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Table 2 Clinical characteristics and risk factors associated with bloodstream infection caused by carbapenem-resistant Acinetobacter spp.

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

  

Age

 

median (range)

16 (1–62)

27.5 (1–54)

0.404

  

≥ 45

6 (25.0)

5 (31.3)

0.728

  

Underlying diseases

     

VSAA

3 (12.5)

6 (37.5)

0.120

  

ALL

9 (37.5)

2 (12.5)

0.148

  

AML

10 (41.7)

7 (43.8)

0.896

  

MDS

1 (4.2)

1 (6.3)

1.000

  

DCLCB

1 (4.2)

0 (0.0)

1.000

  

Diabetes

1 (4.2)

2 (12.5)

0.553

  

Accompanying symptoms

     

Respiratory failure

3 (12.5)

6 (37.5)

0.120

  

Cardiac dysfunction

5 (20.8)

8 (50.0)

0.054

  

Severe sepsis/septic shock

4 (16.7)

6 (37.5)

0.159

  

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

 

Central venous catheterization

22 (91.7)

12 (75.0)

0.195

  

Intravenous glucocorticoid

14 (58.3)

11 (68.8)

0.505

  

Immunosuppressive therapy

21 (87.5)

12 (75.0)

0.407

  

Chemotherapy

17 (70.8)

8 (50.0)

0.182

  

ATG/ALG

1 (4.2)

2 (12.5)

0.553

  

HSCT

0 (0.0)

2 (12.5)

0.154

  

Laboratory results

 

Unresolved neutropenia before infection

8 (36.4) b

5 (33.3) b

0.850

  

Unresolved neutropenia after infection

11 (45.8)

10 (62.5)

0.301

  

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*

  

Previous antibiotic use

18 (75.0)

16 (100.0)

0.064

  

BLICs

9 (37.5)

9 (56.3)

0.243

  

Broad-spectrum cephalosporins

1 (4.2)

4 (25.0)

0.138

  

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

  

Trimethoprim-sulfamethoxazole

4 (16.7)

1 (6.3)

0.631

  

Multidrug-resistant

3 (12.5)

16 (100.0)

< 0.001*

  

Inappropriate empirical therapy

1 (4.2)

11 (68.8)

< 0.001*

  
  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: CSA, carbapenem-susceptible Acinetobacter spp.; CRA, carbapenem-resistant Acinetobacter spp.; 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; BSI, bloodstream infection; BLICs, β-lactam/β-lactamase inhibitor combinations. a39, 23 and 16 evaluable patients. b37, 22 and 15 evaluable patients