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Table 5 Risk factors associated with mortality within 30 days of Candida bloodstream infection diagnosis

From: Candida bloodstream infection among children hospitalised in three public-sector hospitals in the Metro West region of Cape Town, South Africa

Risk factors for mortality

Patients who died during the follow-up period

Patients who survived

Univariable analysis

Multivariable analysis

 

N = 14

N = 63

OR (95% CI)

p-value

aOR (95% CI)

p-value

Age less than 12 months

9 (64)

35 (56)

1.4 (0.4–4.8)

0.6

0.4 (0.04–3.7)

0.4

Severe underweight (weight for age < -3 z score)

7 (50)

23 (37)

1.7 (0.5–5.6)

0.4

7.4 (0.9–61.5)

0.1

Disseminated intravascular coagulopathy

5 (36)

4 (6)

8.2 (1.8–36.4)

0.01

6.9 (0.6–74.8)

0.1

Required vasopressor therapy

9 (64)

13 (21)

6.9 (2.0–24.2)

 < 0.01

53.3 (2.3–1028.7)

0.01

Renal dysfunction

3 (21)

12 (19)

1.2 (0.3–4.8)

0.8

1.2 (0.1–15.3)

0.9

Hepatic dysfunction

6 (43)

9 (14)

4.5 (1.3–16.1)

0.02

12.7 (1.1–145.8)

0.04

White cell count < 4000 cells/µL

3 (21)

13 (21)

1.2 (0.3–4.8)

0.8

–

–

Presence of an immunosuppressive conditiona

2 (14)

11 (17)

0.8 (0.2–4.0)

0.8

0.6 (0.03–11.7)

0.7

Present in ICU during Candida BSI

10 (71)

39 (62)

1.5 (0.4–5.5)

0.5

0.02 (0–1.3)

0.1

Presence of definable focus of infection

7 (50)

28 (44)

1.3 (0.4–4.0)

0.7

0.9 (0.1–6.3)

0.9

Presence of concomitant bacterial BSI during Candida BSI

9 (64)

14 (22)

6.3 (1.8–21.9)

 < 0.01

9.5 (1.5–60.0)

0.02

Non-Candida albicans BSI

8 (57)

31 (49)

1.4 (0.4–4.4)

0.6

3.6 (0.3–49.6)

0.3

  1. BSI bloodstream infection, ICU intensive care unit, OR odds ratio, 95% CI 95% confidence interval, aOR adjusted odds ratio
  2. aPresence of immunosuppressive condition: study participants with haematological conditions or cancer patients on immunosuppressive treatment, HIV infection, corticosteroid therapy for more than a month