| Healthcare-associated infections | Community-associated infections | |||||||
---|---|---|---|---|---|---|---|---|---|
 | Post-HAI method | Matched Method | Conventional method | ||||||
 | Resistant | Susceptible | p-values | Resistant | Susceptible | p-values | Resistant | Susceptible | p-values |
No. | 374 | 283 | Â | 238 | 238 | Â | 299 | 333 | Â |
Characteristics prior to infection | |||||||||
 Age (median [IQR]) | 69 (56–80) | 67 (52–78) | 0.174 | 67 (55–80) | 68 (53–79) | 1.000 | 81 (69–85) | 70 (46–79) | 0.152 |
 Female sex | 170 (45%) | 135 (48%) | 0.311 | 105 (44%) | 117 (49%) | 0.156 | 152 (51%) | 191 (57%) | 0.059 |
 Previous hospitalizationa | 250 (67%) | 182 (64%) | 0.276 | 169 (71%) | 147 (62%) | 0.021 | – | – | 1.000 |
 Transfer from another healthcare facility | 22 (6%) | 18 (6%) | 0.462 | 15 (6%) | 14 (6%) | 0.500 | – | – |  |
 Invasive surgery | 124 (33%) | 80 (28%) | 0.104 | 74 (31%) | 73 (31%) | 0.500 | 66 (22%) | 60 (18%) | 0.120 |
 Charlson Co-morbidity Index (median [IQR]) | 4 (3–6) | 4 (2–6) | 0.205 | 4 (3–6) | 4 (2–6) | 0.854 | 6 (5–8) | 5 (1–6) | 0.002 |
 Previous antibiotic exposurea | 67 (18%) | 35 (12%) | 0.032 | 46 (19%) | 32 (13%) | 0.054 | 52 (17%) | 36 (1%) | 0.012 |
Infection and patient outcomes | |||||||||
A-Clinical parameters | |||||||||
 ICU admission | 124 (33%) | 75 (26%) | 0.040 | 70 (29%) | 60 (25%) | 0.177 | 66 (22%) | 39 (12%) | < 0.001 |
 ICU days (median [IQR]) | 9 (4–18) | 6 (3–11) | 0.144 | 8 (4–18) | 6 (3–10) | 0.237 | 8 (12–19) | 6 (2–20) | 0.987 |
 Central venous catheter | 60 (16%) | 35 (12%) | 0.112 | 35 (15%) | 25 (10%) | 0.107 | 27 (10%) | 15 (36%) | 0.017 |
 Central venous catheter days (median [IQR]) | 11 (4–20) | 8 (4–11) | 0.164 | 12 (5–18) | 7 (4–11) | 0.076 | 11 (5–17) | 6 (3–20) | 0.894 |
 Urinary catheter | 143 (38%) | 90 (32%) | 0.052 | 82 (48%) | 89 (37%) | 0.283 | 85 (29%) | 61 (18%) | 0.004 |
 Urinary catheter days (median [IQR]) | 8 (5–16) | 8 (5–11) | 0.385 | 7 (5–16) | 8 (5–11) | 0.644 | 12 (8–18) | 6 (3.5–19.5) | 0.943 |
 Mechanical ventilation | 86 (23%) | 42 (15%) | 0.005 | 48 (20%) | 36 (15%) | 0.093 | 29 (10%) | 16 (5%) | 0.013 |
 Mechanical ventilation days (median [IQR]) | 9 (2.5–17) | 0 (0–4) | < 0.001 | 7 (2–17) | 0 (0–4) | 0.001 | 11 (5–15) | 1 (0–5) | 0.002 |
Infection site | |||||||||
 Bloodstream | 65 (56%) | 51 (18%) | 0.455 | 44 (18%) | 39 (16%) | 0.315 | 39 (13%) | 44 (13%) | 0.522 |
 Urinary tract | 213 (57%) | 115 (41%) | < 0.001 | 134 (56%) | 97 (41%) | < 0.001 | 197 (66%) | 201 (60%) | 0.053 |
 Respiratory tract | 92 (24%) | 44 (15%) | 0.003 | 41 (17%) | 50 (21%) | 0.176 | 27 (9%) | 32 (10%) | 0.456 |
