Epidemiological and Clinical Characterization of Superinfections in Critically Ill Coronavirus Disease 2019 Patients.

acute respiratory distress syndrome coronavirus disease 2019 critically ill hospital-acquired infections superinfection

Journal

Critical care explorations
ISSN: 2639-8028
Titre abrégé: Crit Care Explor
Pays: United States
ID NLM: 101746347

Informations de publication

Date de publication:
Jun 2021
Historique:
entrez: 17 6 2021
pubmed: 18 6 2021
medline: 18 6 2021
Statut: epublish

Résumé

To describe the epidemiology of superinfections (occurring > 48 hr after hospital admission) and their impact on the ICU and 28-day mortality in patients with coronavirus disease 2019 with acute respiratory distress syndrome, requiring mechanical ventilation. Retrospective analysis of prospectively collected observational data. University-affiliated adult ICU. Ninety-two coronavirus disease 2019 patients admitted to the ICU from February 21, 2020, to May 6, 2020. None. The prevalence of superinfection at ICU admission was 21.7%, and 53 patients (57.6%) had at least one superinfection during ICU stay, with a total of 75 (82%) ventilator-associated pneumonia and 57 (62%) systemic infections. The most common pathogens responsible for ventilator-associated pneumonia were Prevalence of superinfections in coronavirus disease 2019 patients requiring mechanical ventilation was high in this series, and bacterial superinfections were independently associated with ICU or 28-day mortality (whichever comes first).

Identifiants

pubmed: 34136819
doi: 10.1097/CCE.0000000000000430
pmc: PMC8202543
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e0430

Informations de copyright

Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.

Déclaration de conflit d'intérêts

The authors have disclosed that they do not have any potential conflicts of interest.

Références

Infez Med. 2020 Ahead of print Jun 1;28(2):143-152
pubmed: 32275256
Autoimmun Rev. 2020 Jul;19(7):102568
pubmed: 32376398
Ann Intensive Care. 2020 Sep 7;10(1):119
pubmed: 32894364
Lancet. 2020 Mar 28;395(10229):1054-1062
pubmed: 32171076
Infect Control Hosp Epidemiol. 2018 Sep;39(9):1063-1067
pubmed: 30051793
BMJ. 2007 Oct 20;335(7624):806-8
pubmed: 17947786
Nat Rev Dis Primers. 2018 May 11;4:18026
pubmed: 29749387
BMJ Open. 2020 Jul 12;10(7):e036452
pubmed: 32660950
Eur J Clin Invest. 2006 Jun;36(6):423-35
pubmed: 16684127
Infection. 2014 Dec;42(6):1013-22
pubmed: 25143193
Crit Care. 2014 Mar 18;18(2):208
pubmed: 25029020
Clin Microbiol Rev. 2019 May 29;32(3):
pubmed: 31142499
Antimicrob Agents Chemother. 2019 Jul 25;63(8):
pubmed: 31138565
J Hosp Infect. 2020 Aug;105(4):593-595
pubmed: 32590012
JAMA. 2020 Apr 21;323(15):1478-1487
pubmed: 32207816
Clin Infect Dis. 2021 Mar 1;72(5):905-906
pubmed: 32544219
Eur J Clin Invest. 2020 Oct;50(10):e13319
pubmed: 32535894
Ann Intensive Care. 2020 Jun 1;10(1):71
pubmed: 32488446
JAMA. 2020 Feb 25;323(8):709-710
pubmed: 31999307
Clin Microbiol Infect. 2012 Mar;18(3):268-81
pubmed: 21793988
Mycoses. 2020 Jun;63(6):528-534
pubmed: 32339350
J Infect. 2020 Aug;81(2):266-275
pubmed: 32473235
Clin Infect Dis. 2020 Sep 12;71(6):1367-1376
pubmed: 31802125
Ann Intensive Care. 2020 Nov 23;10(1):158
pubmed: 33230710
Clin Microbiol Infect. 2021 Jan;27(1):9-11
pubmed: 32979569
Clin Microbiol Infect. 2021 Jan;27(1):83-88
pubmed: 32745596
Clin Microbiol Infect. 2020 Oct;26(10):1395-1399
pubmed: 32603803
J Crit Care. 2020 Aug;58:29-33
pubmed: 32330817
Anaesthesia. 2020 Oct;75(10):1340-1349
pubmed: 32602561
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
J Glob Antimicrob Resist. 2020 Dec;23:290-291
pubmed: 33130024
Crit Care. 2019 Jun 14;23(1):219
pubmed: 31200780
J Crit Care Med (Targu Mures). 2015 Nov 10;1(4):129-139
pubmed: 29967821

Auteurs

Liana Signorini (L)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Giovanni Moioli (G)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Evelyn Van Hauwermeiren (E)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Silvia Lorenzotti (S)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Giovanni Del Fabro (G)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Giulia Renisi (G)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Paola Lanza (P)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Barbara Saccani (B)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Giulia Zambolin (G)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.

Nicola Latronico (N)

Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Department of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy.

Francesco Castelli (F)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.

Sergio Cattaneo (S)

Division of Cardio-Thoracic Intensive Care, ASST Spedali Civili, Brescia, Italy.

John C Marshall (JC)

Li Ka Shing Knowledge Institute, Unity Health Toronto, University of Toronto, Toronto, ON, Canada.

Alberto Matteelli (A)

Division of Infectious and Tropical Diseases, Spedali Civili University Hospital, Brescia, Italy.
Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.

Simone Piva (S)

Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Department of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy.

Classifications MeSH