Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region

•The first wave of COVID-19 in 2020 had collateral bacteriological effects in French hospitals in the Paris region.•There was a massive increase in blood culturing.•There were higher rates of positive blood culture and of blood stream infection.•There was a concomitant increase in antimicrobial resi...

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Published inInternational journal of infectious diseases Vol. 114; pp. 90 - 96
Main Authors Amarsy, Rishma, Trystram, David, Cambau, Emmanuelle, Monteil, Catherine, Fournier, Sandra, Oliary, Juliette, Junot, Helga, Sabatier, Pierre, Porcher, Raphaël, Robert, Jérôme, Jarlier, Vincent, Arlet, Guillaume, Lefevre, Laurence Armand, Aubry, Alexandra, Belec, Laurent, Bercot, Béatrice, Bonacorsi, Stéphane, Calvez, Vincent, Carbonnelle, Etienne, Chevaliez, Stéphane, Decousser, Jean-Winoc, Delaugerre, Constance, Descamps, Diane, Doucet-Populaire, Florence, Gaillard, Jean-Louis, Chenon, Antoine Garbarg, Gault, Elyanne, Herrmann, Jean-Louis, Goff, Jérôme Le, Lucet, Jean-Christophe, Mainardi, Jean-Luc, Marcellin, Anne-Geneviève, Morand-Joubert, Laurence, Nassif, Xavier, Pawlotsky, Jean-Michel, Afonso, Anne-Marie Roque, Rottman, Martin, Rouzioux, Christine, Rozenberg, Flore, Simon, François, Veziris, Nicolas, Skurnik, David, Zahar, Jean-Ralph, Barnaud, Guilene, Pomares, Typhaine Billard, Cuzon, Gaëlle, Decré, Dominique, Doloy, Alexandra, Donay, Jean-Luc, Drieux-Rouzet, Laurence, Durand, Isabelle, Ferroni, Agnès, Fihman, Vincent, Fortineau, Nicolas, Gomart, Camille, Grall, Nathalie, Caruba, Christelle Guillet, Jaureguy, Françoise, Lalande, Valérie, Landraud, Luce, Leflon, Véronique, Mariani, Patricia, Mihaila, Liliana, Moissenet, Didier, Noussair, Latifa, Podglajen, Isabelle, Poilane, Isabelle, Poupet, Hélène, Rondinaud, Emilie, Tardy, Valérie Sivadon, Verdet, Charlotte, Vigier, Emmanuelle, Billarant, Sophie Vimont
Format Journal Article
LanguageEnglish
Published Canada Elsevier Ltd 01.01.2022
Elsevier
The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases
Subjects
Anti-Bacterial Agents - pharmacology
Anti-Bacterial Agents - therapeutic use
Antibiotic consumption
Antimicrobial resistance
Bacteremia - drug therapy
Bacteremia - epidemiology
Blood culture
Bloodstream infection incidence
COVID-19
Cross Infection - drug therapy
Cross Infection - epidemiology
Drug Resistance, Bacterial
Human health and pathology
Humans
Life Sciences
Pandemics
Retrospective Studies
SARS-CoV-2
Sepsis - drug therapy
COVID-19
Bloodstream infection incidence
Antimicrobial resistance
Blood culture
Antibiotic consumption
bloodstream infection incidence
antibiotic consumption
antimicrobial resistance
blood culture
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Abstract •The first wave of COVID-19 in 2020 had collateral bacteriological effects in French hospitals in the Paris region.•There was a massive increase in blood culturing.•There were higher rates of positive blood culture and of blood stream infection.•There was a concomitant increase in antimicrobial resistance (and in antibiotic use). This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March–April 2020) on the incidence of bloodstream infections (BSIs) at Assistance Publique – Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France. The number of patient admission blood cultures (BCs) collected, number of positive BCs, and antibiotic resistance and consumption were analysed retrospectively for the first quarter of 2020, and also for the first quarter of 2019 for comparison, in 25 APHP hospitals (ca. 14 000 beds). Up to a fourth of patients admitted in March–April 2020 in these hospitals had COVID-19. The BSI rate per 100 admissions increased overall by 24% in March 2020 and 115% in April 2020, and separately for the major pathogens (Escherichia coli, Klebsiella pneumoniae, enterococci, Staphylococcus aureus, Pseudomonas aeruginosa, yeasts). A sharp increase in the rate of BSIs caused by microorganisms resistant to third-generation cephalosporins (3GC) was also observed in March–April 2020, particularly in K. pneumoniae, enterobacterial species naturally producing inducible AmpC (Enterobacter cloacae...), and P. aeruginosa. A concomitant increase in 3GC consumption occurred. The COVID-19 pandemic had a strong impact on hospital management and also unfavourable effects on severe infections, antimicrobial resistance, and laboratory work diagnostics.
