The Role of Bacterial and Fungal Superinfection in Critical COVID-19.
Viruses
; 14(12)2022 12 14.
Article
in English
| MEDLINE | ID: covidwho-2163622
ABSTRACT
BACKGROUND:
The range of reported rates of bacterial and fungal superinfections in patients with a severe course of COVID-19 is wide, suggesting a lack of standardised reporting.METHODS:
The rates of bacterial and fungal superinfection were assessed using predefined criteria to differentiate between infection and contamination.RESULTS:
Overall, 117 patients admitted to the Intensive Care Unit due to severe COVID-19 were included. Overall, 55% of patients developed a superinfection and 13.6% developed a fungal superinfection (5.9% candidemia and 7.7% CAPA). The rate of ventilator-associated pneumonia was 65.2%. If superinfection was detected, the length of hospital stay was significantly longer and the mortality was especially increased if candidemia was detected. An increased risk of superinfection was observed in patients with pre-existing diabetes mellitus or chronic heart failure. The presence of immunomodulating therapy did not seem to have an impact on the frequency of superinfections.CONCLUSION:
Increased awareness of high superinfection rates, fungal infections in particular, in patients suffering from severe COVID-19 is necessary.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Superinfection
/
Candidemia
/
COVID-19
Type of study:
Prognostic study
Topics:
Long Covid
Limits:
Humans
Language:
English
Year:
2022
Document Type:
Article
Affiliation country:
V14122785
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