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Table 1 Demographics, clinical characteristics, and conditional logistic regression analysis among patients with vancomycin-resistant Enterococcus faecium colonization with and without subsequent infections

From: Predictors for vancomycin resistant Enterococcus faecium transforming from colonization to infection: a case control study

Variablea

Case patients (n = 97)

Control patients (n = 194)

Univariable OR (95% CI)

P

Multivariable OR (95% CI)

P

Demographics

 Age (y)

70.1 (57.6–81.3)

72.1 (57.6–82.5)

1.00 (0.98–1.01)

0.57

  

 Male sex

48 (49.5)

96 (49.5)

1.00 (0.27–3.72)

> 0.99

  

Comorbid conditions at identification

 Charlson score

4.0 (3.0–6.0)

3.0 (2.0–5.0)

1.13 (1.01–1.25)

0.03

  

 Myocardial infarction

4 (4.1)

10 (5.2)

0.79 (0.24–2.61)

0.70

  

 Congestive heart failure

10 (10.3)

28 (14.4)

0.67 (0.31–1.47)

0.32

  

 Peripheral occlusive arterial disease

1 (1.0)

8 (4.1)

0.25 (0.03–2.00)

0.19

  

 Cerebrovascular diseases

17 (17.4)

24 (12.2)

1.50 (0.70–3.21)

0.30

  

 Hemiplegia

6 (6.2)

16 (8.3)

0.70 (0.25–2.00)

0.51

  

 Dementia

6 (6.2)

15 (7.7)

0.79 (0.30–2.08)

0.64

  

 Chronic pulmonary disease

7 (7.2)

13 (6.7)

1.10 (0.38–3.19)

0.60

  

 Connective tissue disease

3 (3.1)

3 (1.6)

2.38 (0.38–14.97)

0.36

  

 Peptic ulcer disease

19 (19.6)

29 (14.9)

1.37 (0.73–2.55)

0.33

  

 Mild liver diseases

14 (4.4)

16 (8.3)

1.83 (0.86–3.88)

0.11

  

 Moderate-to-severe liver diseases

7 (7.2)

8 (4.1)

1.83 (0.63–5.29)

0.26

  

 Moderate-to-severe renal diseases

39 (40.2)

53 (27.3)

2.07 (1.15–3.73)

0.02

2.64 (1.00–6.93)

0.05

 Diabetes mellitus without end organ damage

35 (36.1)

61 (31.4)

1.27 (0.73–2.19)

0.40

  

 Diabetes mellitus with end organ damage

7 (7.2)

8 (4.1)

1.83 (0.63–5.29)

0.26

  

 Solid tumor without metastases

21 (21.7)

47 (24.2)

0.83 (0.42–1.61)

0.58

  

 Metastatic solid tumor

7 (7.2)

11 (5.7)

1.31 (0.48–3.62)

0.60

  

 Leukemia

17 (17.5)

28 (14.4)

1.56 (0.62–3.94)

0.35

  

 Lymphoma

4 (4.1)

13 (6.7)

0.62 (0.20–1.89)

0.40

  

 Acquired immunodeficiency syndrome

1 (1.0)

0 (0)

NA

NA

  

Healthcare factors within 30 days before EOF

 Receipt of solid organ transplantation

0 (0)

4 (2.1)

NA

NA

  

 Receipt of hematopoietic stem cell transplantation

3 (3.1)

15 (7.7)

0.33 (0.09–1.24)

0.10

0.37 (0.08–1.63)

0.19

 New receipt of hemodialysis

15 (15.5)

7 (3.6)

6.46 (2.12–19.69)

0.001

3.66 (0.99–13.73)

0.05

 ICU admission

66 (67.0)

43 (22.2)

10.63 (5.03–22.48)

< 0.001

9.32 (3.61–24.02)

< 0.001

 GI intervention

13 (13.4)

9 (4.6)

3.34 (1.32–8.47)

0.01

  

 Steroid use

50 (51.6)

107 (55.7)

0.80 (0.48–1.33)

0.39

  

 Chemotherapy

18 (18.6)

46 (23.8)

0.65 (0.31–1.34)

0.24

  

 Parental hyperalimentation

40 (41.2)

54 (28.0)

1.98 (1.14–3.46)

0.02

  

 Neutropenia

14 (14.4)

10 (5.2)

3.44 (1.37–8.65)

0.009

  

 Mechanical ventilator

49 (50.5)

90 (46.4)

1.24 (0.71–2.17)

0.45

  

 Indwelling urinary catheter

38 (39.2)

92 (47.4)

0.68 (0.40–1.16)

0.16

  

 Central venous catheters

87 (89.7)

120 (61.9)

7.05 (3.11–15.97)

< 0.001

3.38 (1.30–8.82)

0.01

Antibiotics use within 30 days before EOF

 Antipseudomonal penicillin

20 (20.6)

24 (12.4)

1.89 (0.97–3.68)

0.06

  

 Penicillins combined with β-lactamases inhibitors

2 (2.1)

7 (3.6)

0.54 (0.10–2.79)

0.46

  

 First-generation cephalosporin

0 (0)

3 (1.6)

NA

NA

  

 Second-generation cephalosporin

6 (6.2)

5 (2.6)

2.68 (0.74–9.68)

0.13

  

 Third-generation cephalosporin

32 (33.0)

27 (13.9)

2.95 (1.63–5.32)

< 0.001

4.06 (1.79–9.20)

0.001

 Fourth-generation cephalosporin

29 (29.9)

18 (9.3)

4.48 (2.21–9.07)

< 0.001

5.32 (1.85–10.29)

0.002

 Carbapenem

40 (41.2)

32 (16.5)

4.35 (2.28–8.30)

< 0.001

  

 Fluoroquinolone

27 (27.8)

29 (15.0)

2.17 (1.20–3.95)

0.01

  

 Metronidazole

7 (7.2)

11 (5.7)

1.29 (0.49–3.44)

0.61

  

 Aminoglycoside

8 (8.3)

13 (6.7)

1.24 (0.50–3.07)

0.64

  

 Glycopeptide

29 (29.9)

31 (16.0)

2.28 (1.25–4.14)

0.007

  

 Tigecycline

3 (3.1)

10 (5.2)

0.60 (0.17–2.18)

0.44

  

 Daptomycin

8 (8.3)

17 (8.8)

0.93 (0.38–2.28)

0.88

  

 Linezolid

14 (14.4)

8 (4.1)

4.79 (1.70–13.48)

< 0.001

  

 SXT

9 (9.3)

14 (7.2)

1.36 (0.53–3.46)

0.52

  

 Othersb

19 (19.6)

22 (11.3)

2.00 (0.99–4.03)

0.05

0.36 (0.12–1.05)

0.06

  1. Abbreviations: IQR interquartile range, OR odds ratios, CI confidence interval, NA not applicable, ICU intensive care unit, EOF end of follow-up, SXT Trimethoprim/sulfamethoxazole
  2. aData are median values (interquartile range) for continuous variables and number of cases (percentage) for categorical variables. Mann–Whitney U test was used to compare continuous variables, and χ2 or Fisher exact test was used to compare categorical variables
  3. bOther antimicrobials: numbers of patients receiving of colistin, penicillin, macrolides, and clindamycin were 10, 5, 3, and 3 in case group, and 18, 1, 3, and 0 in control group. A patient may receive more than one antibiotic within 30 days before end of follow-up