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Table 1 Comparison of clinical characteristics between the survived and deceased groups

From: Carbapenem-resistant Enterobacterales infection and colonization in patients with severe burns: a retrospective cohort study in a single burn center

Factor

Survived group

Deceased group

p value

(N = 72)

(N = 34)

Male sex

59 (81.9)

26 (76.5)

0.509

Age, years, mean ± SD

51.9 ± 18.8

57.4 ± 19.1

0.171

Year

  

0.009

 2020

12 (16.7)

0 (0.0)

 2021

26 (36.1)

21 (61.8)

 2022

34 (47.2)

13 (38.2)

Admission from other hospitals

10 (13.9)

4 (11.8)

> 0.99

Identification of CRE

  

0.182

 On admission

3 (4.2)

2 (5.9)

 On contact surveillance

5 (6.9)

3 (8.8)

 On regular screening

33 (48.6)

8 (23.5)

 On infection suspicion

31 (40.3)

21 (61.8)

CCI ≥ 3 points

22 (30.6)

13 (38.2)

0.433

Burn type

  

0.683

 Flame

54 (75.0)

26 (76.5)

 Scald

7 (9.7)

4 (11.8)

 Electrical

6 (8.3)

2 (5.9)

 Contact

2 (2.8)

2 (5.9)

 Chemical

3 (4.2)

0 (0.0)

Inhalation injury

26 (36.1)

19 (55.9)

0.055

TBSA burn, %, mean ± SD

37.1 ± 17.8

53.2 ± 23.5

< 0.001

ABSI score ≥ 10

17 (23.6)

27 (79.4)

< 0.001

Central venous catheter

68 (94.4)

34 (100.0)

0.303

Urethral catheter

72 (100.0)

34 (100.0)

NA

Endotracheal intubation

38 (52.8)

29 (85.3)

0.001

Continuous renal replacement therapy

1 (1.4)

5 (14.7)

0.013

BICU days before CRE identification, median (range)

12 (0–75)

6 (0–37)

< 0.001

Previous CR-GNB acquisition

52 (72.2)

14 (41.2)

0.002

Antibiotic use before CRE acquisition

   

 Non-anti-pseudomonal β-lactams

9 (12.5)

0 (0.0)

0.055

 Piperacillin/tazobactam

64 (88.9)

31 (91.2)

> 0.99

 Anti-pseudomonal cephalosporins

10 (13.9)

1 (2.9)

0.101

 Carbapenems

26 (36.1)

6 (17.6)

0.053

 Aminoglycosides

14 (19.4)

3 (8.8)

0.164

 Fluoroquinolones

22 (30.6)

1 (2.9)

0.001

 Colistin

35 (48.6)

7 (20.6)

0.006

 Tigecycline or minocycline

7 (9.7)

0 (0.0)

0.094

 Glycopeptides

46 (63.9)

10 (29.4)

< 0.001

Positive sample for CRE

  

0.28

 Rectal swab only

24 (33.3)

7 (20.6)

 Clinical sample only

13 (18.1)

5 (14.7)

 Both

35 (48.6)

22 (64.7)

 CP-CRE identification

45 (62.5)

30 (88.2)

0.007

Bacteria species

  

0.924

 Klebsiella pneumoniae

51 (70.8)

27 (79.4)

 Klebsiella aerogenes

8 (11.1)

3 (8.8)

 Escherichia coli

5 (6.9)

1 (2.9)

 Enterobacter cloacae

4 (5.6)

2 (5.9)

 Serratia marcescens

2 (2.8)

1 (2.9)

 Proteus mirabilis

1 (1.4)

0 (0.0)

 Providencia stuartii

1 (1.4)

0 (0.0)

Antibiotic resistance rate

   

 Ampicillin

69 (95.8)

34 (100.0)

0.55

 Amoxicillin/clavulanate

65 (90.3)

32 (94.1)

0.715

 Piperacillin/tazobactam

63 (87.5)

30 (88.2)

> 0.99

 Caftazidime

63 (87.5)

33 (97.1)

0.163

 Cefepime

64 (88.9)

32 (94.1)

0.496

 Meropenema

54 (91.5)

32 (94.1)

> 0.99

 Amikacin

2 (2.8)

1 (2.9)

> 0.99

 Ciprofloxacin

58 (80.6)

31 (91.2)

0.164

 Colistinb

36 (62.1)

19 (57.6)

0.673

 Tigecyclinec

50 (71.4)

28 (82.4)

0.227

 Trimethoprim/sulfamethoxazole

55 (76.4)

30 (88.2)

0.153

  1. SD standard deviation, CRE carbapenem-resistant Enterobacterales, CCI Charlson comorbidity index, TBSA total body surface area, ABSI abbreviated burn severity index, NA not available, BICU burn intensive care unit, CR-GNB carbapenem-resistant Gram-negative bacteria, CP-CRE carbapenemase-producing CRE. a Antibiotic susceptibility was tested in 59 and 34 episodes in the survived and deceased groups, respectively. b Antibiotic susceptibility was tested in 58 and 33 episodes in the survived and deceased groups, respectively. c Antibiotic susceptibility was tested in 70 and 34 episodes in the survived and deceased groups, respectively