Copyright: ©Author(s) 2026.
World J Methodol. Sep 20, 2026; 16(3): 115598
Published online Sep 20, 2026. doi: 10.5662/wjm.115598
Published online Sep 20, 2026. doi: 10.5662/wjm.115598
Table 3 Comparison of variables across the investigator’s classification of respiratory isolates
| Parameters | Pathogenic commensal | Pathogenic colonizer | Pathogenic direct | Non-pathogenic commensal | Non-pathogenic colonizer | Non-pathogenic contaminants | P value |
| Age (years), mean ± SD | 40.00 ± 19.52 | 50.67 ± 16.46 | 50.20 ± 16.10 | 30.00 ± 0 | 58.40 ± 5.90 | 49.38 ± 19.40 | 0.5591 |
| Gender: Male (%) | 33.3 | 49.5 | 76.0 | 100.0 | 80.0 | 62.5 | 0.0952 |
| Gender: Female (%) | 66.7 | 50.5 | 24.0 | 0.0 | 20.0 | 37.5 | 0.0952 |
| Sample type: Sputum (n = 24) | 100 | 0 | 68.0 | 100 | 0 | 37.5 | < 0.001 |
| Sample type: ET/TT (n = 96) | 0 | 84.5 | 4.0 | 0 | 80.0 | 50.0 | < 0.001 |
| Sample type: BAL (n = 25) | 0 | 15.5 | 28.0 | 0 | 20.0 | 12.5 | < 0.001 |
| Fever (%) | 33.3 | 43.6 | 88 | 0 | 33.3 | 50 | < 0.001 |
| Cough (%) | 66.7 | 56.4 | 88 | 0 | 66.7 | 83.3 | 0.0182 |
| Increasing oxygen requirement, n (%) | 1 (33.3) | 87 (86.1) | 16 (64.0) | 0 (0) | 1 (33.3) | 2 (33.3) | < 0.0012 |
| Increase in Sequential Organ Failure Assessment score ≥ 2 (%) | 66.7 | 85.4 | 72.0 | 0 | 0 | 37.5 | < 0.001 |
| Shock (%) | 0 | 43.7 | 24.0 | 0 | 0 | 0 | 0.009 |
| Multiple organ dysfunction syndrome (%) | 0 | 55.3 | 40.0 | 0 | 40.0 | 25.0 | 0.122 |
| VAP (%) | 0 | 48.5 | 20.0 | 0 | 20.0 | 12.5 | 0.011 |
| Risk factors | |||||||
| Mechanical ventilation (%) | 0 | 93.2 | 0 | 0 | 100.0 | 25.0 | < 0.001 |
| Recent hospitalizations/antibiotics (%) | 66.7 | 69.9 | 16.0 | 0 | 100.0 | 37.5 | < 0.001 |
| Poor oral hygiene (%) | 66.7 | 45.6 | 8.0 | 0 | 60.0 | 25.0 | 0.001 |
| Chronic obstructive pulmonary disease (%) | 33.3 | 24.3 | 4.0 | 0 | 60.0 | 12.5 | 0.030 |
| Bronchiectasis (%) | 66.7 | 0 | 0 | 0 | 20.0 | 0 | < 0.001 |
| Tracheostomy (%) | 0 | 23.3 | 0 | 0 | 20.0 | 0 | 0.030 |
| Response to treatment | < 0.001 | ||||||
| Improved | 100 | 43.70 | 80.00 | - | - | - | |
| No response | 0 | 56.30 | 20.00 | - | - | - | |
| Not treated | - | - | - | 100.00 | 80.00 | 87.50 | |
| Stable (non-pathogen) with treatment | 0 | 20.00 | 12.50 | ||||
| Outcome: Mortality (%) | 0 | 50.6 | 16.0 | 0 | 0 | 14.3 | 0.001 |
- Citation: Sahu S, Omar BJ, Bairwa M, Sharma P, Sahu P, Panda PK. Stepwise model to differentiate pathogenic from non-pathogenic organisms in lower-respiratory isolates: Effectiveness and feasibility prospective cohort study. World J Methodol 2026; 16(3): 115598
- URL: https://www.wjgnet.com/2222-0682/full/v16/i3/115598.htm
- DOI: https://dx.doi.org/10.5662/wjm.115598