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Table 5 Characteristics of patients with a high Charlson Comorbidity Index (≥5 points) as well as pharmacokinetics and pharmacodynamics of vancomycin

From: Association between vancomycin pharmacokinetic/pharmacodynamic parameters, patient characteristics, and mortality in patients with bacteremia caused by vancomycin-susceptible Enterococcus faecium: a single-center retrospective study

Characteristic

All patients

(N = 22)

30-day all-cause mortality group

(N = 10)

Survival group

(N = 12)

P-value

Body weight (kg)a

52.7 (45.7–63.0)

60.4 (46.8–71.0)

48.7 (42.6–54.3)

0.044 i)

WBC (× 103/μL)a

9.1 (4.0–13.2)

13.2 (7.4–17.4)

5.8 (3.5–11.4)

0.048 i)

PLT (× 103/μL)a

154 (97.5–206.5)

102 (76–152)

181 (125–292)

0.021 i)

CCIa

6 (6–7)

6 (6–8)

6 (6–7)

0.77 i)

SOFA score (a)

2 (1–5)

2 (1–6)

1 (1–5)

0.40 i)

SOFA score (b)

3 (1–6)

6 (4–7)

2 (0–2)

0.014 i)

Acute kidney injury patients

8 (36.4%)

4 (40.0%)

4 (33.3%)

1.00 ii)

ARC risk scorea

1 (0–1)

1 (0–1)

1 (0–1)

0.57 i)

Pharmacokinetics and pharmacodynamics of vancomycin

 Vancomycin trough concentration (μg/mL)a

14.8 (9.9–25.3)

23.2 (14.4–28.3)

10.5 (8.9–15.7)

0.0069 i)

 Vancomycin AUC24 (μg/mL·h)a

721 (498–943)

745 (488–885)

658 (499–1065)

1.00 i)

 Vancomycin AUC24/MIC ratioa

826 (561–1142)

859 (663–1194)

730 (515–1242)

0.74 i)

Number of cases with failure to achieve a vancomycin AUC24/MIC ratio ≤ 389

10 (45.5%)

5 (50.0%)

5 (41.7%)

1.00 ii)

  1. AUC24 estimated area under the curve from 0 to 24 h, CCI Charlson Comorbidity Index, MIC minimum inhibitory concentration, PLT platelet count, SOFA Sequential Organ Failure Assessment, WBC white blood cell count
  2. i) Mann-Whitney U test, ii) Fisher’s exact test
  3. aExpressed in medians and interquartile ranges (IQR)
  4. The P-value was calculated by processing the comparison between the 30-day all-cause mortality group and the survival group by an appropriate statistical analysis
  5. ¶Patients with acute kidney injury evaluated at the first measurement of the vancomycin trough concentration
  6. SOFA score (a): at the onset of E. faecium bacteremia
  7. SOFA score (b): at the first measurement of the vancomycin trough concentration