Table 2. Patient characteristics and risk factor analyses of ESBL-producing Enterobacteriaceae colonisation among patients screened after direct transfer from hospitals abroad to Helsinki University Hospital, Finland, 2010–2019 (n = 698).
Patients (n = 698) | ESBL-PE-positive (n = 163) | ESBL-PE-negative (n = 535) | OR (95% CI) in univariate analysis | p value in univariate analysis | AOR (95% CI) in multivariable analysisa | p value in multivariable analysisa | |||
---|---|---|---|---|---|---|---|---|---|
n | n | % | n | % | |||||
Sex | |||||||||
Male | 427 | 105 | 24.6 | 322 | 75.4 | 1.2 (0.8–1.7) | 0.33 | NI | NI |
Female | 271 | 58 | 21.4 | 213 | 78.6 | Ref | Ref | NI | NI |
Age group (years) | 0.39 | NA | |||||||
0–5 | 27 | 4 | 14.8 | 23 | 85.2 | Ref | Ref | NI | NI |
6–17 | 35 | 9 | 25.7 | 26 | 74.3 | 2.0 (0.5–7.3) | 0.30 | NI | NI |
18–30 | 61 | 16 | 26.2 | 45 | 73.8 | 2.0 (0.6–6.8) | 0.25 | NI | NI |
31–50 | 145 | 36 | 24.8 | 109 | 75.2 | 1.9 (0.6–5.9) | 0.27 | NI | NI |
51–65 | 175 | 48 | 27.4 | 127 | 72.6 | 2.2 (0.7–6.6) | 0.17 | NI | NI |
> 65 | 255 | 50 | 19.6 | 205 | 80.4 | 1.4 (0.5–4.2) | 0.55 | NI | NI |
CCI | 0.64 | NA | |||||||
0–1 points | 428 | 105 | 24.5 | 323 | 75.5 | Ref | Ref | NI | NI |
2–4 points | 217 | 47 | 21.7 | 170 | 78.3 | 0.9 (0.6–1.3) | 0.42 | NI | NI |
> 4 points | 53 | 11 | 20.8 | 42 | 79.2 | 0.8 (0.4–1.6) | 0.55 | NI | N |
Chronic alcohol abuse | |||||||||
Yes | 68 | 14 | 20.6 | 54 | 79.4 | Ref | Ref | NI | NI |
No | 630 | 149 | 23.7 | 481 | 76.3 | 1.2 (0.6–2.2) | 0.57 | NI | NI |
Travel type | 0.26 | NA | |||||||
Work/leisure/other | 553 | 122 | 22.1 | 431 | 77.9 | Ref | Ref | NI | NI |
Residence abroad | 96 | 26 | 27.1 | 70 | 72.9 | 1.3 (0.8–2.1) | 0.28 | NI | NI |
VFR | 49 | 15 | 30.6 | 34 | 69.4 | 1.6 (0.8–3.0) | 0.17 | NI | NI |
Geographical region | < 0.01 | NA | < 0.01 | ||||||
North America | 3 | 0 | 0 | 3 | 100 | NA | NA | NA | NA |
Latin America, Caribbean | 10 | 6 | 60.0 | 4 | 40.0 | 9.7 (2.7–35.3) | < 0.01 | 9.7 (2.7–35.4) | < 0.01 |
Sub-Saharan Africa | 21 | 13 | 61.9 | 8 | 38.1 | 10.5 (4.2–26.3) | < 0.01 | 13.1 (4.7–37.0) | < 0.01 |
North Africa, Middle East | 38 | 13 | 34.2 | 25 | 65.8 | 3.4 (1.6–6.9) | < 0.01 | 3.7 (1.8–7.6) | < 0.01 |
Asia | 96 | 61 | 63.5 | 35 | 36.5 | 11.3 (7.0–18.4) | < 0.01 | 10.4 (6.3–17.2) | < 0.01 |
Oceania | 6 | 0 | 0 | 6 | 100 | NA | NA | NA | NA |
Europe | 524 | 70 | 13.4 | 454 | 86.6 | Ref | Ref | Ref | Ref |
Duration of hospitalisation | 0.03 | Eliminatedb | Eliminatedb | ||||||
1–2 days | 83 | 12 | 14.5 | 71 | 85.5 | Ref | Ref | NI | NI |
3–7 days | 208 | 39 | 18.8 | 169 | 81.3 | 1.4 (0.7–2.8) | 0.39 | NI | NI |
8–14 days | 186 | 46 | 24.7 | 140 | 75.3 | 1.9 (1.0–3.9) | 0.06 | NI | NI |
Over 14 days | 193 | 55 | 28.5 | 138 | 71.5 | 2.4 (1.2–4.7) | 0.01 | NI | NI |
Data missing | 28 | 11 | 39.3 | 17 | 60.7 | NI | NI | NI | NI |
ICU treatment abroad | |||||||||
Yes | 190 | 50 | 26.3 | 140 | 73.7 | 1.2 (0.9–1.8) | 0.26 | NI | NI |
No | 508 | 113 | 22.2 | 395 | 77.8 | Ref | Ref | NI | NI |
Major invasive procedure abroad | |||||||||
Yes | 290 | 79 | 27.2 | 211 | 72.8 | 1.4 (1.0–2.1) | 0.04 | 1.5 (1.0–2.2) | 0.07 |
No | 408 | 84 | 20.6 | 324 | 79.4 | Ref | Ref | Ref | Ref |
Antibiotic use abroad | Eliminatedb | Eliminatedb | |||||||
Yes | 383 | 104 | 27.2 | 279 | 72.8 | 1.6 (1.1–2.3) | 0.01 | NI | NI |
No | 315 | 59 | 18.7 | 256 | 81.3 | Ref | Ref | NI | NI |
Reason for hospitalisation | |||||||||
Trauma | 323 | 79 | 24.5 | 244 | 75.5 | 1.1 (0.8–1.6) | 0.52 | NI | NI |
Non-trauma | 375 | 84 | 22.4 | 291 | 77.6 | Ref | Ref | NI | NI |
Antibiotic use during screeningc | |||||||||
Yes | 199 | 51 | 25.6 | 148 | 74.4 | 1.3 (0.9–1.9) | 0.23 | NI | NI |
No | 472 | 101 | 21.4 | 371 | 78.6 | Ref | Ref | NI | NI |
Data missing | 27 | 11 | 40.7 | 16 | 59.3 | NI | NI | NI | NI |
AOR: adjusted odds ratio; CCI: Charlson Comorbidity Index; CI: confidence interval; ICU: intensive care unit; ESBL-PE: extended-spectrum β-lactamase-producing Enterobacteriaceae; NA: not applicable; NI: not included; OR: odds ratio; Ref: reference; VFR: visiting friends and relatives.
a The following variables were included in multivariable analysis: geographical region, duration of hospitalisation, major invasive procedure, antibiotic use abroad.
b Eliminated before final step in backward selection.
c Antibiotic treatment during screening for multidrug-resistant Gram-negative bacteria (MDRGNB).