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Table 1 Demographic and clinical characteristics of diabetic and non-diabetic patients treated with either linezolid or vancomycin for MRSA-nosocomial pneumonia in the modified intent to treat (MITT) population

From: The effect of diabetes mellitus on outcomes of patients with nosocomial pneumonia caused by methicillin-resistant Staphylococcus aureus: data from a prospective double-blind clinical trial comparing treatment with linezolid versus vancomycin

 

Diabetic Patients (N = 183)

Non-diabetic Patients (N = 265)

Characteristic

Linezolid N = 87

Vancomycin N = 96

Linezolid N = 137

Vancomycin N = 128

Age (y), mean (SD) ***

67.1 (13.0)

69.8 (12.8)

58.2 (19.8)

56.1 (19.3)

Male Sex, n (%)

57 (65.5)

55 (57.3)

94 (68.6)

88 (68.8)

Race, n (%)

 White

59 (67.8)

60 (62.5)

97 (70.8)

92 (71.9)

 Black

11 (12.6)

15 (15.6)

14 (10.2)

16 (12.5)

 Asian

12 (13.8)

17 (17.7)

20 (14.6)

16 (12.5)

 Other

5 (5.7)

4 (4.2)

6 (4.4)

4 (3.1)

Treatment duration (days), mean (SD)

9.7 (4.1)

9.1 (4.9)

10.1 (3.8)

10.0 (4.1)

Baseline blood glucose (mg/dl), na/mean (SD)

83/176.3 (116.7)

91/167.8 (123.5)

129/164.7 (152.7)

121/174.9 (158.9)

Bacteremia, n (%)

 Yes

6 (6.9)

10 (10.4)

9 (6.6)

14 (10.9)

 No

78 (89.7)

85 (88.5)

116 (84.7)

110 (85.9)

 Unknown

3 (3.4)

1 (1.0)

12 (8.8)

4 (3.1)

Insulin at Baseline n (%)

58 (66.7)

74 (77.1)

N/A

N/A

Ventilated at baseline, n (%)

58 (66.7)

70 (72.9)

95 (69.3)

93 (72.7)

APACHE Score, n (%) ***

  < 20

50 (57.5)

52 (54.2)

91 (66.4)

87 (68.0)

  ≥ 20

36 (41.4)

42 (43.8)

43 (31.4)

39 (30.5)

 Unknown

1 (1.1)

2 (2.1)

3 (2.2)

2 (1.6)

CPIS score, na/mean (SD) Baseline

56/9.6 (2.2)

63/9.5 (2.1)

89/9.5 (2.1)

91/9.2 (2.4)

Chest x-ray, n (%)b

 Unilateral

20 (23.0)

29 (30.2)

39 (28.5)

50 (39.1)

 Bilateral

65 (74.7)

67 (69.8)

98 (71.5)

78 (60.9)

 Pleural effusion, n (%)

42 (48.3)

38 (39.6)

63 (46.0)

58 (45.3)

Weight (kg), na/mean (SD) ***

87/85.6 (26.8)

96/79.2 (22.4)

137/73.2 (18.0)

127/76.2 (20.4)

Comorbidities, n (%)

 Cardiac ***

58 (66.7)

69 (71.9)

73 (53.3)

68 (53.1)

 Hepatobiliary

13 (14.9)

10 (10.4)

21 (15.3)

21 (16.4)

 Gastrointestinal ***

57 (65.5)

56 (58.3)

71 (51.8)

63 (49.2)

 Neoplastic

8 (9.2)

13 (13.5)

12 (8.8)

12 (9.4)

 Renal/Urinary ***

40 (46.0)

53 (55.2)

43 (31.4)

41 (32.0)

 Pulmonary

65 (74.7)

67 (69.8)

87 (63.5)

87 (68.0)

 Vascular ***

38 (43.7)

37 (38.5)

38 (27.7)

41 (32.0)

Baseline pathogens, n (%)

 MRSA only

53 (60.9)

62 (64.6)

66 (48.2)

66 (51.6)

 MRSA + other Gr (+)

6 (6.9)

9 (9.4)

16 (11.7)

9 (7.0)

 MRSA + other Gr (-)

19 (21.8)

18 (18.8)

41 (29.9)

38 (29.7)

MRSA+ other Gr (+) and Gr (-)

5 (5.7)

3 (3.1)

8 (5.8)

10 (7.8)

 MRSA + anaerobes

0

1 (1.0)

0

1 (0.8)

 MRSA + fungal

4 (4.6)

3 (3.1)

6 (4.4)

4 (3.1)

Baseline Vancomycin MICs, n (%)

  ≤ 0.5

7 (8.0)

2 (2.1)

10 (7.3)

12 (9.4)

 1

63 (72.4)

75 (78.1)

105 (76.6)

93 (72.7)

 2

7 (8.0)

7 (7.3)

6 (4.4)

11 (8.6)

 4

0

1 (1.0)

0

1 (0.8)

 unknown

10 (11.5)

11 (11.5)

16 (11.7)

11 (8.6)

  1. Abbreviations: CPIS clinical pulmonary infection score, MRSA methicillin-resistant S. aureus, SD standard deviation
  2. aDenotes the number of patients with available data when different than the group total
  3. bAmong diabetic patients treated with linezolid, 1 had a normal chest x-ray and one had unknown chest x-ray findings
  4. *P < 0.05 for linezolid vs vancomycin treated diabetic patients; ** P < 0.05 for linezolid vs vancomycin treated non-diabetic patients; *** P < 0.05 for diabetic patients vs. non-diabetic patients