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Table 4 Risk factors for mortality in fluconazole resistant C. parapsilosis

From: Risk factors and outcome for bloodstream infections due to fluconazole-resistant Candida parapsilosis: a 22-year single-center retrospective study

 

Survive (n = 69)

Death (n = 19)

p value

Demographic features

   

Age years, median (IQR)

62.00 (1–- 91)

64.00 (1–- 80)

0.883

Sex male, n (%)

38 (55.1%)

12 (63.2%)

0.607

Patients’ underlying diseases

   

Diabetes Mellitus, n (%)

7 (10.1%)

3 (15.8%)

0.445

Hypertension, n (%)

3 (4.3%)

3 (15.7%)

0.294

Hematological malignancy, n (%)

11 (15.9%)

6 (31.6%)

0.186

Solid organ malignancy, n (%)

6 (8.7%)

3 (15.8%)

0.399

GI malignancy, n (%)

33 (47.8%)

9 (47.4%)

1.000

GI Diseases, n (%)

16 (23.2%)

7 (36.8%)

0.249

Hepatobiliary system diseases, n (%)

7 (10.1%)

0 (0.0%)

0.338

CVD, n (%)

17 (24.6%)

4 (21.1%)

1.000

CNS Diseases, n (%)

11 (15.9%)

2 (10.5%)

0.726

Burn, n (%)

7 (10.1%)

4 (21.1%)

0.242

Abdominal Operation, n (%)

32 (46.4%)

6 (31.6%)

0.302

Asthma/COPD, n (%)

3 (4.3%)

2 (10.5%)

0.294

Sepsis-1, n (%)

6 (8.6%)

3 (15.7%)

0.196

History of hospitalization in the last 3 months, n (%)

44 (63.8%)

12 (63.2%)

1.000

Chemotherapy treatment, n (%)

18 (26.1%)

8 (42.1%)

0.255

Antimicrobial exposure in the last 90 days

   

Carbapenem, n (%)

45 (65.2%)

13 (68.4%)

1.000

Glycopeptide, n (%)

36 (52.2%)

8 (42.1%)

0.605

4th generation cephalosporin, n (%)

11 (15.9%)

1 (5.3%)

0.449

3rd generation cephalosporin, n (%)

1 (1.4%)

1 (5.3%)

0.387

Fluoroquinolone, n (%)

6 (8.7%)

1 (5.3%)

1.000

Aminoglycoside, n (%)

13 (18.8%)

4 (21.1%)

1.000

Colistin, n (%)

8 (11.6%)

3 (15.8%)

0.697

Tigecycline, n (%)

4 (5.8%)

0 (0.0%)

0.573

Anti-pseudomonal penicillin, n (%)

6 (8.7%)

2 (10.5%)

1.000

Linezolid, n (%)

7 (10.1%)

3 (15.8%)

0.445

Daptomycin, n (%)

5 (7.2%)

0 (0.0%)

0.581

Trimethoprim-sulfomethoxazole, n (%)

5 (7.2%)

3 (15.8%)

0.362

Fluconazole, n (%)

13 (18.8%)

7 (36.8%)

0.124

Invasive Procedures

   

CVC, n (%)

66 (95.7%)

19 (100.0%)

1.000

TPN, n (%)

53 (76.8%)

17 (89.5%)

0.339

Urinary Catheter, n (%)

59 (85.5%)

17 (89.5%)

1.000

Nephrostomy Catheter, n (%)

3 (4.3%)

1 (5.3%)

1.000

Colostomy, n (%)

21 (30.4%)

1 (5.3%)

0.054

CVC Remove, n (%)

60 (87.0%)

13 (68.4%)

0.065

Microbiological Cure, n (%)

64 (92.8%)

8 (42.1%)

< 0.001

  1. COPD: Chronic obstructive pulmonary disease, GI: Gastrointestinal, CVD: Cardiovascular disease, CNS: Central nervous system, CVC: Central venous catheter, TPN: Total parenteral nutrition, CRP: C-reactive protein