 Intraabdominal | 16 (4%) | 29 (10%) | 0.002 | 12 (5%) | 20 (8%) | 0.100 | 17 (6%) | 34 (10%) | 0.025 |
 Skin/Soft tissue/Osteomyelitis | 88 (23%) | 76 (27%) | 0.188 | 63 (26%) | 71 (30%) | 0.238 | 60 (20%) | 41 (12%) | 0.002 |
Positive culture ≥ 2 | 88 (23%) | 32 (11%) | < 0.001 | 59 (25%) | 29 (12%) | < 0.001 | 51 (17%) | 257%) | < 0.001 |
Polymicrobial | 74 (20%) | 19 (7%) | < 0.001 | 54 (75%) | 18 (8%) | < 0.001 | 44 (15%) | 20 (6%) | < 0.001 |
APACHE score II (median [IQR]) | 6 (1–16) | 1 (1–12) | 0.527 | 4 (1–19) | 1 (1–12) | 0.706 | – | – |  |
Appropriate antibiotic therapy | 203 (54%) | 248 (88%) | < 0.001 | 203 (85%) | 203 (85%) | 1.000 | 193 (64%) | 287 (86%) | < 0.001 |
In-hospital Mortality | 81 (72%) | 32 (28%) | < 0.001 | 41 (61%) | 26 (39%) | 0.032 | 24 (65%) | 13 (35%) | 0.021 |
 Mortality due to infection | 49 (77%) | 15 (23%) | 0.135 | 25 (64%) | 14 (36%) | 0.373 | 11 (58%) | 8 (42%) | 0.286 |
B-Economic parameters | |||||||||
 LOS prior to index date (median [IQR]),days | 0 (0–4) | 0 (0–4) | 0.426 | 0 (0–4) | 0 (0–4) | 0.520 | – | – |  |
 LOS post index date (median [IQR]),days | 7 (4–14) | 6 (3–10) | 0.016 | 7 (5–14) | 7 (4–11) | 0.408 | 7 (4–12) | 5 (3–8) | < 0.001 |
 Stay charges at ward levelb | 761 (1094) | 643 (797) | 0.059 | 790 (1181) | 661 (792) | 0.200 | 534 (590) | 364 (323) | < 0.001 |
 ICU stay chargesb | 852 (2049) | 508 (1252) | 0.007 | 726 (1930) | 466 (1158) | 0.077 | 366 (1093) | 240 (47) | 0.109 |
 Total stay chargesb | 1122 (1532) | 910 (1350) | 0.063 | 1045 (1402) | 894 (1260) | 0.220 | 851 (1151) | 578 (822) | 0.001 |
Pharmaceuticals chargesb | 1872 (3137) | 1129 (1680) | < 0.001 | 1851 (3458) | 1030 (1505) | 0.001 | 952 (1291) | 628 (1191) | 0.001 |
 Antibiotics chargesb | 639 (1365) | 314 (598) | < 0.001 | 609 (1475) | 269 (426) | 0.001 | 378 (649) | 193 (366) | < 0.001 |
Medical Accessories chargesb | 252 (1120) | 163 (484) | 0.243 | 231 (1176) | 165 (461) | 0.425 | 91 (288) | 69 (450) | 0.476 |
Oxygen chargesb | 135 (658) | 52 (151) | 0.016 | 132 (760) | 54 (151) | 0.121 | 40 (168) | 19 (73) | 0.037 |
Imaging chargesb | 310 (387) | 292 (400) | 0.224 | 318 (425) | 277 (390) | 0.280 | 252 (282) | 185 (221) | 0.001 |
Laboratory and microbiology chargesb | 893 (1040) | 756 (910) | 0.018 | 868 (984) | 714 (872) | 0.071 | 638 (1080) | 435 (413) | 0.002 |
Third-party paymentb | 3865 (4673) | 2709 (3053) | < 0.001 | 3740 (4826) | 2567 (2701) | 0.001 | 2829 (3183) | 1930 (2186) | < 0.001 |
Patient co-paymentb | 379 (1684) | 126 (764) | < 0.001 | 513 (1066) | 341 (582) | 0.030 | 263 (1217) | 104 (492) | 0.001 |
Total charges from index dateb | 4363 (5052) | 2800 (3221) | < 0.001 | 4278 (5027) | 2882 (3108) | < 0.001 | 329 (601) | 199 (321) | < 0.001 |