Clinical Study

Risk Factors for the First Episode of Klebsiella pneumoniae Resistant to Carbapenems Infection in Critically Ill Patients: A Prospective Study

Table 3

Antibiotic treatment administered to participants.

KPRC
( )
Non-MDR bacterial infection
( )
No bacteria group
( )

Antibiotics in the last 3 months5 (20)0.3362 (11.1)0.6803 (7.7)0.245
Antibiotics during hospitalization prior to infection24 (96)0.02214 (77.8)0.14438 (97.4)1.0
Use of carbapenems13 (52)0.0623 (16.7) 0.02615 (38.5)0.313
Duration of carbapenem use (days)3 (0, 11)0.0250 (0, 0)0.0210 (0, 6)0.409
Use of antipseudomonal penicillins8 (32)0.4743 (16.7)0.30912 (30.8)1.0
Duration of antipseudomonal penicillins use (days)0 (0, 4)0.2650 (0, 0)0.3300 (0, 4)1.0
Use of quinolones7 (28)0.4032 (11.1)0.2638 (20.5)0.553
Duration of quinolones use (days)0 (0, 4)0.1540 (0, 0)0.1620 (0, 0)1.0
Use of cephalosporins 3rd generation5 (20)0.2176 (33.3)0.48016 (41)0.105
Duration of cephalosporins 3rd generation use (days)0 (0, 0)0.8860 (0, 2)1.00 (0, 2)1.0
Use of cephalosporins 4th generation2 (8)0.3410 (0)0.5021 (2.6)0.555
Duration of cephalosporins 4th generation use (days)0 (0, 0)0.2280 (0, 0)0.4230 (0, 0)0.395
Use of colistin14 (56)0.0287 (38.9)0.3589 (23.1) 0.015
Duration of colistin use (days)2 (0, 13)0.0010 (0, 4)0.0220 (0, 0)0.001
Use of tygecycline5 (20)0.072 (11.1)0.6801 (2.6)1.0
Duration of tygecycline use (days)0 (0, 0)0.0960 (0, 0)0.3920 (0, 0)0.108
Use of aminoglycosides2 (8)0.9342 (11.1)1.04 (10.3)1.0
Duration of aminoglycosides use (days)0 (0, 0)0.5600 (0, 0)1.00 (0, 0)1.0
Aerosolized colistin4 (16)0.6734 (22)1.05 (13)1.0
Appropriate empirical antibiotic treatment15 (60)0.3816 (88)0.046NANA
Appropriate definitive antibiotic treatment23 (92)0.22918 (100)0.502NANA

Data are presented as median (25% and 75% quartiles) or (%); KPRC: Klebsiella pneumonia resistant to carbapenems; MDR: multidrug resistant bacteria; appropriate empirical antimicrobial treatment, administration of in vitro active antimicrobials against the study isolates within 24 h from infection onset; appropriate definitive antibiotic treatment, administration of in vitro active antibiotics for at least 48 h; : comparison between three groups; : KPRC versus non-MDR group, KPRC versus no bacteria group. Results are by univariate analysis.