Research Article

Infections due to Carbapenem Resistant Enterobacteriaceae among Saudi Arabian Hospitalized Patients: A Matched Case-Control Study

Table 2

Univariate analysis of risk factors associated with CRE and CSE infections.

CharacteristicsCRE ()CSE ()Univariate
OR (95% CI)
value

Female sex11 (37.9%)26 (44.8)0.75 (0.30–1.87)0.540
Comorbid conditions
 Diabetes mellitus18 (62.1%)28 (48.3%)1.75 (0.71–4.36)0.224
 Pulmonary disease5 (17.2)13 (22.4%)0.72 (0.23–2.26)0.574
 Renal disease14 (48.3%)13 (22.4%)3.23 (1.24–8.39)0.014
 Liver disease5 (17.2%)4 (6.9%)2.81 (0.69–11.4%)0.153
 Cardiovascular disease19 (656.5%)27 (46.6%)2.18 (0.87–5.49)0.095
 Malignancy10 (34.5%)13 (22.4%)1.82 (0.61–4.87)0.229
 Neurologic disease13 (44.8%)20 (34.5%)1.54 (0.62–3.84)0.349
Clinical characteristics
 CVC placement 18 (62.1%)26 (44.8%)2.01 (0.81–5.01)0.129
 Urinary catheter26 (89.7%)33 (56.9%)6.57 (1.78–24.17)0.002
 ICU stay 22 (75.9%)28 (48.3%)3.36 (1.25–9.10)0.014
 Surgery23 (79.3%)31 (53.4%)3.34 (1.18–9.41)0.019
 Mechanical ventilation19 (65.5%)20 (34.5%)3.61 (1.41–9.22)0.006
 Dialysis8 (27.6%)4 (6.9%)5.14 (1.40–18.90)0.017
Prior antibiotic use
 Use of any antibiotic18 (62.1%)11 (19%)6.99 (2.58–18.94)<0.001
 Vancomycin4 (13.8%)3 (5.2%)2.93 (0.61–14.10)0.215
 Piperacillin-tazobactam12 (41.4%)0 (0%)81.9 (5.73–46470974.82)<0.01
 Carbapenem9 (31%)3 (5.2%)8.25 (2.03–33.57)0.002
 Cephalosporin
  First generation2 (6.9%)5 (8.6%)0.78 (0.14–4.31)1.000
  Second generation3 (10.3%)1 (1.7%)6.58 (0.65–66.27)0.106
  Third generation2 (5.1%)3 (5.1%)2.04 (0.12–33.76)1.000
  Fourth generation2 (6.9%)0 (0%)8.59 (0.36–5786949.94)0.109
 Quinolone9 (31%)2 (3.4%)12.60 (2.51–63.35)<0.01
 Metronidazole8 (27.6%)1 (1.7%)21.71 (2.56–184.23)<0.01
 Colistin 1 (3.4%)0 (0%)4.14 (0.07–3345908.39)0.333