|  | 28-day all mortality | ||
---|---|---|---|---|
Characteristics | Total (n = 37) | Survivors (n = 29) | Non-survivors (n = 8) | P value |
Demographics | Â | Â | Â | Â |
Age (year, mean±SD) | 60.5 ± 13.2 | 62.8 ± 2.3 | 52.3 ± 4.4 | 0.044 |
BMI (mean±SD) | 21.4 ± 3.1 | 21.2 ± 0.6 | 22.4 ± 1.1 | 0.323 |
Male (%) | 22 (59.5) | 18(62.1) | 4(50.0) | 0.412 |
Community AB (%) | 9 (24.3) | 7 (24.1) | 2 (25.0) | 0.643 |
Hospital AB (%) | 28 (75.7) | 22 (75.9) | 6 (75.0) | 0.643 |
Comorbidities (%) | Â | Â | Â | Â |
Solid cancer | 21 (56.8) | 17 (58.6) | 4 (50.0) | 0.483 |
HTN | 15 (40.5) | 11 (37.9) | 4 (50.0) | 0.412 |
DM | 13 (35.1) | 11 (37.9) | 2 (25.0) | 0.408 |
Chronic liver disease | 11 (29.7) | 8 (27.6) | 3 (37.5) | 0.444 |
Organ transplantation | 9 (24.3) | 7 (24.1) | 2 (25.0) | 0.643 |
Chronic renal disease | 9 (24.3) | 6 (20.7) | 3 (37.5) | 0.292 |
Cerebrovascular disease | 7 (18.9) | 6 (20.7) | 1 (12.5) | 0.521 |
Cardiovascular disease | 6 (16.2) | 5 (17.2) | 1 (12.5) | 0.613 |
Hematologic malignancies | 4 (10.8) | 3 (10.3) | 1 (12.5) | 0.640 |
CHF | 3 (8.1) | 2 (6.9) | 1 (12.5) | 0.530 |
Hemiplegia | 2 (5.4) | 2 (6.9) | 0 (0.0) | 0.610 |
PAOD | 1 (2.7) | 0 (0.0) | 1 (12.5) | 0.216 |
ILD | 1 (2.7) | 1 (3.4) | 0 (0.0) | 0.784 |
Antibiotic use in 30Â day (%) | 27 (73.0) | 22 (75.9) | 5 (62.5) | 0.367 |
Steroid use in 30Â day (%) | 16 (43.2) | 12 (41.4) | 4 (50.0) | 0.483 |
Anticancer drug use in 30Â day (%) | 9 (24.3) | 7 (24.1) | 2 (25.0) | 0.643 |
Immunosuppressant use in 30Â day (%) | 9 (24.3) | 7 (24.1) | 2 (25.0) | 0.643 |
Vancomycin induced AKI (%) | 6 (16.2) | 4 (13.8) | 2 (25.0) | 0.591 |
Septic shock (%) | 8 (21.6) | 4 (13.8) | 4 (50.0) | 0.049 |
Source of bacteremia (%) | Â | Â | Â | Â |
Biliary | 15 (40.5) | 12 (41.4) | 3 (37.5) | 0.588 |
Peritonitis | 8 (21.6) | 7 (24.1) | 1 (12.5) | 0.435 |
UTI | 1 (2.7) | 0 (0.0) | 1 (12.5) | 0.216 |
Skin | 1 (2.7) | 1 (3.4) | 0 (0.0) | 0.784 |
CRBSI | 1 (2.7) | 1 (3.4) | 0 (0.0) | 0.784 |
Foreign device | 1 (2.7) | 1 (3.4) | 0 (0.0) | 0.784 |
Others | 2 (5.4) | 1 (3.4) | 1 (12.5) | 0.390 |
Primary | 8 (21.6) | 6 (20.7) | 2 (25.0) | 0.565 |
ICU stay (%) | 14 (37.8) | 10 (34.5) | 4 (50.0) | 0.343 |
SOFA score (mean±SD) | 7.0 ± 4.8 | 6.2 ± 0.8 | 9.9 ± 1.9 | 0.056 |
Persistent BSI (%) | 18 (48.6) | 15 (51.7) | 3 (37.5) | 0.379 |
Recurrence of same BSI (%) | 5 (13.5) | 5 (17.2) | 0 (0.0) | 0.272 |
Initial empirical inappropriate antibiotics (%) | 16 (43.2) | 13 (44.8) | 3 (37.5) | 0.517 |
Combination therapy (%) | 8 (21.6) | 6 (20.7) | 2 (25.0) | 0.565 |
PK/PD parameter (%) | Â | Â | Â | Â |
Trough level ≤15 µg/mL | 19 (51.4) | 12 (41.4) | 7 (87.5) |  |
Trough level>15 µg/mL | 18 (48.6) | 17 (58.6) | 1 (12.5) | 0.042 |
AUC24/MIC≤389 | 7 (18.9) | 5 (17.2) | 2 (25.0) |  |
AUC24/MIC>389 | 30 (81.1) | 24 (82.8) | 6 (75.0) | 0.479 |
BMI, body mass index; Community AB, Community acquired bacteremia; Hospital AB, Hospital acquired bacteremia; HTN, hypertension; DM, diabetes mellitus; CHF, congestive heart failure; PAOD peripheral arterial occlusive disease; ILD, interstitial lung disease; AKI. Acute kidney disease, UTI, urinary tract infection; CRBSI, catheter-related blood stream infection; BSI, blood stream infection, AUC, area under curve; MIC minimum inhibitory concentration; Other cases of bacteremia include infective endocarditis Continuous variables are shown as the mean ± standard deviation (SD) and categorical variables, as numbers (percentage) |