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Bronchoscopy in Critically Ill COVID-19 Patients: Findings, Microbiological Profile, and Coinfection.
Serra Mitjà, Pere; Centeno, Carmen; Garcia-Olivé, Ignasi; Antuori, Adrià; Casadellà, Maria; Tazi, Rachid; Armestar, Fernando; Fernández, Ester; Andreo, Felipe; Rosell, Antoni.
  • Serra Mitjà P; Pneumology Unit.
  • Centeno C; Germans Trias and Pujol Research Institute (IGTP).
  • Garcia-Olivé I; CibeRes, Cyber Respiratory Diseases, Bunyola, Spain.
  • Antuori A; Pneumology Unit.
  • Casadellà M; Germans Trias and Pujol Research Institute (IGTP).
  • Tazi R; CibeRes, Cyber Respiratory Diseases, Bunyola, Spain.
  • Armestar F; Pneumology Unit.
  • Fernández E; Germans Trias and Pujol Research Institute (IGTP).
  • Andreo F; CibeRes, Cyber Respiratory Diseases, Bunyola, Spain.
  • Rosell A; Intensive Care Unit.
J Bronchology Interv Pulmonol ; 29(3): 186-190, 2022 Jul 01.
Article in English | MEDLINE | ID: covidwho-1901284
ABSTRACT

BACKGROUND:

Bronchoscopy is a widely use technique in critically ill patients. Nosocomial coinfections are a cause of morbidity and mortality in intensive care units.

OBJECTIVES:

Our aim was to describe bronchoscopy findings and analyze microbiological profile and probably coinfection through bronchial aspirate (BA) samples in patients with coronavirus disease 2019 pneumonia requiring intensive care unit admission.

METHODS:

Retrospective observational study analyzing the BA samples collected from intubated patients with coronavirus disease 2019 in a referral Hospital (Spain).

RESULTS:

One hundred fifty-five consecutive BA samples were collected from 75 patients. Ninety (58%) were positive cultures for different microorganisms, 11 (7.1%) were polymicrobial, and 37 (23.7%) contained resistant microorganisms. There was a statistically significant association between increased days of orotracheal intubation and positive BA (18.9 vs. 10.9 d, P<0.01), polymicrobial infection (22.11 vs. 13.54, P<0.01) and isolation of resistant microorganisms (18.88 vs. 10.94, P<0.01). In 88% of the cases a new antibiotic or change in antibiotic treatment was made.

CONCLUSION:

Bronchoscopy in critically ill patient was safe and could be useful to manage these patients and conduct the microbiological study, that seems to be higher and different than in nonepidemic periods. The longer the intubation period, the greater the probability of coinfection, isolation of resistant microorganisms and polymicrobial infection.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Coinfection / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: J Bronchology Interv Pulmonol Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coinfection / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: J Bronchology Interv Pulmonol Year: 2022 Document Type: Article