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 | Â | Â |
Age | Â | Â | Â | |||
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 | Â | Â | Â | Â | Â | Â |
VSAA | 9 (22.5) | 3 (11.5) | 6 (42.9) | 0.044* | Â | Â |
ALL | 11 (27.5) | 10 (38.5) | 1 (7.1) | 0.061 | Â | Â |
AML | 17 (42.5) | 10 (38.5) | 7 (50.0) | 0.481 | Â | Â |
MDS | 2 (5.0) | 2 (7.7) | 0 (0.0) | 0.533 | Â | Â |
DLBCL | 1 (2.5) | 1 (3.8) | 0 (0.0) | 1.000 | Â | Â |
Diabetes | 3 (7.5) | 2 (7.7) | 1 (7.1) | 1.000 | Â | Â |
Carbapenem-resistantAcinetobacterspp. colonization | 10 (25.0) | 6 (23.1) | 4 (28.6) | 0.718 | Â | Â |
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 | Â | Â | Â | |||
Fever | 40 (100.0) | 26 (100.0) | 14 (100.0) | Â | Â | Â |
Oral mucositis or pharyngitis | 11 (27.5) | 6 (23.1) | 5 (35.7) | 0.469 | Â | Â |
Sinus infection | 2 (5.0) | 1 (3.8) | 1 (7.1) | 1.000 | Â | Â |
Pneumonia | 22 (55.0) | 12 (46.2) | 10 (71.4) | 0.125 | Â | Â |
Pleural effusion | 12 (30.0) | 5 (19.2) | 7 (50.0) | 0.071 | Â | Â |
Intracranial infection | 5 (12.5) | 0 (0.0) | 5 (35.7) | 0.003* | Â | Â |
Skin or soft tissue infection | 4 (10.0) | 1 (3.8) | 3 (21.4) | 0.115 | Â | Â |
Urinary tract or perineal infection | 0 (0.0) | 0 (0.0) | 0 (0.0) | Â | Â | Â |
Perianal infection | 6 (15.0) | 4 (15.4) | 2 (14.3) | 1.000 | Â | Â |
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 | Â | Â | Â | |||
Neutropenia at the onset of BSI | 31 (77.5) | 17 (65.4) | 14 (100.0) | 0.016* | Â | Â |
Unresolved neutropenia before infection | 13 (35.1) a | 6 (24.0) a | 7 (58.3) a | 0.067 | Â | Â |
Unresolved neutropenia after infection | 21 (52.5) | 8 (30.8) | 13 (92.9) | 0.001* | Â | Â |
Hypoproteinemia | 19 (48.7) b | 10 (40.0) b | 9 (64.3) b | 0.146 | Â | Â |
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 | Â | Â | Â | |||
Previous antibiotic use | 34 (85.0) | 21 (80.8) | 13 (92.9) | 0.399 | Â | Â |
Antimicrobial exposure at the onset of BSI | 21 (52.5) | 12 (46.2) | 9 (64.3) | 0.273 | Â | Â |
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 | Â | Â |
Antifungal agents in combination | 28 (70.0) | 17 (65.4) | 11 (78.6) | 0.484 | Â | Â |
Time of antibiotic treatment after BSI | 14 (6–25) | 16 (8–32) | 5 (4–13) | 0.006* |  |  |
Resistance profiles | Â | Â | Â | |||
Carbapenem-resistant | 16 (40.0) | 9 (34.6) | 7 (50.0) | 0.343 | Â | Â |
Multidrug-resistant | 19 (47.5) | 11 (42.3) | 8 (57.1) | 0.370 | Â | Â |
Extensively drug-resistant | 5 (12.5) | 1 (3.8) | 4 (28.6) | 0.043* | Â | Â |
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 | Â | Â |
Fluoroquinolones-resistant | 13 (32.5) d | 7 (28.0) d | 6 (42.9) d | 0.482 | Â | Â |
Aminoglycosides-resistant | 14 (35.0) | 7 (26.9) | 7 (50.0) | 0.178 | Â | Â |