Table 2.
Outcomes in Patients Receiving Ceftazidime-Avibactam versus Intravenous Colistin
Outcome a | CAZ-AVI n = 149 | IV Colistin n = 81 | P value | Odds Ratio (95% CI) |
---|---|---|---|---|
Clinical cure | 106 (71) | 42 (52) | 0.004 | 2.29 (1.31–4.01) |
In-hospital mortality | 52 (35) | 36 (44) | 0.156 | 0.67 (0.39–1.16) |
Acute kidney injury | 23 (15) | 27 (33) | 0.002 | 0.37 (0.19–0.69) |
Risk | 14 | 11 | – | – |
Injury | 4 | 7 | – | – |
Failure | 4 | 7 | – | – |
RRT | 1 | 2 | – | – |
Microbiologic outcome b | ||||
Eradication | 81 (67) | 37 (55) | 0.113 | 1.64 (0.89–3.03) |
Persistence | 40 (33) | 30 (45) | ||
Infection-related mortality | 42 (28) | 27 (33) | 0.418 | 0.79 (0.44–1.41) |
30-day readmission c | 15 (16) | 5 (11) | 0.488 | |
30-day readmission due to infection c | 7 (7) | 2 (4) | 0.528 | |
30-day recurrence c | 10 (10) | 5 (11) | 0.885 | |
90-day recurrence c | 11 (11) | 6 (13) | 0.734 | |
Length of hospital stay from onset of infection (days) | 36 (20–60) | 33 (20–72) | 0.797 | |
Length of ICU stay from onset of infection (days)d | 17 (6–39) | 14 (7–26) | 0.109 | |
Duration of mechanical ventilation (days)e | 11 (5–22) | 12 (5–24) | 0.483 |
Notes: aData represented n (%) or median (IQR). bOnly included patients who had repeated cultures (n = 121 in ceftazidime-avibactam arm and 67 in colistin arm). cOnly included patients who survived (n = 97 in ceftazidime-avibactam arm and 45 in colistin arm). dIncluded only patients who were in the ICU at infection onset. eIncluded only patients who were mechanically ventilated during the infection episode.
Abbreviations: CAZ-AVI, ceftazidime-avibactam; CI, confidence interval; ICU, intensive care unit; RRT, renal replacement therapy.