Pre- and post-COVID-19 evaluation of antimicrobial susceptibility for healthcare-associated infections in the intensive care unit of a tertiary hospital

INTRODUCTIONAntimicrobial resistance has worsened since the onset of COVID-19. METHODSThis study involved patients admitted to the adult intensive care unit (ICU) of a tertiary hospital. Pre- and post-COVID-19 data were analyzed. The healthcare-related infections (HCRIs) reported between January 201...

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Published inRevista da Sociedade Brasileira de Medicina Tropical Vol. 54; p. e00902021
Main Authors Gaspar, Gilberto Gambero, Ferreira, Lécio Rodrigues, Feliciano, Cinara Silva, Campos Júnior, Cláudio Penido, Molina, Fabiana Murad Rossin, Vendruscolo, Andrea Cristina Soares, Bradan, Giovana Marcão Araújo, Lopes, Nátali Artal Padovani, Martinez, Roberto, Bollela, Valdes Roberto
Format Journal Article
LanguageEnglish
Portuguese
Published Sociedade Brasileira de Medicina Tropical - SBMT 01.01.2021
Sociedade Brasileira de Medicina Tropical (SBMT)
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Summary:INTRODUCTIONAntimicrobial resistance has worsened since the onset of COVID-19. METHODSThis study involved patients admitted to the adult intensive care unit (ICU) of a tertiary hospital. Pre- and post-COVID-19 data were analyzed. The healthcare-related infections (HCRIs) reported between January 2018 and January 2020 and during the pandemic between February and July 2020 were compared. RESULTSAntimicrobial resistance increased during the pandemic, especially for Klebsiella pneumoniae isolates, with a rate increase from 5% to 50% for Polymyxin B. CONCLUSIONSThe susceptibilities of the main pathogens associated with HCRIs in the ICU changed and should be considered in managing severe COVID-19.
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Conflict of Interest: All authors declare that there is no conflict of interest.
Authors' contribution: GGG, RM, VRB: designed the study, selected the patients, and interpreted the data. LRF, CSF, CPCJ, FMRM, ACSV, NAPL, GMAB: analyzed and reviewed the data collected in the study.
ISSN:0037-8682
1678-9849
1678-9849
DOI:10.1590/0037-8682-0090-2021