survivors | nonsurvivors | p | |
---|---|---|---|
N° of patients | 4 (29%) | 10 (71%) | |
Age, years; mean, median (range) | 46, 48 (28–59) | 54, 54 (35–68) | 0.001 |
male | 2 | 3 | ns |
female | 2 | 7 | |
Acute myeloid leukemia | 2 (50%) | 10 (100%) | 0.06 |
Induction/reinduction intensive chemotherapy | 0 | 6 (60%) | 0.08 |
Steroids | 4 (100%) | 10 (100%) | ns |
Neutrophils count at the onset of bacteremia (n° of patients) | |||
< 1000 neutrophils/mmc | 3 (75%) | 9 (90%) | ns |
< 100 neutrophils /mmc | 3 (75%) | 8 (80%) | ns |
days of neutropenia before bacteremia, mean, median (range) | |||
with <1000 neutrophils/mmc | 2.7, 2 (0–7) | 10.4, 7 (0–35) | 0.002 |
with <100 neutrophils/mmc | 2.7, 2 (0–7) | 4.8, 4 (0–21) | 0.01 |
Neutrophil recovery (>1000/mmc) within 72 h from the onset of bacteremia (n° of pts) | 3 (75%) | 0 | 0.004 |
CRKP rectal carrier | 4 (100%) | 7 (70%) | ns |
One-site colonization | 2 (50%) | 4 (40%) | ns |
Multiple-sites colonization | 2 (50%) | 3 (30%) | ns |
No CRKP rectal carrier | 0 | 3 (30%) | ns |
Patients not identified as CRKP carriers at the onset of bacteremia | 0 | 7a (70%) | 0.06 |
Documented source of bacteremia | 2 (50%) | 5 (50%) | ns |
Fever of unknown origin | 2 (50%) | 5 (50%) | ns |
CRKP carrier | 2 (50%) | 2 (20%) | ns |
Breakthrough bacteremia | 2 (50%) | 8 (80%) | ns |
occurrence within 48 h of ongoing antibiotics | 0 | 6 (60%) | 0.08 |
Persistent bacteremia (≥3 days) | 2 (50%) | 7 (70%) | ns |
days of bacteremia, mean, median (range) | 2.5, 2 (1–5) | 3.7, 3.5 (1–10) | 0.003 |
Shock | 2 (50%) | 6 (60%) | ns |
Overall adequate antibiotic therapyb | 4 (100%) | 5 (50%) | ns |
Initial adequate antibiotic therapyb | 4c (100%) | 2d (20%) | 0.001 |
Modification of the initial antibiotic therapy | 2e (20%) | 7f (70%) | ns |
- with adequate antibiotic therapyb | 2 | 3 | ns |
in vitro colistin-resistant CRKP isolate | 1 | 6 | ns |
in vitro colistin - and tigecycline resistant CRKP isolate | 0 | 5 | ns |
in vitro colistin-, tigecyclin- and gentamycin-resistant CRKP isolate | 1 | 5 | ns |