| Overall patients | Intravenous colistin | P-value | |
---|---|---|---|---|
Locolin® | Colimycin® | |||
No. of patients | 195 | 95 | 100 | Â |
Age, years (SD) | 73.8 (13.5) | 75.2 (12.3) | 72.4 (14.6) | 0.142 |
Sex | 0.069 | |||
Male | 138 (70.8%) | 73 (76.8%) | 65 (65%) | Â |
Female | 57 (29.2%) | 22 (23.2%) | 35 (35%) | Â |
BMI (SD) | 22.3 (4.6) | 21.7 (4.8) | 22.8 (4.3) | 0.106 |
Smoking | 78 (40%) | 40 (42.1%) | 38 (38%) | 0.559 |
Comorbidities | Â | |||
Diabetes | 57 (29.2%) | 28 (29.5%) | 29 (29%) | 0.942 |
Malignancies | 33 (16.9%) | 24 (25.3%) | 9 (9%) | 0.002 |
Renal insufficiency (CCr < 30) | 21 (10.8%) | 10 (10.5%) | 11 (11%) | 0.915 |
Chronic liver diseases | 16 (8.2%) | 3 (3.2%) | 13 (13%) | 0.017 |
Heart failure | 17 (8.7%) | 8 (8.4%) | 9 (9%) | 0.886 |
CR-GNB culture sources | Â | |||
Respiratory specimens | 157 (80.5%) | 75 (78.9%) | 82 (82%) | 0.591 |
Urine | 11 (5.6%) | 6 (6.3%) | 5 (5%) | 0.691 |
Blood | 10 (5.1%) | 4 (4.2%) | 6 (6%) | 0.571 |
Others | 17 (8.7%) | 10 (10.5%) | 7 (7%) | 0.383 |
CR-GNB species | Â | |||
CRAB | 141 (72.3%) | 64 (67.4%) | 77 (77%) | 0.270 |
CRE | 45 (23.1%) | 28 (29.5%) | 17 (17%) | 0.051 |
CRPA | 9 (4.6%) | 3 (3.2%) | 6 (6%) | 0.344 |
Laboratory results (Mean, SD) | Â | |||
Leukocytes (× 109 per L) | 13.2 (9.0) | 13.2 (8.3) | 13.3 (9.7) | 0.935 |
CRP (mg/dL) | 10.0 (6.5) | 10.3 (7.6) | 9.6 (5.9) | 0.464 |
Albumin level (median, IQR) | 2.7 (2.4–3.0) | 2.8 (2.5–3.1) | 2.6 (2.3–2.9) | 0.017 |
Concomitant nephrotoxins | Â | |||
Aminoglycoside | 22 (11.3%) | 15 (15.8%) | 7 (7%) | 0.052 |
Vancomycin | 20 (10.3%) | 13 (13.7%) | 7 (7%) | 0.124 |
Intravenous contrast agent | 39 (20.0%) | 17 (17.9%) | 22 (22%) | 0.474 |
Disease severity | Â | |||
APACHEII scores (median, IQR)b | 24 (19–30) | 25 (20–30) | 24 (19–30) | 0.768 |
Respiratory failured | 175 (89.7%) | 83 (87.4%) | 92 (92%) | 0.287 |
Septic shockd | 61 (31.3%) | 33 (34.7%) | 28 (28%) | 0.310 |
Intravenous colistin | Â | |||
Daily dosage (MIU) (median, IQR) | 8 (4–10) | 8 (4–10) | 8 (4–10) | 0.814 |
Treatment duration (median, IQR) | 7 (4–12) | 7 (4–12) | 7 (4–12) | 0.782 |
Accumulated dosage (MIU) (median, IQR) | 48 (28–80) | 48 (28–64) | 48 (24–88) | 0.956 |
Inappropriate colistin dosage | 23 (11.8%) | 7 (7.4%) | 16 (16%) | 0.062 |