Evaluation of Secondary Infections in COVID-19 Patients Hospitalized in Intensive Care Unit: Retrospective Observational Study
Turkiye Klinikleri Journal of Medical Sciences
; 42(3):164-170, 2022.
Article
in English
| EMBASE | ID: covidwho-2067035
ABSTRACT
Objective:
Patients infected with severe acute respiratory syndrome-coronavirus-2 may progress with severe clinical symptoms and patients may be hospitalized in intensive care for a long time. In patients with long-term intensive care hospitalization, secondary infections develop as a result of the pathophysiology of the disease and the treatments used. The aim of this study is to investigate the incidence of secondary infections in patients with coronavirus disease-2019 (COVID-19) and to identify common pathogen groups. Material(s) and Method(s) Four hundred and sixty one patients with a diagnosis of COVID-19 who were followed up in the intensive care unit at Afy-onkarahisar Health Sciences University Faculty of Medicine Hospital between 20 March 2020 and 31 May 2021 were included in the study. Demographic data, co-morbidities, clinical features, laboratory data and culture growth data of the patients were recorded retrospectively. Re-sults Nosocomial secondary infections were detected in 132 (28.6%) of 461 patients. Acinetobacter baumannii 39/53 (73.5%) growth was observed in the majority of the lower respiratory tract sample cultures. There was 28/49 (57.1%) Staphylococcus aureus growth in blood cul-tures, and 21/42 (50%) candida spp. growth in urine cultures. Conclu-sion In this study, we found that the incidence of infection secondary to COVID-19 pneumonia was high. In addition, it was determined that the secondary infection rate was high in patients with PaO2/FiO2<200. Copyright © 2022 by Turkiye Klinikleri.
Acinetobacter baumannii; bacterial infections; covid-19; nosocomial infections; secondary infections; adult; article; bacterial growth; bacterial infection; bacterium culture; Candida; clinical evaluation; clinical feature; comorbidity; controlled study; coronavirus disease 2019; demographics; female; Horowitz index; hospital infection; human; incidence; infection rate; infectious agent; intensive care unit; lower respiratory tract; major clinical study; male; nonhuman; observational study; plant growth; retrospective study; secondary infection; Staphylococcus aureus; urine culture
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Language:
English
Journal:
Turkiye Klinikleri Journal of Medical Sciences
Year:
2022
Document Type:
Article
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