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10.1186/s12879-022-07516-x

http://scihub22266oqcxt.onion/10.1186/s12879-022-07516-x
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suck abstract from ncbi


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pmid35689192      BMC+Infect+Dis 2022 ; 22 (1): 532
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  • Decreased survival in children inpatients with COVID-19 and antibiotic prescription #MMPMID35689192
  • Murillo-Zamora E; Trujillo X; Huerta M; Rios-Silva M; Lugo-Radillo A; Mendoza-Cano O
  • BMC Infect Dis 2022[Jun]; 22 (1): 532 PMID35689192show ga
  • BACKGROUND: The empirical prescription of antibiotics to inpatients with Coronavirus Disease 2019 (COVID-19) is frequent despite uncommon bacterial coinfections. Current knowledge of the effect of antibiotics on the survival of hospitalized children with COVID-19 is limited. OBJECTIVE: To characterize the survival experience of children with laboratory-positive COVID-19 in whom antibiotics were prescribed at hospital admission. METHODS: A retrospective cohort study was conducted in Mexico, with children hospitalized due to COVID-19 from March 2020 to December 2021. Data from 1601 patients were analyzed using the Kaplan-Meier method and the log-rank test. We computed hazard ratios (HR) and 95% confidence intervals (CI) to evaluate the effect of the analyzed exposures on disease outcomes. RESULTS: Antibiotics were prescribed to 13.2% ([Formula: see text] = 211) of enrolled children and a higher mortality rate [14.9 (95% CI 10.1-19.8) vs. 8.3 (95% CI 6.8-9.8)] per 1000 person-days, [Formula: see text] < 0.001) was found among them. At any given cut-off, survival functions were lower in antibiotic-positive inpatients ([Formula: see text] < 0.001). In the multiple model, antibiotic prescription was associated with a 50% increase in the risk of fatal outcome (HR = 1.50, 95% CI 1.01-2.22). A longer interval between illness onset and healthcare-seeking and pneumonia at hospital admission was associated with a poorer prognosis. CONCLUSIONS: Our results suggest that antibiotic prescription in children hospitalized due to COVID-19 is associated with decreased survival. If later replicated, these findings highlight the need for rational antibiotics in these patients.
  • |*COVID-19 Drug Treatment[MESH]
  • |Anti-Bacterial Agents/therapeutic use[MESH]
  • |Child[MESH]
  • |Humans[MESH]
  • |Inpatients[MESH]
  • |Prescriptions[MESH]


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