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Table 2 Comparison of clinical characteristics between patients with CRKP-BSI and CSKP-BSI

From: Risk factors and mortality of carbapenem-resistant Klebsiella pneumoniae bloodstream infection in a tertiary-care hospital in China: an eight-year retrospective study

Variable

The total (N = 706)

CRKP (N = 212)

CSKP (N = 494)

P value

Male, n, (%)

472 (66.9)

138 (65.1)

334 (67.6)

0.515

Age(y), mean ± SD

58.9 ± 16.0

60.8 ± 16.0

58.1 ± 16.2

0.147

Comorbidities-No., %

 Congestive heart failure

96 (13.6)

22 (10.4)

74 (15.0)

0.102

 Cerebrovascular disease

122 (17.3)

40 (18.9)

82 (16.6)

0.465

 Chronic lung diseases

146 (20.7)

52 (24.5)

94 (19.0)

0.098

 Hepatobiliary and pancreatic diseases

130 (18.4)

30 (14.2)

100 (20.2)

0.056

 Kidney diseases

172 (24.4)

56 (26.4)

116 (23.5)

0.405

 Hematologic malignancy

84 (11.9)

54 (25.5)

30 (6.1)

< 0.001

 Solid tumor

118 (16.7)

40 (18.9)

78 (15.8)

0.315

 Solid organ transplantation

49 (6.9)

19 (9.0)

30 (6.1)

0.166

 Diabetes mellitus

140 (19.8)

36 (17.0)

104 (21.1)

0.214

 Immune diseases

42 (5.9)

18 (8.5)

24 (4.9)

0.061

 Charlson comorbidity index ≥ 3

348 (49.3)

112 (52.8)

236 (47.8)

0.218

Pre-infection healthcare interventions-No., %

 Enemac

52 (7.4)

18 (8.5)

34 (6.9)

0.453

 Nasogastric catheterb

174 (24.6)

46 (21.7)

128 (25.9)

0.234

 Urinary catheterb

254 (36.0)

82 (38.7)

172 (34.8)

0.327

 Surgical drainb

104 (14.7)

38 (17.9)

66 (13.4)

0.117

 Central venous catheterb

190 (26.9)

64 (30.2)

126 (25.5)

0.198

 Peripheral arterial catheterb

65 (9.2)

26 (12.3)

39 (7.9)

0.066

 Blood purificationb

72 (10.2)

28 (13.2)

44 (8.9)

0.083

 Tracheal cannulab

288 (40.8)

91 (42.9)

197 (39.9)

0.450

 Tracheostomyb

54 (7.6)

20 (9.4)

34 (6.9)

0.242

 Mechanical ventilationc

182 (25.8)

64 (30.2)

118 (23.9)

0.079

 Gastroscopyc

15 (2.1)

6 (2.8)

9 (1.8)

0.394

 Colonoscopyc

6 (0.8)

2 (0.9)

4 (0.8)

0.859

 Bronchoscopyc

78 (11.0)

24 (11.3)

54 (10.9)

0.880

 Sputum suctionb

356 (50.4)

115 (54.2)

241 (48.8)

0.184

 Thoracentesisb

56 (7.9)

21 (9.9)

35 (7.1)

0.204

 Abdominocentesisb

35 (5.0)

12 (5.7)

23 (4.7)

0.573

 Bone marrow punctureb

91 (12.9)

33 (15.6)

58 (11.7)

0.164

 Lumbar punctureb

68 (9.6)

25 (11.8)

43 (8.7)

0.202

 Previous surgeryb

140 (19.8)

58 (27.4)

82 (16.6)

0.001

 Parenteral nutritionb

237 (33.6)

77 (36.3)

160 (32.4)

0.311

 Previous hospitalizationa

378 (53.5)

134 (63.2)

244 (49.4)

0.001

Previous treatments administeredb-No., %

 Corticosteroids

138 (19.5)

52 (24.5)

86 (17.4)

0.029

 Chemotherapy or radiotherapy

150 (21.2)

40 (18.9)

110 (22.3)

0.311

 Inadequate empirical antibiotic therapy

261 (37.0)

96 (45.3)

165 (33.4)

0.003

 Previous use of antibiotics

  Carbapenems

218 (30.9)

68 (32.1)

150 (30.4)

0.652

  Glycopeptides

144 (20.4)

48 (22.6)

96 (19.4)

0.332

  Quinolones

227 (32.2)

74 (34.9)

153 (31.0)

0.305

  3rd/4th generation cephalosporins

102 (14.4)

38 (17.9)

64 (13.0)

0.085

  1st/2nd generation cephalosporins

86 (12.2)

25 (11.8)

61 (12.3)

0.836

  Penicillins

35 (5.0)

8 (3.8)

27 (5.5)

0.342

  β-lactamase inhibitor

308 (43.6)

101 (47.6)

207 (41.9)

0.159

  Aminoglycosides

27 (3.8)

12 (5.7)

15 (3.0)

0.096

  Linezolid

41 (5.8)

14 (6.6)

27 (5.5)

0.553

  Tigecycline

77 (10.9)

28 (13.2)

49 (9.9)

0.199

  Daptomycin

8 (1.1)

2 (0.9)

6 (1.2)

0.755

  Nitroimidazoles

32 (4.5)

13 (6.1)

19 (3.8)

0.181

Source of BSI-No., %

 Primary

408 (57.8)

112 (52.8)

296 (59.9)

0.080

 KP detection in samples from other sites

348 (49.3)

116 (54.7)

232 (47.0)

0.059

  Pulmonary

166 (23.5)

66 (31.7)

100 (20.1)

0.001

  Pleural effusion

16 (2.3)

6 (2.8)

10 (2.0)

0.510

  Pancreaticobiliary tract infection

40 (5.7)

14 (6.6)

26 (5.3)

0.480

  Live abscess

30 (4.2)

12 (5.7)

18 (3.6)

0.223

  Urinary tract infection

35 (5.0)

11 (5.2)

24 (4.9)

0.853

  Intestinal infection

26 (3.7)

6 (2.8)

20 (4.0)

0.431

  Intra-abdominal infection

17 (2.4)

5 (2.4)

12 (2.4)

0.955

  Skin infection

12 (1.7)

4 (1.9)

8 (1.6)

0.801

  Cerebrospinal fluid

6 (0.8)

2 (0.9)

4 (0.8)

0.859

Ward at the onset of BSI-No., %

 Intensive care units

300 (42.5)

120 (56.6)

180 (36.4)

< 0.001

 Medical wards

232 (32.9)

54 (25.5)

178 (36.0)

0.006

 Surgical wards

170 (24.1)

38 (17.9)

132 (26.7)

0.012

Severity at BSI onset-No., %

 APACHE II score > 15

240 (34.0)

86 (40.6)

154 (31.2)

0.016

 Severe sepsis/septic shock

244 (34.6)

88 (41.5)

156 (31.6)

0.011

 Outcome-No., %

 28-day mortality

190 (26.9)

90 (42.5)

100 (20.2)

< 0.001

  1. aDuring the 12 months preceding infection onset
  2. bDuring the 30 days preceding infection onset
  3. cDuring the 72 h preceding infection onset