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. 2021 Sep 30;26(39):2001360. doi: 10.2807/1560-7917.ES.2021.26.39.2001360

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).