Characteristics | Total (n = 390) | Cases (n = 195) | Controls (n = 195) | P value |
---|---|---|---|---|
Demographic variable | ||||
Median age, years (IQR) | 72 (59–79) | 72 (63–79) | 71 (58–78) | 0.183 |
Male sex, n (%) | 176 (45.1) | 98 (50.3) | 78 (40.0) | 0.042 |
Admission route | 0.046 | |||
Emergency room | 97 (24.9) | 40 (20.5) | 57 (29.2) | |
Outpatient setting | 293 (75.1) | 155 (79.5) | 138 (70.8) | |
Variables from current admission | ||||
Median length of hospital stay before VRE acquisition, days (IQR) | 21 (14–32) | 21 (14–32) | 46 (27–77) | 0.522 |
MRSA nasal carriage, n (%) | 32 (8.2%) | 32 (16.4%) | 0 | < 0.001 |
Comorbidities, n (%) | ||||
Cardiovascular diseases | 233 (59.7) | 119 (61.0) | 114 (58.5) | 0.606 |
Neurologic diseases | 84 (21.5) | 39 (20.0) | 45 (23.1) | 0.460 |
Malignancy diseases | 64 (16.4) | 29 (14.9) | 35 (17.9) | 0.412 |
Renal diseases | 47 (12.1) | 26 (13.3) | 21 (10.8) | 0.427 |
Hepatic diseases | 36 (9.2) | 15 (7.7) | 21 (10.8) | 0.294 |
Pulmonary diseases | 43 (11.0) | 15 (7.7) | 28 (14.4) | 0.036 |
Metabolic diseases | 132 (33.8) | 70 (35.9) | 62 (31.8) | 0.392 |
Hematologic diseases | 4 (1.0) | 0 | 4 (2.1) | 0.123 |
Median Charlson comorbidity score (IQR) | 2 (1–2) | 1 (1–2) | 2 (1–3) | 0.020 |
Charlson comorbidity score ≥ 3, n (%) | 82 (21.0) | 28 (14.4) | 54 (27.7) | 0.001 |
Exposure to antimicrobial in the previous 90 days, n (%) | ||||
Vancomycin | 161 (41.3) | 81 (41.5) | 80 (41.0) | 0.918 |
Imipenem | 170 (43.6) | 92 (47.2) | 78 (40.0) | 0.153 |
Cephalosporins | 225 (57.7) | 122 (62.6) | 103 (52.8) | 0.051 |
Fluoroquinolones | 196 (50.3) | 106 (54.4) | 90 (46.2) | 0.105 |
Procedures in the previous 90 days, n (%) | ||||
Urinary catheter | 326 (83.6) | 171 (87.7) | 155 (79.5) | 0.029 |
Enteral feeding tube | 254 (65.1) | 144 (73.8) | 110 (56.4) | < 0.001 |
Mechanical ventilator | 201 (51.5) | 116 (59.5) | 85 (43.6) | 0.002 |
Prior ICU admission | 356 (91.3) | 184 (94.4) | 172 (88.2) | 0.031 |
Prior operative procedure | 221 (56.1) | 105 (53.8) | 116 (59.5) | 0.261 |
Positive clinical culture during current admission, n (%) | ||||
MRSA positive | 162 (41.5) | 114 (58.5) | 48 (24.6) | < 0.001 |
VRE positive | 55 (14.1) | 23 (11.8) | 32 (16.4) | 0.190 |
Co-isolation of VRE and MRSA | 23 (5.9) | 17 (8.7) | 6 (3.1) | 0.032 |
Episodes of infections during current admission, n (%) | ||||
VRE infection | 14 (3.6) | 5 (2.6) | 9 (4.6) | 0.276 |
MRSA infection | 197 (50.5) | 111 (56.9) | 86 (44.1) | 0.011 |
Clinical outcomes | ||||
In-hospital mortality, n (%) | 93 (23.8) | 48 (24.6) | 45 (23.1) | 0.721 |
Attributable mortality, n (%) | ||||
MRSA | 18 (4.6) | 16 (8.2) | 2 (1.0) | 0.002 |
VRE | 0 | 0 | 0 | – |
Length of hospital stay after VRE acquisition, median (IQR), days | 18 (6–46) | 21 (7–47) | 14 (5–46) | 0.089 |