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10.1016/j.cmi.2020.07.041

http://scihub22266oqcxt.onion/10.1016/j.cmi.2020.07.041
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32745596!7836762!32745596
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suck abstract from ncbi


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pmid32745596      Clin+Microbiol+Infect 2021 ; 27 (1): 83-88
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  • Incidence of co-infections and superinfections in hospitalized patients with COVID-19: a retrospective cohort study #MMPMID32745596
  • Garcia-Vidal C; Sanjuan G; Moreno-Garcia E; Puerta-Alcalde P; Garcia-Pouton N; Chumbita M; Fernandez-Pittol M; Pitart C; Inciarte A; Bodro M; Morata L; Ambrosioni J; Grafia I; Meira F; Macaya I; Cardozo C; Casals C; Tellez A; Castro P; Marco F; Garcia F; Mensa J; Martinez JA; Soriano A
  • Clin Microbiol Infect 2021[Jan]; 27 (1): 83-88 PMID32745596show ga
  • OBJECTIVES: To describe the burden, epidemiology and outcomes of co-infections and superinfections occurring in hospitalized patients with coronavirus disease 2019 (COVID-19). METHODS: We performed an observational cohort study of all consecutive patients admitted for >/=48 hours to the Hospital Clinic of Barcelona for COVID-19 (28 February to 22 April 2020) who were discharged or dead. We describe demographic, epidemiologic, laboratory and microbiologic results, as well as outcome data retrieved from electronic health records. RESULTS: Of a total of 989 consecutive patients with COVID-19, 72 (7.2%) had 88 other microbiologically confirmed infections: 74 were bacterial, seven fungal and seven viral. Community-acquired co-infection at COVID-19 diagnosis was uncommon (31/989, 3.1%) and mainly caused by Streptococcus pneumoniae and Staphylococcus aureus. A total of 51 hospital-acquired bacterial superinfections, mostly caused by Pseudomonas aeruginosa and Escherichia coli, were diagnosed in 43 patients (4.7%), with a mean (SD) time from hospital admission to superinfection diagnosis of 10.6 (6.6) days. Overall mortality was 9.8% (97/989). Patients with community-acquired co-infections and hospital-acquired superinfections had worse outcomes. CONCLUSIONS: Co-infection at COVID-19 diagnosis is uncommon. Few patients developed superinfections during hospitalization. These findings are different compared to those of other viral pandemics. As it relates to hospitalized patients with COVID-19, such findings could prove essential in defining the role of empiric antimicrobial therapy or stewardship strategies.
  • |Aged[MESH]
  • |Anti-Bacterial Agents/therapeutic use[MESH]
  • |Bacterial Infections/*epidemiology/microbiology/mortality/therapy[MESH]
  • |Bacterial Typing Techniques[MESH]
  • |Blood Culture/methods[MESH]
  • |COVID-19/*epidemiology/mortality/therapy/virology[MESH]
  • |Coinfection[MESH]
  • |Community-Acquired Infections[MESH]
  • |Cross Infection/*epidemiology/microbiology/mortality/therapy[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Hospitals[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Mycoses/*epidemiology/microbiology/mortality/therapy[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/*pathogenicity[MESH]
  • |Spain/epidemiology[MESH]
  • |Sputum/microbiology[MESH]
  • |Superinfection/*epidemiology/mortality/therapy/virology[MESH]
  • |Survival Analysis[MESH]


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