Table 2.

Multivariable Models of Risk Factors for Non-CP-CRE and Carbapenem-Susceptible Enterobacteriaceae Acquisitions

Non-CP-CRE vs UninfectedSusceptible Enterobacteriaceae vs Uninfected
ParameterOdds Ratio (95% CI)P ValueOdds Ratio (95% CI)P Value
ICU stay in the prior 3 months3.3 (1.4–7.7).006
Received antibiotics in preceding 3 months before eventa3.1 (1.0–10.3).05
Chronic skin ulcersb11.6 (4.3–30.8)<.001
Impaired functional status upon admission to hospital3.9 (1.7–9.2).002
Past MDROc in preceding 3 months before eventa52.3 (11.7–233.9)<.001258.3 (32.4–2058.0)<.001
Time at riskd0.96 (0.93–1.0).04
McCabe score [39]2.3 (1.2–4.4).008
Received cephalosporins in preceding 3 months before eventa0.2 (0.1–0.5)<.001
Non-CP-CRE vs UninfectedSusceptible Enterobacteriaceae vs Uninfected
ParameterOdds Ratio (95% CI)P ValueOdds Ratio (95% CI)P Value
ICU stay in the prior 3 months3.3 (1.4–7.7).006
Received antibiotics in preceding 3 months before eventa3.1 (1.0–10.3).05
Chronic skin ulcersb11.6 (4.3–30.8)<.001
Impaired functional status upon admission to hospital3.9 (1.7–9.2).002
Past MDROc in preceding 3 months before eventa52.3 (11.7–233.9)<.001258.3 (32.4–2058.0)<.001
Time at riskd0.96 (0.93–1.0).04
McCabe score [39]2.3 (1.2–4.4).008
Received cephalosporins in preceding 3 months before eventa0.2 (0.1–0.5)<.001

Abbreviations: CI, confidence interval; CP, carbapenemase producing; CRE, carbapenem-resistant Enterobacteriaceae; ICU, intensive care unit; MDRO, multidrug-resistant organism; OR, odds ratio.

aEvent was defined as bacterial isolation for the patients who acquired non-CP-CRE or susceptible Enterobacteriaceae and as patients’ discharge date for uninfected patients.

bLower limb diabetic foot wounds, decubitus ulcers, dwelling wound surrounding PEG insertion, surgical-site wounds, surrounding catheters.

cIncludes methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, extended-spectrum beta lactamase-producing Enterobacteriaceae, Acinetobacter baumannii, and Pseudomonas aeruginosa.

dFor both resistant and susceptible case patients, time at risk was defined as the length of stay from admission to culture. For uninfected control patients, the time at risk was adjusted by multiplying the total length of stay by a random number between 0 and 1 (Excel; Microsoft).

Table 2.

Multivariable Models of Risk Factors for Non-CP-CRE and Carbapenem-Susceptible Enterobacteriaceae Acquisitions

Non-CP-CRE vs UninfectedSusceptible Enterobacteriaceae vs Uninfected
ParameterOdds Ratio (95% CI)P ValueOdds Ratio (95% CI)P Value
ICU stay in the prior 3 months3.3 (1.4–7.7).006
Received antibiotics in preceding 3 months before eventa3.1 (1.0–10.3).05
Chronic skin ulcersb11.6 (4.3–30.8)<.001
Impaired functional status upon admission to hospital3.9 (1.7–9.2).002
Past MDROc in preceding 3 months before eventa52.3 (11.7–233.9)<.001258.3 (32.4–2058.0)<.001
Time at riskd0.96 (0.93–1.0).04
McCabe score [39]2.3 (1.2–4.4).008
Received cephalosporins in preceding 3 months before eventa0.2 (0.1–0.5)<.001
Non-CP-CRE vs UninfectedSusceptible Enterobacteriaceae vs Uninfected
ParameterOdds Ratio (95% CI)P ValueOdds Ratio (95% CI)P Value
ICU stay in the prior 3 months3.3 (1.4–7.7).006
Received antibiotics in preceding 3 months before eventa3.1 (1.0–10.3).05
Chronic skin ulcersb11.6 (4.3–30.8)<.001
Impaired functional status upon admission to hospital3.9 (1.7–9.2).002
Past MDROc in preceding 3 months before eventa52.3 (11.7–233.9)<.001258.3 (32.4–2058.0)<.001
Time at riskd0.96 (0.93–1.0).04
McCabe score [39]2.3 (1.2–4.4).008
Received cephalosporins in preceding 3 months before eventa0.2 (0.1–0.5)<.001

Abbreviations: CI, confidence interval; CP, carbapenemase producing; CRE, carbapenem-resistant Enterobacteriaceae; ICU, intensive care unit; MDRO, multidrug-resistant organism; OR, odds ratio.

aEvent was defined as bacterial isolation for the patients who acquired non-CP-CRE or susceptible Enterobacteriaceae and as patients’ discharge date for uninfected patients.

bLower limb diabetic foot wounds, decubitus ulcers, dwelling wound surrounding PEG insertion, surgical-site wounds, surrounding catheters.

cIncludes methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, extended-spectrum beta lactamase-producing Enterobacteriaceae, Acinetobacter baumannii, and Pseudomonas aeruginosa.

dFor both resistant and susceptible case patients, time at risk was defined as the length of stay from admission to culture. For uninfected control patients, the time at risk was adjusted by multiplying the total length of stay by a random number between 0 and 1 (Excel; Microsoft).

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