The impact of the secondary infections in ICU patients affected by COVID-19 during three different phases of the SARS-CoV-2 pandemic.

Blood chemistry parameters COVID-19 Clinical outcome Microbiological data SARS-COV-2 infection Secondary infections

Journal

Clinical and experimental medicine
ISSN: 1591-9528
Titre abrégé: Clin Exp Med
Pays: Italy
ID NLM: 100973405

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 30 09 2022
accepted: 18 11 2022
medline: 1 8 2023
pubmed: 3 12 2022
entrez: 2 12 2022
Statut: ppublish

Résumé

Microbial secondary infections can contribute to an increase in the risk of mortality in COVID-19 patients, particularly in case of severe diseases. In this study, we collected and evaluated the clinical, laboratory and microbiological data of COVID-19 critical ill patients requiring intensive care (ICU) to evaluate the significance and the prognostic value of these parameters. One hundred seventy-eight ICU patients with severe COVID-19, hospitalized at the S. Francesco Hospital of Nuoro (Italy) in the period from March 2020 to May 2021, were enrolled in this study. Clinical data and microbiological results were collected. Blood chemistry parameters, relative to three different time points, were analyzed through multivariate and univariate statistical approaches. Seventy-four percent of the ICU COVID-19 patients had a negative outcome, while 26% had a favorable prognosis. A correlation between the laboratory parameters and days of hospitalization of the patients was observed with significant differences between the two groups. Moreover, Staphylococcus aureus, Enterococcus faecalis, Candida spp, Pseudomonas aeruginosa and Klebsiella pneumoniae were the most frequently isolated microorganisms from all clinical specimens. Secondary infections play an important role in the clinical outcome. The analysis of the blood chemistry tests was found useful in monitoring the progression of COVID-19.

Identifiants

pubmed: 36459278
doi: 10.1007/s10238-022-00959-1
pii: 10.1007/s10238-022-00959-1
pmc: PMC9717567
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1251-1263

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.

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Auteurs

Federica Murgia (F)

Department of Biomedical Sciences, Clinical Metabolomics Unit, University of Cagliari, Cagliari, Italy.

Maura Fiamma (M)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Silvia Serra (S)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Giulia Marras (G)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Raul Argiolas (R)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Chiara Mattana (C)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Maria Grazia Mattu (MG)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Maria Cristina Garau (MC)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Sonia Doneddu (S)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Sabrina Olla (S)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Eleonora Cocco (E)

Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy.
Multiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, ASSL Cagliari, Cagliari, Italy.

Lorena Lorefice (L)

Multiple Sclerosis Center, Binaghi Hospital, ATS Sardegna, ASSL Cagliari, Cagliari, Italy.

Sandro Muntoni (S)

Department of Biomedical Sciences, Clinical Metabolomics Unit, University of Cagliari, Cagliari, Italy.

Peppino Paffi (P)

Intensive Care Unit, "San Francesco" Hospital, Nuoro, Italy.

Stefano Porru (S)

Intensive Care Unit, "San Francesco" Hospital, Nuoro, Italy.

Marta Abis (M)

Intensive Care Unit, "San Francesco" Hospital, Nuoro, Italy.

Saverio Bellizzi (S)

, Amman, Jordan.

Antonello Pani (A)

Nephrology, Dialysis and Transplantation, University of Cagliari, Cagliari, Italy.

Andrea Angioi (A)

Nephrology, Dialysis and Transplantation, University of Cagliari, Cagliari, Italy.

Gabriella Simbula (G)

Department of Biomedical Sciences, Oncology and Molecular Pathology Unit, University of Cagliari, Cagliari, Italy.

Michele Mussap (M)

Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.

Orietta Massidda (O)

Department of Cellular, Computational and Integrative Biology, Center of Medical Sciences (CISMed), University of Trento, Trento, Italy.

Franco Carta (F)

Clinical-Chemical Analysis and Microbiology Laboratory, "San Francesco" Hospital, Nuoro, Italy.

Luigi Atzori (L)

Department of Biomedical Sciences, Clinical Metabolomics Unit, University of Cagliari, Strada Interna Policlinico Universitario, 09042, Monserrato, CA, Italy. latzori@unica.it.

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