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Table 1 Characteristics of patients with Acinetobacter spp. bloodstream infection, stratified by outcome

From: Acinetobacter spp. bloodstream infection in hematological patients: a 10-year single-center study

    

Univariate analysis

Multivariate analysis

Characteristics

Total

n = 40

Survivors

n = 26

Non-survivors

n = 14

P value

OR (95% CI)

P value

Male sex

22 (55.0)

14 (53.8)

8 (57.1)

0.842

  

Age

   

median (range)

25.5 (1–62)

18.5 (7–40)

31 (17–49)

0.243

  

≥ 45

11 (27.5)

6 (23.1)

5 (35.7)

0.469

  

Underlying diseases

      

VSAA

9 (22.5)

3 (11.5)

6 (42.9)

0.044*

  

ALL

11 (27.5)

10 (38.5)

1 (7.1)

0.061

  

AML

17 (42.5)

10 (38.5)

7 (50.0)

0.481

  

MDS

2 (5.0)

2 (7.7)

0 (0.0)

0.533

  

DLBCL

1 (2.5)

1 (3.8)

0 (0.0)

1.000

  

Diabetes

3 (7.5)

2 (7.7)

1 (7.1)

1.000

  

Carbapenem-resistantAcinetobacterspp. colonization

10 (25.0)

6 (23.1)

4 (28.6)

0.718

  

Total length of hospital stay

35 (23–59)

35 (25–58)

35 (22–69)

0.790

  

Length of hospital stay before BSI

15 (5–24)

12 (5–19)

21 (8–36)

0.118

  

Accompanying symptoms

   

Fever

40 (100.0)

26 (100.0)

14 (100.0)

   

Oral mucositis or pharyngitis

11 (27.5)

6 (23.1)

5 (35.7)

0.469

  

Sinus infection

2 (5.0)

1 (3.8)

1 (7.1)

1.000

  

Pneumonia

22 (55.0)

12 (46.2)

10 (71.4)

0.125

  

Pleural effusion

12 (30.0)

5 (19.2)

7 (50.0)

0.071

  

Intracranial infection

5 (12.5)

0 (0.0)

5 (35.7)

0.003*

  

Skin or soft tissue infection

4 (10.0)

1 (3.8)

3 (21.4)

0.115

  

Urinary tract or perineal infection

0 (0.0)

0 (0.0)

0 (0.0)

   

Perianal infection

6 (15.0)

4 (15.4)

2 (14.3)

1.000

  

Respiratory failure

9 (22.5)

1 (3.8)

8 (57.1)

< 0.001*

  

Cardiac dysfunction

13 (32.5)

5 (19.2)

8 (57.1)

0.031*

0.776 (0.068–8.912)

0.838

Severe sepsis or septic shock

10 (25.0)

1 (3.8)

9 (64.3)

< 0.001*

  

Laboratory results

   

Neutropenia at the onset of BSI

31 (77.5)

17 (65.4)

14 (100.0)

0.016*

  

Unresolved neutropenia before infection

13 (35.1) a

6 (24.0) a

7 (58.3) a

0.067

  

Unresolved neutropenia after infection

21 (52.5)

8 (30.8)

13 (92.9)

0.001*

  

Hypoproteinemia

19 (48.7) b

10 (40.0) b

9 (64.3) b

0.146

  

PCT (ug/L)

0.81 (0.11–2.33)

0.14 (0.10–1.10)

1.79 (0.53–21.60)

0.025*

  

CRP (mg/L)

37.16 (11.07-117.41)

12.40 (9.32–58.30)

128.13 (61.00-243.78)

0.001*

  

Antibiotic use

   

Previous antibiotic use

34 (85.0)

21 (80.8)

13 (92.9)

0.399

  

Antimicrobial exposure at the onset of BSI

21 (52.5)

12 (46.2)

9 (64.3)

0.273

  

Inappropriate empirical therapy

12 (30.0)

4 (15.4)

8 (57.1)

0.011*

11.234 (1.261–20.086)

0.030*

Definitive combination therapy

21 (52.5)

13 (50.0)

8 (57.1)

0.666

  

Antifungal agents in combination

28 (70.0)

17 (65.4)

11 (78.6)

0.484

  

Time of antibiotic treatment after BSI

14 (6–25)

16 (8–32)

5 (4–13)

0.006*

  

Resistance profiles

   

Carbapenem-resistant

16 (40.0)

9 (34.6)

7 (50.0)

0.343

  

Multidrug-resistant

19 (47.5)

11 (42.3)

8 (57.1)

0.370

  

Extensively drug-resistant

5 (12.5)

1 (3.8)

4 (28.6)

0.043*

  

Tetracycline-resistant

8 (25.8) c

3 (13.6) c

5 (55.6) c

0.027*

3.568 (0.341–37.313)

0.288

Broad-spectrum cephalosporins-resistant

37 (92.5)

24 (92.3)

13 (92.9)

1.000

  

Fluoroquinolones-resistant

13 (32.5) d

7 (28.0) d

6 (42.9) d

0.482

  

Aminoglycosides-resistant

14 (35.0)

7 (26.9)

7 (50.0)

0.178

  
  1. Note: Categorical variables are presented as numbers (percentiles); continuous variables are presented as median (interquartile range, IQR) unless otherwise stated. A P value in italics and bold means < 0.1, followed by * means < 0.05.
  2. Abbreviations: OR, odds ratio; CI, confidence interval; VSAA, very severe aplastic anemia; ALL, acute lymphoblastic leukemia; AML, acute myeloid leukemia; MDS, myelodysplastic syndrome; DLCBL, diffuse large B-cell lymphoma; PCT, procalcitonin; CRP, C-reactive protein; Cr, creatine; ALT, alanine aminotransferase. BSI, bloodstream infection. a37, 25 and 12 evaluable patients. b39, 25 and 14 evaluable patients. c31, 22 and 9 evaluable patients. d39, 25 and 14 evaluable patients