 0.99 | 0.48–2.05 | 0.983 | 0.21 | 0.04–1.09 | 0.063 |
Dementia | 2.52 | 1.16–5.50 | 0.020 | 3.42 | 1.38–8.49 | 0.008 | 1.52 | 0.18–12.47 | 0.699 |
Peptic ulcer disease | 1.40 | 0.52–3.81 | 0.508 | 1.26 | 0.38–4.14 | 0.701 | 1.76 | 0.16–18.89 | 0.642 |
Connective tissue disease | 2.87 | 0.71–11.64 | 0.140 | 5.10 | 1.19–21.81 | 0.028 | NA | ||
Chronic pulmonary disease | 0.29 | 0.07–1.11 | 0.070 | 0.24 | 0.05–1.18 | 0.079 | 0.33 | 0.01–7.14 | 0.477 |
Renal disease | 1.23 | 0.63–2.42 | 0.544 | 1.10 | 0.49–2.44 | 0.821 | 1.62 | 0.31–8.34 | 0.567 |
Liver disease | 1.17 | 0.53–2.59 | 0.705 | 1.02 | 0.41–2.52 | 0.971 | 2.76 | 0.22–34.72 | 0.433 |
Immunocompromised status | 0.56 | 0.23–1.37 | 0.200 | 0.62 | 0.22–1.71 | 0.353 | 0.10 | 0.00–2.92 | 0.180 |
Prior carriage of: | |||||||||
MRSA | 0.46 | 0.19–1.07 | 0.072 | 0.6 | 0.22–1.62 | 0.310 | 0.25 | 0.03–2.14 | 0.204 |
VRE | 1.78 | 0.36–8.78 | 0.479 | NA | 16.42 | 1.52–177.48 | 0.021 | ||
CRE | 95.86 | 31.99–287.21 | <0.001 | 109.02 | 28.47–417.44 | <0.001 | 758.30 | 33.86–16,982.52 | <0.001 |
MDRO | 0.74 | 0.37–1.47 | 0.387 | 0.56 | 0.24–1.29 | 0.174 | 1.25 | 0.31–5.13 | 0.753 |
Ref, reference; NA, not applicable. Significant P values of <0.05 are in bold.
For clinical procedures and explanation of immunocompromised status, see Table 1.