Table 4.

Multivariable analysis for risk factors for development of infections

VariablenRR of infection (95% CI)P
Any infection (bacterial/viral/fungal)*    
 Main effect variable   .0006 
  RIC/NMA 777 1.00  
  MAC 978 1.28 (1.11-1.48)  
 HCT–comorbidity index   <.0001 
  0 458 1.00  
  1-2 400 1.14 (0.96-1.36) .1318 
  ≥3 499 1.19 (1.02-1.38) .0261 
  NA (before 2007) 375 0.70 (0.57-0.86) .0008 
  Missing 23 1.28 (0.77-2.14) .3335 
 Donor/recipient HLA match   <.0001 
  HLA-identical related donor 597 1.00  
  UCB 257 1.81 (1.40-2.34) <.0001 
  Well-matched unrelated 690 0.97 (0.80-1.18) .7708 
  Partially matched/mismatched unrelated 167 1.19 (0.95-1.49) .187 
  Unrelated—match unknown 44 1.68 (1.20-2.35) .0024 
 ATG/alemtuzumab peri-HCT   .0004 
  No 1208 1.00  
  Yes 547 1.33 (1.13-1.55)  
 Acute GVHD grades II-IV before infection   <.0001 
  No 1135 1.00  
  Yes 620 1.53 (1.33-1.77)  
Bacterial infection 
 Main effect variable   <.0001 
  RIC/NMA 777 1.00  
  MAC 978 1.44 (1.23-1.67)  
 Donor/recipient HLA match   <.0001 
  HLA-identical related donor 597 1.00  
  UCB 257 1.57 (1.27-1.95) <.0001 
  Well-matched unrelated 690 0.90 (0.76 –1.08) .2531 
  Partially matched/mismatched unrelated 167 1.00 (0.76-1.30) .9752 
  Unrelated—match unknown 44 0.70 (0.41-1.20) .1937 
 Neutrophil engraftment before infection   .0009 
  No 396 1.00  
  Yes 1359 0.60 (0.44-0.81)  
 Viral infection before bacterial infection   <.0001 
  No 1323 1.00  
  Yes 432 1.82 (1.46-2.26) 
 Fungal infection before bacterial infection   .0007 
  No 1706 1.00  
  Yes 49 2.13 (1.38-3.30)  
Viral infection* 
 Main effect variable   .9930 
  RIC/NMA 777 1.00  
  MAC 978 1.00 (0.82-1.21)  
 HCT–comorbidity index   .0001 
  0 458 1.00  
  1-2 400 1.09 (0.85-1.40) .5118 
  ≥3 499 1.26 (1.03-1.55) .0270 
  NA (before 2007) 375 0.62 (0.45-0.86) .0036 
  Missing 23 1.45 (0.88-2.38) .1495 
 Donor/recipient HLA match   <.0001 
  HLA-identical related donor 597 1.00  
  UCB 257 2.63 (2.06-3.35) <.0001 
  Well-matched unrelated 690 1.19 (0.96-1.49) .1152 
  Partially matched/mismatched unrelated 167 1.46 (1.10-1.93) .0078 
  Unrelated—match unknown 44 2.50 (1.52-4.11) .0003 
 ATG/alemtuzumab peri-HCT, ≤39 d   <.0001 
  No 1208 1.00  
  Yes 547 2.48(1.94-3.15)  
 ATG/alemtuzumab peri-HCT, >39 d   .8328 
  No 1417 1.00  
  Yes 338 1.03 (0.77-1.38)  
 Acute GVHD grades II-IV before infection   <.0001 
  No 1116 1.00  
  Yes 639 1.73 (1.46-2.06)  
 Bacterial infection before viral infection   .0002 
  No 1140 1.00  
  Yes 615 1.40 (1.18-1.67)  
Fungal infection 
 Main effect variable   .9696 
  RIC/NMA 777 1.00  
  MAC 978 0.99 (0.64-1.54)  
 Donor/recipient HLA match   .0226 
  HLA-identical related donor 597 1.00  
  UCB 257 2.65 (1.41-5.00) .0026 
  Well-matched unrelated 690 1.31 (0.72-2.38) .3684 
  Partially matched/mismatched unrelated 167 1.49 (0.65-3.44) .3467 
  Unrelated—match unknown 44 2.74 (0.92-8.15) .0708 
 Neutrophil engraftment before infection   .0053 
  No 65 1.00  
  Yes 1690 0.37 (0.18-0.74)  
 Bacterial infection before viral infection   .0119 
  No 1037 1.00  
  Yes 718 1.81 (1.14-2.89)  
 Viral infection before bacterial infection   .0038 
  No 1135 1.00  
  Yes 620 2.17 (1.28-3.67)  
