Prevalence and Epidemiological and Clinical Features of Bacterial Infections in a Large Cohort of Patients Hospitalized for COVID-19 in Southern Italy: A Multicenter Study.

COVID-19 PCT antimicrobial prescriptions bacterial infections superinfections

Journal

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

Informations de publication

Date de publication:
29 Jun 2023
Historique:
received: 03 06 2023
revised: 22 06 2023
accepted: 26 06 2023
medline: 29 7 2023
pubmed: 29 7 2023
entrez: 29 7 2023
Statut: epublish

Résumé

The aim of this study was to evaluate the prevalence of bacterial infections and antimicrobial prescriptions in a large cohort of COVID-19 patients and to identify the independent predictors of infection and antibiotic prescription. All consecutive patients hospitalized for COVID-19 from March 2020 to May 2021 at 1 of the 17 centers participating in the study were included. All subjects showing a clinical presentation consistent with a bacterial infection with microbiological confirmation (documented infection), and/or a procalcitonin value >1 ng/mL (suspected infection) were considered as having a coinfection (if present at admission) or a superinfection (if acquired after at least 48 h of hospital stay). During the study period, of the 1993 patients, 42 (2.1%) presented with a microbiologically documented infection, including 17 coinfections and 25 superinfections, and 267 (13.2%) a suspected infection. A total of 478 subjects (24.5%) received an antibacterial treatment other than macrolides. No independent predictors of confirmed or suspected bacterial infection were identified. On the contrary, being hospitalized during the second wave of the pandemic (OR 1.35, 95% CI 1.18-1.97, Our study reported a high rate of antimicrobial prescriptions despite a limited number of documented or suspected bacterial infections among the large cohort of hospitalized COVID-19 patients.

Sections du résumé

BACKGROUND BACKGROUND
The aim of this study was to evaluate the prevalence of bacterial infections and antimicrobial prescriptions in a large cohort of COVID-19 patients and to identify the independent predictors of infection and antibiotic prescription.
METHODS METHODS
All consecutive patients hospitalized for COVID-19 from March 2020 to May 2021 at 1 of the 17 centers participating in the study were included. All subjects showing a clinical presentation consistent with a bacterial infection with microbiological confirmation (documented infection), and/or a procalcitonin value >1 ng/mL (suspected infection) were considered as having a coinfection (if present at admission) or a superinfection (if acquired after at least 48 h of hospital stay).
RESULTS RESULTS
During the study period, of the 1993 patients, 42 (2.1%) presented with a microbiologically documented infection, including 17 coinfections and 25 superinfections, and 267 (13.2%) a suspected infection. A total of 478 subjects (24.5%) received an antibacterial treatment other than macrolides. No independent predictors of confirmed or suspected bacterial infection were identified. On the contrary, being hospitalized during the second wave of the pandemic (OR 1.35, 95% CI 1.18-1.97,
CONCLUSIONS CONCLUSIONS
Our study reported a high rate of antimicrobial prescriptions despite a limited number of documented or suspected bacterial infections among the large cohort of hospitalized COVID-19 patients.

Identifiants

pubmed: 37508220
pii: antibiotics12071124
doi: 10.3390/antibiotics12071124
pmc: PMC10376680
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Lorenzo Onorato (L)

Infectious Diseases Section, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", 80138 Naples, Italy.

Federica Calò (F)

Infectious Diseases Section, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", 80138 Naples, Italy.

Paolo Maggi (P)

Infectious Disease Unit, A.O. S Anna e S Sebastiano Caserta, 81100 Caserta, Italy.

Enrico Allegorico (E)

Emergency Unit, PO Santa Maria delle Grazie, 80078 Pozzuoli, Italy.

Ivan Gentile (I)

Infectious Disease Unit, University Federico II, 80138 Naples, Italy.

Vincenzo Sangiovanni (V)

Third Infectious Disease Unit, AORN dei Colli, PO Cotugno, 80131 Naples, Italy.

Vincenzo Esposito (V)

IV Infectious Disease Unit, AORN dei Colli, PO Cotugno, 80131 Naples, Italy.

Chiara Dell'Isola (C)

Hepatic Infectious Disease Unit, AORN dei Colli, PO Cotugno, 80131 Naples, Italy.

Giosuele Calabria (G)

IX Infectious Disease Unit, AORN dei Colli, PO Cotugno, 80131 Naples, Italy.

Raffaella Pisapia (R)

First Infectious Disease Unit, AORN dei Colli, PO Cotugno, 80131 Naples, Italy.

Angelo Salomone Megna (A)

Infectious Disease Unit, A.O. San Pio, PO Rummo, 82100 Benevento, Italy.

Alfonso Masullo (A)

Infectious Disease Unit, A.O. San Giovanni di Dio e Ruggi D'Aragona Salerno, 84131 Salerno, Italy.

Elio Manzillo (E)

VIII Infectious Disease Unit, AORN dei Colli, PO Cotugno, 80131 Naples, Italy.

Grazia Russo (G)

Infectious Disease Unit, Ospedale Maria S.S. Addolorata di Eboli, ASL Salerno, 84131 Salerno, Italy.

Roberto Parrella (R)

Respiratory Infectious Diseases Unit, AORN dei Colli, PO Cotugno, 80131 Naples, Italy.

Giuseppina Dell'Aquila (G)

Infectiou Disease Unit, A.O. Avellino, 83100 Avellino, Italy.

Michele Gambardella (M)

Infectious Disease Unit, P.O. S. Luca, ASL Salerno, 84078 Vallo della Lucania, Italy.

Felice Di Perna (F)

Pneumology Unit, AORN Caserta, 81100 Caserta, Italy.

Mariantonietta Pisaturo (M)

Infectious Diseases Section, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", 80138 Naples, Italy.

Nicola Coppola (N)

Infectious Diseases Section, Department of Mental Health and Public Medicine, University of Campania "L. Vanvitelli", 80138 Naples, Italy.

Classifications MeSH