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Table 2 Incidence rate, hazard ratios, 95% CI and significance tests for various types of nosocomial infections by COVID-19 status

From: Nosocomial infections among COVID-19 patients: an analysis of intensive care unit surveillance data

 

COVID-19 patients (n = 71)

Non-COVID-19 patients (n = 487)

P value

Nosocomial infection

Total ICU-days

727

1847

–

Episodes of nosocomial infection

10a

13b

–

Incidence of nosocomial infection per 1000 ICU-days (95% CI)

13.76 (7.40–25.56)

7.04 (4.09–12.12)

–

Hazard ratio

1.95 (0.86–4.46)

1

0.105

Adjusted hazard ratioc

1.59 (0.60–4.21)

–

0.353

CAUTI

Indwelling urinary catheter

42 (59.15)

354 (72.69)

0.019

Duration of indwelling catheter, Median days (IQR)d

6.5 (4–14)

2 (2–4)

< 0.001

Total Catheter-days

555

1443

–

Episodes of CAUTI

4

1

–

Incidence of CAUTI per 1000 catheter-days (95% CI)

7.21 (2.70–19.20)

0.69 (0.10–4.92)

–

Hazard ratio (95% CI)

10.40 (1.16–93.05)

1

0.009

CLABSI

Number of patients on central line

27 (38.03)

191 (39.22)

0.848

Duration of central line, Median Days (IQR)d

9 (6–23)

3 (2–7)

< 0.001

Total Central line-days

418

1050

–

Episodes of CLABSI

0

2

–

Incidence of CLABSI per 1000 central line-days (95% CI)

0

1.90 (0.48–7.62)

–

Hazard ratio (95% CI)

–

–

–

PVAP

Invasive mechanical ventilation

27 (38.03)

222 (45.59)

0.231

Duration of mechanical ventilation, median days (IQR)d

8 (5–26)

3 (1–5)

< 0.001

Total Ventilator-days

471

1150

–

Episodes of PVAP

1

2

–

Incidence of PVAP per 1000 ventilator-days (95% CI)

2.12 (0.30–15.07)

1.74 (0.43–6.95)

–

Hazard Ratio (95% CI)

1.22 (0.11–13.46)

1

0.87

Secondary bloodstream infection (BSI)

ICU-days

727

1847

–

Episodes of BSI

5

8

–

Incidence of BSI per 1000 ICU-days (95% CI)

6.88 (2.86–16.52)

4.33 (2.17–8.66)

–

Hazard Ratio (95% CI)

1.59 (0.52–4.85)

1

0.413

  1. aFrom the 10 nosocomial infections, a total of 11 organisms were detected. There were 2 (18.2%) Klebsiella pneumoniae, 2 (18.2%) Escherichia coli, 1 (9.1%) Enterobacter cloacae, 2 (18.2%) Pseudomonas aeruginosa, 1 (9.1%) Pseudomonas species, 1 (9.1%) Enterococcus faecium, 1 (9.1%) coagulase-negative Staphylococcus, and 1 (9.1%) Candida species detected. All enterobacteriaceae and non-fermenters organisms were sensitive to carbapenem
  2. bFrom the 13 nosocomial infections, a total of 17 organisms were detected. There were 4 (23.5%) Staphylococcus aureus, 3 (17.7%) Klebsiella pneumoniae, 1 (5.9%) Escherichia coli, 1 (5.9%) Enterobacter aerogenes, 1 (5.9%) Pseudomonas aeruginosa, 1 (5.9%) Enterococcus faecium, and 6 (35.3%) Candida species detected. All enterobacteriaceae and non-fermenters organisms were sensitive to carbapenem. Of the 4 Staphylococcus Aureus, 1 was methicillin-resistant
  3. cAdjusted for age, gender, comorbidity as a whole, length of stay in ICU, presence of IDC, presence of invasive ventilation, and presence of central line
  4. dRank sum test and only patients with invasive procedures done were included