The Role of Bacterial and Fungal Superinfection in Critical COVID-19.
Viruses
; 14(12)2022 12 14.
Article
em En
| MEDLINE
| ID: mdl-36560789
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Superinfecção
/
Candidemia
/
COVID-19
Limite:
Humans
Idioma:
En
Revista:
Viruses
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Áustria