Table 7 Candida isolates identified in peritoneal fluid Candida 1

Table 7 Candida isolates identified in peritoneal fluid Candida 138 Candida albicans 110 (79.7%) (Candida albicans resistant to Fluconazole) 4 (2.9%) Non-albicans Candida 28 (20.3%) (non-albicans Candida resistant to Fluconazole) 5 (3.6%) Outcome The overall mortality rate was 7.6% (163/2,152). 521 patients (24.2%) were admitted to the intensive care unit in the early recovery phase immediately following surgery. 255 post-operative patients (11.8%) ultimately required additional

surgeries; VS-4718 clinical trial 66.7% of follow-up laparotomies were unplanned “on-demand” procedures and 20% were anticipated see more surgeries. Overall, 11.3% of these patients underwent open abdominal procedures. According to univariate statistical analysis of the data (Table 8), severe sepsis (OR=14.6; 95%CI=8.7-24.4; p<0.0001) and septic shock (OR=27.6; 95%CI=15.9-47.8; p<0.0001) upon hospital admission were both predictive of patient mortality. Table 8 Univariate analysis: risk factors for occurrence of death during hospitalization Risk factors Odds ratio 95%CI p Clinical condition

upon hospital admission Severe sepsis 27.6 15.9-47.8 <0.0001 Septic shock 14.6 8.7-24.4 <0.0001 Healthcare associated infection Chronic care setting acquired 5.2 1.7-8.4 <0.0001 Non post-operative hospital acquired 3.8 2.4-10.9 <0.0001 Post-operative 2.5 1.7-3.7 <0.0001 Source of infection       Colonic non diverticular perforation 117.4 27.9-493.9 <0.0001 Diverticulitis 45.4 10.4-198.6 <0.0001 Loperamide Small bowel perforation 125.7 29.1-542 <0.0001

Delayed initial intervention 2.6 1.8-3.5 <0.0001 Immediate post-operative clinical course Severe sepsis 33.8 19.5-58.4 <0.0001 Septic Temsirolimus mw shock 59.2 34.4-102.1 <0.0001 ICU admission 18.6 12-28.7 <0.0001 WBC>12000 or <4000 (3nd post-operative day) 2.8 1.8-4.4 <0.0001 T>38°C or <36°C (3nd post-operative day) 3.3 2.2-5 <0.0001 For healthcare associated infections, the setting of acquisition was also a variable found to be predictive of patient mortality (chronic care setting: OR=5.2; 95%CI=1.7-8.4; p<0.0001, non-operative hospital setting: OR=3.8; 95%CI=2.4-10.9; p<0.0001, and post-operative hospital setting: OR=2.5; 95%CI=1.7-3.7; p<0.0001). Among the various sources of infection, colonic non-diverticular perforation (OR=117.4; 95%CI=27.9-493.9, p<0.0001), complicated diverticulitis (OR=45.4; 95%CI=10.4-198.6; p<0.0001), and small bowel perforation (OR=125.7; 95%CI=29.1-542; p<0.0001) were significantly correlated with patient mortality. Mortality rates did not vary to a statistically significant degree between patients who received adequate source control and those who did not. However, a delayed initial intervention (a delay exceeding 24 hours) was associated with an increased mortality rate (OR=2.6; 95%CI=1.8-3.5; p<0.0001). The nature of the immediate post-operative clinical period was a significant predictor of mortality (severe sepsis: OR=33.8; 95%CI=19.5-58.4; p<0.0001, septic shock: OR=59.2; 95%CI=34.4-102.

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