Incidence, Risk Factors and Impact on Clinical Outcomes of Bloodstream Infections in Patients Hospitalised with COVID-19: A Prospective Cohort Study.

COVID-19 antimicrobial stewardship bacterial super-infections bloodstream infections corticosteroid therapy

Journal

Antibiotics (Basel, Switzerland)
ISSN: 2079-6382
Titre abrégé: Antibiotics (Basel)
Pays: Switzerland
ID NLM: 101637404

Informations de publication

Date de publication:
24 Aug 2021
Historique:
received: 20 06 2021
revised: 05 08 2021
accepted: 16 08 2021
entrez: 28 9 2021
pubmed: 29 9 2021
medline: 29 9 2021
Statut: epublish

Résumé

With the aim of describing the burden and epidemiology of community-acquired/healthcare-associated and hospital-acquired bloodstream infections (CA/HCA-BSIs and HA-BSIs) in patients hospitalised with COVID-19, and evaluating the risk factors for BSIs and their relative impact on mortality, an observational cohort study was performed on patients hospitalised with COVID-19 at San Paolo Hospital in Milan, Italy from 24 February to 30 November 2020. Among 1351 consecutive patients hospitalised with COVID-19, 18 (1.3%) had CA/HCA-BSI and 51 (3.8%) HA-BSI for a total of 82 episodes of BSI. The overall incidence of HA-BSI was 3.3/1000 patient-days (95% CI 2.4-4.2). Patients with HA-BSI had a longer hospital stay compared to CA/HCA-BSI and no-BSI groups (27 (IQR 21-35) vs. 12 (7-29) vs. 9 (5-17) median-days,

Identifiants

pubmed: 34572613
pii: antibiotics10091031
doi: 10.3390/antibiotics10091031
pmc: PMC8470708
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Andrea Cona (A)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Alessandro Tavelli (A)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Andrea Renzelli (A)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Benedetta Varisco (B)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Francesca Bai (F)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Daniele Tesoro (D)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Alessandro Za (A)

Central Health Care Management, ASST Santi Paolo e Carlo, Via di Rudinì 8, 20142 Milan, Italy.

Caterina Biassoni (C)

Microbiology Unit, ASST Santi Paolo e Carlo, Via di Rudinì 8, 20142 Milan, Italy.

Lodovica Battaglioli (L)

Microbiology Unit, ASST Santi Paolo e Carlo, Via di Rudinì 8, 20142 Milan, Italy.

Marina Allegrini (M)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Ottavia Viganò (O)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Lidia Gazzola (L)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Teresa Bini (T)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Giulia Carla Marchetti (GC)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Antonella d'Arminio Monforte (A)

Clinic of Infectious Diseases, San Paolo Hospital, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan, Via di Rudinì 8, 20142 Milan, Italy.

Classifications MeSH