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Table 1 Demographic and clinical characteristics of patients with PCP according to respiratory failure

From: Risk factors for Pneumocystis pneumonia with acute respiratory failure among kidney transplant recipients

 

Total (n = 50)

Non-severe PCP (n = 23)

Severe PCP

(n = 27)

P-value

Age (years)

47.22 ± 14.35

41.4 ± 14.7

52.2 ± 12.3

0.007*

Male (n, %)

28 (56.0%)

13 (56.5%)

15 (55.6%)

1.000

BMI

21.81 ± 3.33

20.4 ± 2.8

23.0 ± 3.3

0.005*

Underlying disease

Diabetes mellitus

Hypertension

Tuberculosis

Hepatitis B virus

Hepatitis C virus

10 (20.0%)

44 (88.0%)

3 (6.0%)

4 (8.0%)

1 (2.0%)

5 (21.7%)

21 (91.3%)

1 (4.3%)

2 (8.7%)

0

5 (18.5%)

23 (85.2%)

2 (7.4%)

2 (7.4%)

1 (3.7%)

1.000

Causes of transplantation

Hypertension

Diabetes mellitus

Glomerulonephritis

Polycystic kidney disease

Unknown

6 (12.0%)

11 (22.0%)

13 (26.0%)

4 (8.0%)

16 (32.0%)

3 (13.0%)

3 (13.0%)

8 (34.8%)

0

9 (39.1%)

3 (11.1%)

8 (29.6%)

5 (18.5%)

4 (14.8%)

7 (25.9%)

0.139

Type of kidney donation

Living related donor

Living unrelated donor

Deceased donor

25 (50.0%)

15 (30.0%)

10 (20.0%)

14 (60.9%)

6 (26.1%)

3 (13.0%)

11 (40.7%)

9 (33.3%)

7 (25.9%)

0.324

Type of immunosuppressant

Tacrolimus

Cyclosporine

Mycophenolate mofetil

Sirolimus

35 (70.0%)

15 (30.0%)

41 (82.0%)

2 (4.0%)

16 (69.6%)

7 (30.4%)

18 (78.3%)

2 (8.7%)

19 (70.4%)

8 (29.6%)

23 (85.2%)

0

1.000

Co-infection

Cytomegalovirus

BK virus

18 (36.0%)

10 (20.0%)

7 (30.4%)

4 (17.4%)

11 (40.7%)

6 (22.2%)

0.645

0.943

ABO incompatible

13 (26.0%)

6 (26.1%)

7 (25.9%)

1.000

Re-transplantation

3 (6.0%)

0

3 (11.1%)

0.293

Incidence of TMP/SMX

Prophylaxis failure

12 (24.0%)

4 (17.4%)

8 (29.6%)

0.498

Time from onset of symptom to hospital admission (days)

7.3 ± 6.0

9.1 ± 7.6

5.8 ± 3.8

0.063

Time from transplantation to PCP (months)

18.1 ± 18.8

23.4 ± 24.9

13.7 ± 9.9

0.090

Time from discontinuation of TMP/SMX to PCP (months)

8.9 ± 14.0

12.8 ± 19.9

5.6 ± 2.7

0.101

HLA-A, B, DR mismatch

2.9 ± 1.5

2.3 ± 1.1

3.4 ± 1.7

0.011*

Total lymphocyte count (mm3)

(normal range: 800-4,000 /mL)

755.0 ± 421.5

970.7 ± 408.3

571.2 ± 342.7

0.001*

History of acute rejection treatment within 1 year

19 (38.0%)

6 (26.1%)

13 (48.1%)

0.190

Use of rituximab

19 (38.0%)

6 (26.1%)

13 (48.1%)

0.190

Change of second-line

antibiotics

25 (50.0%)

10 (43.5%)

15 (55.6%)

0.570

Use of adjunctive

corticosteroid

34 (68.0%)

10 (43.5%)

24 (88.9%)

0.002*

Length of hospital stay (days)

39.94 ± 68.38

17.1 ± 9.9

59.4 ± 88.8

0.001*

Mortality

7 (14.0%)

0

7 (25.9%)

0.026*

  1. * p-values of < 0.05 were considered statistically significant
  2. BKV, BK virus; BMI, body mass index; CMV, cytomegalovirus; HLA, human leukocyte antigen; PCP, pneumocystis pneumonia; TMP/SMX, trimethoprim/sulfamethoxazole