Diabetes and Hemoglobin A1c as Risk Factors for Nosocomial Infections in Critically Ill Patients
Table 5
Risk factors for bloodstream infections (BSI)
Patients with BSI
Patients without BSI
OR
95% CI
P
Age (years)
66 ± 15
66 ± 16
0.845
ΒMI
29 ± 5
28 ± 8
0.789
Apache II score
25 ± 7
24 ± 8
0.746
Sex (male)
37 (67%)
71 (55%)
1.679
0.867–3.254
0.123
Diabetes Mellitus
27 (49%)
43 (33%)
1.929
1.014–3.669
0.044
HbA1c ≥ 7%
15 (27%)
28 (22%)
1.353
0.654–2.796
0.414
Hypertension
30 (55%)
69 (54%)
1.043
0.544–1.966
0.895
Hyperlipidemia
10 (18%)
33 (26%)
0.646
0.293–1.426
0.278
Cardiac disease
23 (42%)
65 (50%)
0.708
0.374–1.339
0.287
COPD
12 (22%)
25 (19%)
1.161
0.535–2.519
0.706
Chronic kidney disease
4 (7%)
12 (9%)
0.765
0.235–2.485
0.655
Stroke
12 (22%)
11 (9%)
2.944
1.230–7.286
0.013
Cancer
4 (7%)
9 (7%)
1.046
0.308–3.551
0.943
Other
16 (29)
34 (26%)
1.146
0.568–2.312
0.703
Enteral feeding
27 (49%)
64 (50%)
0.979
0.521–1.841
0.948
Parenteral feeding
48 (87%)
115 (89%)
0.835
0.317–2.197
0.714
Blood transfusion in ICU
13 (24%)
26 (20%)
1.226
0.576–2.612
0.597
Corticosteroids in ICU
15 (27%)
35 (72%)
1.007
0.496–2.047
0.984
Previous infection in ICU
17 (31%)
26 (20%)
1.772
0.866–3.625
0.115
Infection on admission
23 (42%)
49 (38%)
1.173
0.617–2.232
0.626
BSI on admission
17 (31%)
19 (15%)
2.590
1.22–5.489
0.011
Previous surgery
5 (9%)
20 (16%)
0.545
0.193–1.535
0.245
Preceding intake of antibiotics
21 (38%)
54 (42%)
0.858
0.449–1.638
0.642
Preceding corticosteroid treatment
4 (7%)
4 (3%)
2.451
0.590–10.177
0.204
Previous hospitalization
23 (42%)
53 (41%)
1.031
0.543–1.955
0.926
Data are presented as (%) or mean (±SD). ICU: intensive care unit, BMI: body mass index, COPD: chronic obstructive pulmonary disease, BSI: bloodstream infections.
