Table 4.

Multivariable Analysis of Factors Significantly Associated With Infant Colonization With Antimicrobial-Resistant GNB at NICU Discharge

Resistance CategoryOdds Ratio95% Confidence IntervalP Valuesa
Gentamicin-resistant GNB
Gestational age (wk)0.950.92–0.97<.01
Length of stay (days)1.000.99–1.00<.01
Meropenem treatment (≥10 days)2.682.25–3.21<.01
Third/fourth-generation cephalosporin treatment (≥10 days)2.501.22–5.15.01
Penicillin and/or ampicillin treatment (≥10 days)0.230.11–0.52<.01
β-Lactam/β-lactamase combination treatment (≥5 days)2.301.18–4.48.01
Third/fourth-generation cephalosporin-resistant GNB
Surgical procedureb1.971.54–2.50<.01
Third/fourth-generation cephalosporin treatment (≥5 days)2.131.72–2.66<.01
β-Lactam/β-lactamase combination treatment (≥5 days)3.071.45–6.50<.01
Metronidazole treatment (≥5 days)2.551.67–3.87<.01
Cefazolin treatment (≥5 days)0.360.16–0.82.01
Carbapenem-resistant GNB
Female1.921.12–3.30.02
Length of stay (day)1.011.00–1.01.03
Meropenem treatment (≥10 days)8.125.69–11.61<.01
Resistance CategoryOdds Ratio95% Confidence IntervalP Valuesa
Gentamicin-resistant GNB
Gestational age (wk)0.950.92–0.97<.01
Length of stay (days)1.000.99–1.00<.01
Meropenem treatment (≥10 days)2.682.25–3.21<.01
Third/fourth-generation cephalosporin treatment (≥10 days)2.501.22–5.15.01
Penicillin and/or ampicillin treatment (≥10 days)0.230.11–0.52<.01
β-Lactam/β-lactamase combination treatment (≥5 days)2.301.18–4.48.01
Third/fourth-generation cephalosporin-resistant GNB
Surgical procedureb1.971.54–2.50<.01
Third/fourth-generation cephalosporin treatment (≥5 days)2.131.72–2.66<.01
β-Lactam/β-lactamase combination treatment (≥5 days)3.071.45–6.50<.01
Metronidazole treatment (≥5 days)2.551.67–3.87<.01
Cefazolin treatment (≥5 days)0.360.16–0.82.01
Carbapenem-resistant GNB
Female1.921.12–3.30.02
Length of stay (day)1.011.00–1.01.03
Meropenem treatment (≥10 days)8.125.69–11.61<.01

Abbreviations: GNB, gram-negative bacilli; NICU, neonatal intensive care unit.

aP values are reported from the final fixed-effect model for each outcome. Only significant variables (P < .05) in the final models are shown.

bSurgical procedures were performed at sites 1, 2, and 3.

Table 4.

Multivariable Analysis of Factors Significantly Associated With Infant Colonization With Antimicrobial-Resistant GNB at NICU Discharge

Resistance CategoryOdds Ratio95% Confidence IntervalP Valuesa
Gentamicin-resistant GNB
Gestational age (wk)0.950.92–0.97<.01
Length of stay (days)1.000.99–1.00<.01
Meropenem treatment (≥10 days)2.682.25–3.21<.01
Third/fourth-generation cephalosporin treatment (≥10 days)2.501.22–5.15.01
Penicillin and/or ampicillin treatment (≥10 days)0.230.11–0.52<.01
β-Lactam/β-lactamase combination treatment (≥5 days)2.301.18–4.48.01
Third/fourth-generation cephalosporin-resistant GNB
Surgical procedureb1.971.54–2.50<.01
Third/fourth-generation cephalosporin treatment (≥5 days)2.131.72–2.66<.01
β-Lactam/β-lactamase combination treatment (≥5 days)3.071.45–6.50<.01
Metronidazole treatment (≥5 days)2.551.67–3.87<.01
Cefazolin treatment (≥5 days)0.360.16–0.82.01
Carbapenem-resistant GNB
Female1.921.12–3.30.02
Length of stay (day)1.011.00–1.01.03
Meropenem treatment (≥10 days)8.125.69–11.61<.01
Resistance CategoryOdds Ratio95% Confidence IntervalP Valuesa
Gentamicin-resistant GNB
Gestational age (wk)0.950.92–0.97<.01
Length of stay (days)1.000.99–1.00<.01
Meropenem treatment (≥10 days)2.682.25–3.21<.01
Third/fourth-generation cephalosporin treatment (≥10 days)2.501.22–5.15.01
Penicillin and/or ampicillin treatment (≥10 days)0.230.11–0.52<.01
β-Lactam/β-lactamase combination treatment (≥5 days)2.301.18–4.48.01
Third/fourth-generation cephalosporin-resistant GNB
Surgical procedureb1.971.54–2.50<.01
Third/fourth-generation cephalosporin treatment (≥5 days)2.131.72–2.66<.01
β-Lactam/β-lactamase combination treatment (≥5 days)3.071.45–6.50<.01
Metronidazole treatment (≥5 days)2.551.67–3.87<.01
Cefazolin treatment (≥5 days)0.360.16–0.82.01
Carbapenem-resistant GNB
Female1.921.12–3.30.02
Length of stay (day)1.011.00–1.01.03
Meropenem treatment (≥10 days)8.125.69–11.61<.01

Abbreviations: GNB, gram-negative bacilli; NICU, neonatal intensive care unit.

aP values are reported from the final fixed-effect model for each outcome. Only significant variables (P < .05) in the final models are shown.

bSurgical procedures were performed at sites 1, 2, and 3.

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