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Table 1 Risk factors for TMP/SMX treatment failure in PCP infected non-HIV immunocompromised patients by univariate analysis and multivariate analysis

From: Prognostic factors and clinical efficacy of second-line treatments of Pneumocystis jirovecii pneumonia for non-HIV patients after first-line treatment failure

 

Univariate analysis

Multivariate analysis

Parameters

Failure, n = 116

Success, n = 93

P value

P value

OR

95% CI

Demographic information

      

 Male, n (%)

55 (47)

52 (56)

0.222

   

 Age, yr (range)

55 (44–65)

50 (31–62)

0.011

   

Underlying disease

      

 RID, n (%)

77 (61)

46 (44)

0.009

   

 Hematologic tumor, n (%)

8 (6.4)

6 (5.7)

0.840

   

 Solid tumor, n (%)

6 (4.8)

4 (3.8)

0.976

   

 Organ transplant, n (%)

6 (4.8)

1 (1)

0.199

   

 Other disease, n (%)

32 (25)

47 (45)

0.002

   

 TS, n (%)

107 (85)

78 (74)

0.044

0.034

0.356

0.138–0.923

Lab examination

      

 WBC, × 10.9/L [IQR]

8.2 [6.4]

8 [5.5]

0.814

   

 LY, × 10.9/L [IQR]

0.5 [0.6]

0.8 [0.8]

0.001

   

 LDH, U/L [IQR]

577 [330]

447 [275]

 < 0.001

   

 BDG, pg/ml [IQR]

571 [1510]

750 [1006]

0.362

   

Treatment

      

 Sufficient steroid, n (%)

70 (56)

57 (54)

0.847

   

 Steroid course > 3 m, n (%)

81 (64)

68 (65)

0.940

   

 Immunosuppressant, n (%)

97 (77)

85 (81)

0.463

   

 Preventive TMP/SMX, n (%)

27 (21)

21 (20)

0.790

   

 IMV, n (%)

84 (67)

20 (19)

 < 0.001

 < 0.001

0.222

0.103–0.48

Co-infection

      

 CMV, n (%)

87 (69)

49 (47)

0.001

0.035

0.464

0.227–0.947

 Bacteremia, n (%)

74 (59)

10 (10)

 < 0.001

 < 0.001

0.148

0.060–0.367

  1. TMP/SMX trimethoprim/sulfamethoxazole, PCP Pneumocystis jirovecii pneumonia, HIV human immunodeficiency virus, OR odds ratio, CI confidence interval; RID rheumatic immune disease, TS typical symptoms of simultaneous breathlessness at rest, persistent fever and cough; SD standard deviation, WBC white blood cell; IQR interquartile range, LY lymphocyte, LDH lactate dehydrogenase; BDG (1–3)-beta-D-glucan, IMV Invasive mechanical ventilation, CMV Cytomegalovirus