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Table 2 Associations between baseline characteristics and (a) CART-derived AUC0-24h/MICBMD and AUC24-48h/MICBMD groups and (b) emergence of hVISA

From: Relationship between day 1 and day 2 Vancomycin area under the curve values and emergence of heterogeneous Vancomycin-intermediate Staphylococcus aureus (hVISA) by Etest® macromethod among patients with MRSA bloodstream infections: a pilot study

 

AUC0-24h/MICBMD

< 521

(N = 52)

AUC24-48h/MICBMD

≥ 521

(N = 67)

AUC24-48h/MICBMD

< 650

(N = 54)

AUC24-48h/MICBMD

≥ 650

(N = 65)

Non-hVISA

(N = 112)

hVISA

(N = 7)

Age in years, mean (SD)

57.1 (15.6)**

64.5 (14.6)**

58.0 (17.1)*

64.0 (14.4)*

60.8 (15.6)

68.4 (10.9)

Sex-male

34 (65.4)

49 (73.1)

39 (72.2)

44 (67.7)

76 (67.9)1*

7 (100)*

Weight in kg, mean (SD)

86.5 (28.3)

82.6 (31.7)

84.7 (27.9)

84.4 (33.0)

84.0 (30.7)

89.5 (20.5)

Recent residence in healthcare institution in previous 6 months

30 (57.5)

43 (64.2)

27 (50.0)

40 (61.5)

68 (60.7)

5 (71.4)

Diabetes mellitus

19 (36.5)

33 (49.3)*

21 (38.9)

31 (47.7)

48 (42.9)

4 (57.1)

Heart failure

11 (21.2)

27 (40.3)**

13 (24.1)*

25 (38.5)*

37 (33.0)

1 (2.6)

COPD

12 (23.1)

26 (38.8)*

17 (31.5)

21 (32.3)

35 (31.3)

3 (42.9)

Hepatic dysfunction

1 (1.9)

4 (6.0)

1 (1.9)

4 (6.2)

5 (4.5)

0 (0.0)

Malignancy

19 (36.5)

14 (20.9)*

17 (31.5)

16 (24.6)

30 (26.8)

3 (42.9)

Decubitus ulcers

11 (21.2)

14 (20.9)

12 (22.2)

13 (20.0)

24 (21.4)

1 (14.3)

Immunosuppressants

13 (25.0)

10 (14.9)

12 (22.2)

11 (16.9)

20 (17.9)*

3 (42.9)*

HIV

3 (5.8)

1 (1.5)

3 (5.6)

1 (1.5)

4 (3.6)

0 (0.0)

History of cerebrovascular event

5 (9.6)

8 (11.9)

5 (9.3)

8 (12.3)

13 (11.6)

0 (0.0)

Recent surgery in previous 30 days

21 (40.4)

19 (28.4)*

26 (48.1)**

14 (21.5)**

36 (32.1)

4 (57.1)

Recent antibiotics in previous 30 days

29 (55.8)

36 (53.7)

29 (53.7)

36 (55.4)

62 (55.4)

3 (42.9)

Prior vancomycin in past 30 days

11 (21.2)

9 (13.4)

10 (18.5)

10 (15.4)

20 (17.9)

0 (0.0)

Length of stay in days prior to index culture collection, median (IQR) days

2 (0–14)

1 (0–12)

3 (0–19)

1 (0–13)

3 (0–14)*

0 (0–0)*

Intensive care unit at onset

15 (28.8)

26 (38.8)

18 (33.3)

23 (35.4)

40 (35.7)

1 (14.3)

Baseline CLCR in mL/min, mean (SD)

77.8 (56.8)

71.1 (46.9)

80.1 (58.4)

69.8 (47.0)

76.7 (51.5)**

30.4 (17.8)**

APACHE-II Score, mean (SD)

13.3 (5.6)

14.4 (6.5)

14.2 (6.2)

14.1 (6.0)

13.7 (6.1)*

17.7 (4.5)*

MICBMD ≥ 1 mg/L

16 (30.8)**

8 (9.0)**

16 (29.6)**

6 (9.2)**

18 (16.1)**

4 (57.1)**

MICEtest ≥ 1.5 mg/L

35 (67.3)*

35 (52.2)*

35 (64.8)

35 (53.8)

65 (58.0)

5 (71.4)

Source of bloodstream infection

• Intravenous catheter

25 (48.1)*

24 (35.8)*

23 (42.6)

26 (40.0)

48 (42.9)

1 (14.3)

• Skin and soft tissue

13 (25.0)

14 (20.9)

15 (27.8)

12 (18.5)

23 (20.5)**

4 (57.1)**

• Bone and joint

2 (3.8)

6 (9.0)

2 (3.7)

6 (9.2)

8 (7.1)

0 (0.0)

• Respiratory tract

2 (3.8)

7 (10.4)

2 (3.7)*

7 (10.8)*

9 (8.0)

0 (0.0)

• Intra-abdominal

3 (5.8)

4 (6.0)

4 (7.4)

3 (4.6)

6 (5.4)

1 (14.3)

• Urinary tract

1 (1.9)

1 (1.5)

1 (1.9)

1 (1.5)

2 (1.8)

0 (0.0)

• Infected graft/device

2 (3.8)

5 (7.5)

2 (3.7)

5 (7.7)

5 (5.4)

1 (14.3)

• Unknown

4 (7.7)

6 (9.0)

5 (9.3)

5 (7.7)

10 (8.9)

0 (0.0)

Presence of Infective Endocarditis

9 (17.3)

8 (11.9)

9 (16.7)

8 (12.3)

14 (12.6)*

3 (42.9)*

  1. All data presented as number (percent) unless otherwise indicated
  2. *P-value < 0.2
  3. **P-value < 0.05
  4. Abbreviations: hVISA heterogeneous vancomycin-intermediate Staphylococcus aureus, SD standard deviation, COPD chronic obstructive pulmonary disease, HIV human immunodeficiency virus IQR interquartile range, CL CR creatinine clearance, APACHE-II Acute Physiology and Chronic Health Evaluation II, MIC BMD broth microdilution minimum inhibitory concentration, MIC Etest Etest® minimum inhibitory concentration