Table 4 Univariate and multivariate logistic regression analysis of prognostic factors for clinical treatment failure*.

From: Clinical and microbiological characteristics, and impact of therapeutic strategies on the outcomes of children with candidemia

Variables

Univariate analysis

Multivariate analysis

Odds ratio

95% CI

P value

Odds ratio

95% CI

P value#

Patient category

  Neonates

1.20

0.75–1.91

0.451

   

  Children

1.0

(reference)

    

Underlying chronic comorbidities

  Renal sufficiency with/without dialysis

3.11

1.53–6.33

0.002

1.99

0.86–4.60

0.109

  Hematological/Oncological malignancy

1.42

0.75–2.67

0.284

   

Septic shock

6.96

3.97–12.22

<0.001

5.49

2.85–10.57

<0.001

Delayed CVC removal (>72 hours)

6.40

3.69–11.07

<0.001

5.52

2.97–10.25

<0.001

Breakthrough candidemia

5.27

2.55–10.87

<0.001

3.66

1.43–9.35

0.007

Initial inadequate antifungal agents (first 24 hours)

1.32

0.81–2.18

0.275

   

Delayed initiation of effective antifungal agents (48 hours)

1.78

1.13–2.82

0.014

1.14

0.61–2.13

0.673

Initial antifungal therapy

  Fluconazole/Voriconazole

1.0

(reference)

    

  Amphotericin B

0.682

0.41–1.15

0.147

   

  Echinocandin-based regimen

0.908

0.30–2.71

0.862

   

Pathogens

  Candida albicans

1

(reference)

 

1

(reference)

 

  Non-albicans Candida spp.

1.72

1.09–2.71

0.021

1.42

0.78–2.57

0.254

  Uncommon Candida spp.**

1.85

0.98–3.49

0.059

1.50

0.66–3.39

0.330

Case years

  2003–2006

0.665

0.38–1.15

0.148

   

  2007–2011

0.664

0.38–1.16

0.152

   

  2012–2015

1

(reference)

    
  1. APACHE II: Acute Physiology and Chronic Health Evaluation II score; CI: confidence interval; CVC: central venous catheter.
  2. *All-cause mortality within day 3-30 (episodes with antifungal treatment) or persistent bloodstream infection for ≥72 hours from the initiation of antifungal therapy in 310 evaluable episodes of Candida BSI in children.
  3. #Hosmer-Lemeshow P = 0.664.
  4. **Uncommon Candida spp. included all Candida spp. in addition to C. albicans, C. parapsilosis, C. glabrata, C. tropicalis, and C. krusi.