Variable | AKI Group (n = 6) | no-AKI Group (n = 9) | P-value |
---|---|---|---|
Age (years) | 70 (54–81) | 66 (21–82) | 0.388 |
Sex male -no. (%) | 5 (83) | 7 (78) | 1.000 |
Body weight (kg) | 64 (48–76) | 59 (40–79) | 0.388 |
Main diagnosis - no. (%) | |||
Native valve IE / Prosthetic valve IE | 4 (67) / 2 (33) | 3 (30) / 1 (11) | 0.044 |
Sepsis | 0 (0) | 2 (22) | 0.486 |
Bacteremia | 0 (0) | 2 (22) | 0.486 |
Others 1) | 0 (0) | 1 (11) | 1.000 |
Causative pathogens no. (%) | |||
MRSA | 0 (0) | 2 (22) | 0.486 |
Staphylococcus epidermidis | 1 (17) | 0 (0) | 0.400 |
Enterococcus species | 1 (17) | 2 (22) | 1.000 |
Streptococcus species | 2 (33) | 2 (22) | 1.000 |
Others or not identified | 2 (33) | 3 (33) | 1.000 |
Comorbidities no. (%) | |||
Valvular disease | 3 (50) | 3 (33) | 0.622 |
Arrhythmia | 1 (17) | 1 (11) | 1.000 |
Cerebrovascular disease | 0 (0) | 3 (33) | 0.229 |
Hypertension | 3 (50) | 1 (11) | 0.235 |
CKD | 1 (17) | 0 (0) | 0.400 |
Hematological malignancy | 1 (17) | 1 (11) | 1.000 |
Solid tumor | 0 (0) | 2 (22) | 0.486 |
qSOFA score 2 or higher / others - no. (%) 2) | 0 (0) / 6 (100) | 1 (11) / 8 (89) | 1.000 |
Ejection fraction (%) | 73 (66–81) | 70 (38–85) | 0.776 |
Heart valve surgery no. (%) | 1 (17) | 1 (11) | 1.000 |
Baseline biochemistry and complete blood counts | |||
Albumin (g/dL) | 2.8 (2.0–3.6) | 2.7 (2.2–4.2) | 0.767 |
Blood urea nitrogen (mg/dL) | 18.3 (8.6–24.5) | 13.2 (7.8–47.8) | 0.480 |
Creatinine (mg/dL) | 0.84 (0.35–1.29) | 0.65 (0.49–1.56) | 0.637 |
CLcr (mL/min) | 68 (58–136) | 81 (31–159) | 0.556 |
eGFR (mL/min/1.73m2) | 68 (47–142) | 93 (36–147) | 0.814 |
Hemoglobin (g/dL) | 11.2 (7.1–15.6) | 10.0 (7.2–13.7) | 0.529 |
VCM dose (mg/kg/day) | 26.8 (16.5–38.9) | 25.4 (10.6–46.2) | 0.607 |
GM dose (mg/kg/day) | 2.0 (1.6–2.5) | 2.0 (0.8–4.6) | 0.864 |
GM once daily administration no. (%) | 3 (50) | 4 (44) | 1.000 |
Duration until AKI onset after the commencement of VCM plus GM therapy (day) | 12 (7–22) | NA | NA |
Duration until AKI onset after the commencement of VCM therapy | 14 (7–24) | NA | NA |
Frequency of VCM TDM during the study period (day) | 4 (1–4) | 2 (1–5) | 0.251 |
Median duration until TDM after the commencement of VCM (day) | 9 (5–14) | 5 (4–7) | 0.097 |
Clinical outcomes 3) | |||
30-day mortality no. (%) | 1 (17) | 0 (0) | 0.429 |
90-day mortality no. (%) | 3 (50) | 1 (13) | 0.245 |
Clinical failure no. (%) | 2 (33) 4) | 3 (38) 5) | 1.000 |
Concomitant nephrotoxic agents no. (%) | |||
ACEIs/ARBs | 1 (17) | 0 (0) | 0.400 |
NSAIDs | 0 (0) | 1 (11) | 1.000 |
Diuretics | 1 (17) | 3 (33) | 0.604 |
Immunosuppressant | 0 (0) | 1 (11) | 1.000 |
Concomitant other antimicrobial agents no. (%) | |||
Cephem antimicrobial agents 6) | 1 (17) | 3 (33) | 0.604 |
Meropenem | 0 (0) | 2 (22) | 0.486 |