VariablenRR of infection (95% CI)P
Any infection (bacterial/viral/fungal)*    
 Main effect variable   .0006 
  RIC/NMA 777 1.00  
  MAC 978 1.28 (1.11-1.48)  
 HCT–comorbidity index   <.0001 
  0 458 1.00  
  1-2 400 1.14 (0.96-1.36) .1318 
  ≥3 499 1.19 (1.02-1.38) .0261 
  NA (before 2007) 375 0.70 (0.57-0.86) .0008 
  Missing 23 1.28 (0.77-2.14) .3335 
 Donor/recipient HLA match   <.0001 
  HLA-identical related donor 597 1.00  
  UCB 257 1.81 (1.40-2.34) <.0001 
  Well-matched unrelated 690 0.97 (0.80-1.18) .7708 
  Partially matched/mismatched unrelated 167 1.19 (0.95-1.49) .187 
  Unrelated—match unknown 44 1.68 (1.20-2.35) .0024 
 ATG/alemtuzumab peri-HCT   .0004 
  No 1208 1.00  
  Yes 547 1.33 (1.13-1.55)  
 Acute GVHD grades II-IV before infection   <.0001 
  No 1135 1.00  
  Yes 620 1.53 (1.33-1.77)  
Bacterial infection 
 Main effect variable   <.0001 
  RIC/NMA 777 1.00  
  MAC 978 1.44 (1.23-1.67)  
 Donor/recipient HLA match   <.0001 
  HLA-identical related donor 597 1.00  
  UCB 257 1.57 (1.27-1.95) <.0001 
  Well-matched unrelated 690 0.90 (0.76 –1.08) .2531 
  Partially matched/mismatched unrelated 167 1.00 (0.76-1.30) .9752 
  Unrelated—match unknown 44 0.70 (0.41-1.20) .1937 
 Neutrophil engraftment before infection   .0009 
  No 396 1.00  
  Yes 1359 0.60 (0.44-0.81)  
 Viral infection before bacterial infection   <.0001 
  No 1323 1.00  
  Yes 432 1.82 (1.46-2.26) 
 Fungal infection before bacterial infection   .0007 
  No 1706 1.00  
  Yes 49 2.13 (1.38-3.30)  
Viral infection* 
 Main effect variable   .9930 
  RIC/NMA 777 1.00  
  MAC 978 1.00 (0.82-1.21)  
 HCT–comorbidity index   .0001 
  0 458 1.00  
  1-2 400 1.09 (0.85-1.40) .5118 
  ≥3 499 1.26 (1.03-1.55) .0270 
  NA (before 2007) 375 0.62 (0.45-0.86) .0036 
  Missing 23 1.45 (0.88-2.38) .1495 
 Donor/recipient HLA match   <.0001 
  HLA-identical related donor 597 1.00  
  UCB 257 2.63 (2.06-3.35) <.0001 
  Well-matched unrelated 690 1.19 (0.96-1.49) .1152 
  Partially matched/mismatched unrelated 167 1.46 (1.10-1.93) .0078 
  Unrelated—match unknown 44 2.50 (1.52-4.11) .0003 
 ATG/alemtuzumab peri-HCT, ≤39 d   <.0001 
  No 1208 1.00  
  Yes 547 2.48(1.94-3.15)  
 ATG/alemtuzumab peri-HCT, >39 d   .8328 
  No 1417 1.00  
  Yes 338 1.03 (0.77-1.38)  
 Acute GVHD grades II-IV before infection   <.0001 
  No 1116 1.00  
  Yes 639 1.73 (1.46-2.06)  
 Bacterial infection before viral infection   .0002 
  No 1140 1.00  
  Yes 615 1.40 (1.18-1.67)  
Fungal infection 
 Main effect variable   .9696 
  RIC/NMA 777 1.00  
  MAC 978 0.99 (0.64-1.54)  
 Donor/recipient HLA match   .0226 
  HLA-identical related donor 597 1.00  
  UCB 257 2.65 (1.41-5.00) .0026 
  Well-matched unrelated 690 1.31 (0.72-2.38) .3684 
  Partially matched/mismatched unrelated 167 1.49 (0.65-3.44) .3467 
  Unrelated—match unknown 44 2.74 (0.92-8.15) .0708 
 Neutrophil engraftment before infection   .0053 
  No 65 1.00  
  Yes 1690 0.37 (0.18-0.74)  
 Bacterial infection before viral infection   .0119 
  No 1037 1.00  
  Yes 718 1.81 (1.14-2.89)  
 Viral infection before bacterial infection   .0038 
  No 1135 1.00  
  Yes 620 2.17 (1.28-3.67)  
*

Center effect identified.

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