From: Acinetobacter spp. bloodstream infection in hematological patients: a 10-year single-center study
 |  |  | Univariate analysis | Multivariate analysis | |
---|---|---|---|---|---|
Characteristics | CSA n = 24 | CRA n = 16 | P value | OR (95% CI) | P value |
Male sex | 11 (45.8) | 11 (68.8) | 0.154 | Â | Â |
Age | Â | ||||
median (range) | 16 (1–62) | 27.5 (1–54) | 0.404 |  |  |
≥ 45 | 6 (25.0) | 5 (31.3) | 0.728 |  |  |
Underlying diseases | Â | Â | Â | Â | Â |
VSAA | 3 (12.5) | 6 (37.5) | 0.120 | Â | Â |
ALL | 9 (37.5) | 2 (12.5) | 0.148 | Â | Â |
AML | 10 (41.7) | 7 (43.8) | 0.896 | Â | Â |
MDS | 1 (4.2) | 1 (6.3) | 1.000 | Â | Â |
DCLCB | 1 (4.2) | 0 (0.0) | 1.000 | Â | Â |
Diabetes | 1 (4.2) | 2 (12.5) | 0.553 | Â | Â |
Accompanying symptoms | Â | Â | Â | Â | Â |
Respiratory failure | 3 (12.5) | 6 (37.5) | 0.120 | Â | Â |
Cardiac dysfunction | 5 (20.8) | 8 (50.0) | 0.054 | Â | Â |
Severe sepsis/septic shock | 4 (16.7) | 6 (37.5) | 0.159 | Â | Â |
Hypoproteinemia | 8 (34.8) a | 11 (68.8) a | 0.037* | 5.708 (0.823–39.566) | 0.078 |
Carbapenem-resistantAcinetobacterspp. colonization | 0 (0.0%) | 10 (62.5) | < 0.001* | 11.949 (1.799–79.363) | 0.010* |
Length of hospital stay before BSI | 16 (4–28) | 14 (5–24) | 0.723 |  |  |
Interventions within 30 days | Â | ||||
Central venous catheterization | 22 (91.7) | 12 (75.0) | 0.195 | Â | Â |
Intravenous glucocorticoid | 14 (58.3) | 11 (68.8) | 0.505 | Â | Â |
Immunosuppressive therapy | 21 (87.5) | 12 (75.0) | 0.407 | Â | Â |
Chemotherapy | 17 (70.8) | 8 (50.0) | 0.182 | Â | Â |
ATG/ALG | 1 (4.2) | 2 (12.5) | 0.553 | Â | Â |
HSCT | 0 (0.0) | 2 (12.5) | 0.154 | Â | Â |
Laboratory results | Â | ||||
Unresolved neutropenia before infection | 8 (36.4) b | 5 (33.3) b | 0.850 | Â | Â |
Unresolved neutropenia after infection | 11 (45.8) | 10 (62.5) | 0.301 | Â | Â |
Time of antibiotic treatment after BSI | 11 (5–16) | 20.5 (6–40) | 0.220 |  |  |
Antimicrobial exposure at the onset of BSI | 8 (33.3) | 13 (81.3) | 0.003* | Â | Â |
Previous antibiotic use | 18 (75.0) | 16 (100.0) | 0.064 | Â | Â |
BLICs | 9 (37.5) | 9 (56.3) | 0.243 | Â | Â |
Broad-spectrum cephalosporins | 1 (4.2) | 4 (25.0) | 0.138 | Â | Â |
Carbapenems | 5 (20.8) | 12 (75.0) | 0.001* | 6.927 (1.125–42.638) | 0.037* |
Tigecycline | 1 (4.2) | 2 (12.5) | 0.553 | Â | Â |
Trimethoprim-sulfamethoxazole | 4 (16.7) | 1 (6.3) | 0.631 | Â | Â |
Multidrug-resistant | 3 (12.5) | 16 (100.0) | < 0.001* |  |  |
Inappropriate empirical therapy | 1 (4.2) | 11 (68.8) | < 0.001* |  |  |