AbstractList ObjectivesWe measured the impact of the first wave of COVID-19 (March-April 2020) on the incidence of bloodstream infections (BSIs) during at the Assistance Publique - Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France.MethodsThe number of patient admissions blood cultures (BCs) collected, positive BCs as well as antibiotic resistance and consumption was retrospectively analyzed for the first quarter of 2020, and of 2019 for comparison, in 25 APHP hospitals (ca. 14,000 beds).ResultsUp to a fourth on patients admitted in March-April 2020 in these hospitals had COVID-19. BSI rate per 100 admissions increased globally, by 24% in March and 115% in April 2020, and separately for the major pathogens (Escherichia coli, Klebsiella pneumoniae, enterococci, Staphylococcus aureus, Pseudomonas aeruginosa, yeasts). A sharp increase in the rate of BSIs caused by microorganisms resistant to 3rd generation cephalosporins (3GC) was also observed in March-April 2020, particularly in K.pneumoniae, in enterobacterial species naturally producing inducible AmpC (Enterobacter cloacae...) and P.aeruginosa. A concomitant increase occurred in 3GC consumption.ConclusionsCOVID-19 pandemic had a strong impact on hospital management and also unfavorable effects on severe infections, antimicrobial resistance and laboratory work diagnostics.
Objectives: This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March–April 2020) on the incidence of bloodstream infections (BSIs) at Assistance Publique – Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France. Methods: The number of patient admission blood cultures (BCs) collected, number of positive BCs, and antibiotic resistance and consumption were analysed retrospectively for the first quarter of 2020, and also for the first quarter of 2019 for comparison, in 25 APHP hospitals (ca. 14 000 beds). Results: Up to a fourth of patients admitted in March–April 2020 in these hospitals had COVID-19. The BSI rate per 100 admissions increased overall by 24% in March 2020 and 115% in April 2020, and separately for the major pathogens (Escherichia coli, Klebsiella pneumoniae, enterococci, Staphylococcus aureus, Pseudomonas aeruginosa, yeasts). A sharp increase in the rate of BSIs caused by microorganisms resistant to third-generation cephalosporins (3GC) was also observed in March–April 2020, particularly in K. pneumoniae, enterobacterial species naturally producing inducible AmpC (Enterobacter cloacae...), and P. aeruginosa. A concomitant increase in 3GC consumption occurred. Conclusions: The COVID-19 pandemic had a strong impact on hospital management and also unfavourable effects on severe infections, antimicrobial resistance, and laboratory work diagnostics.
OBJECTIVESThis study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March-April 2020) on the incidence of bloodstream infections (BSIs) at Assistance Publique - Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France. METHODSThe number of patient admission blood cultures (BCs) collected, number of positive BCs, and antibiotic resistance and consumption were analysed retrospectively for the first quarter of 2020, and also for the first quarter of 2019 for comparison, in 25 APHP hospitals (ca. 14 000 beds). RESULTSUp to a fourth of patients admitted in March-April 2020 in these hospitals had COVID-19. The BSI rate per 100 admissions increased overall by 24% in March 2020 and 115% in April 2020, and separately for the major pathogens (Escherichia coli, Klebsiella pneumoniae, enterococci, Staphylococcus aureus, Pseudomonas aeruginosa, yeasts). A sharp increase in the rate of BSIs caused by microorganisms resistant to third-generation cephalosporins (3GC) was also observed in March-April 2020, particularly in K. pneumoniae, enterobacterial species naturally producing inducible AmpC (Enterobacter cloacae...), and P. aeruginosa. A concomitant increase in 3GC consumption occurred. CONCLUSIONSThe COVID-19 pandemic had a strong impact on hospital management and also unfavourable effects on severe infections, antimicrobial resistance, and laboratory work diagnostics.
This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March-April 2020) on the incidence of bloodstream infections (BSIs) at Assistance Publique - Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France. The number of patient admission blood cultures (BCs) collected, number of positive BCs, and antibiotic resistance and consumption were analysed retrospectively for the first quarter of 2020, and also for the first quarter of 2019 for comparison, in 25 APHP hospitals (ca. 14 000 beds). Up to a fourth of patients admitted in March-April 2020 in these hospitals had COVID-19. The BSI rate per 100 admissions increased overall by 24% in March 2020 and 115% in April 2020, and separately for the major pathogens (Escherichia coli, Klebsiella pneumoniae, enterococci, Staphylococcus aureus, Pseudomonas aeruginosa, yeasts). A sharp increase in the rate of BSIs caused by microorganisms resistant to third-generation cephalosporins (3GC) was also observed in March-April 2020, particularly in K. pneumoniae, enterobacterial species naturally producing inducible AmpC (Enterobacter cloacae...), and P. aeruginosa. A concomitant increase in 3GC consumption occurred. The COVID-19 pandemic had a strong impact on hospital management and also unfavourable effects on severe infections, antimicrobial resistance, and laboratory work diagnostics.
•The first wave of COVID-19 in 2020 had collateral bacteriological effects in French hospitals in the Paris region.•There was a massive increase in blood culturing.•There were higher rates of positive blood culture and of blood stream infection.•There was a concomitant increase in antimicrobial resistance (and in antibiotic use). This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March–April 2020) on the incidence of bloodstream infections (BSIs) at Assistance Publique – Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France. The number of patient admission blood cultures (BCs) collected, number of positive BCs, and antibiotic resistance and consumption were analysed retrospectively for the first quarter of 2020, and also for the first quarter of 2019 for comparison, in 25 APHP hospitals (ca. 14 000 beds). Up to a fourth of patients admitted in March–April 2020 in these hospitals had COVID-19. The BSI rate per 100 admissions increased overall by 24% in March 2020 and 115% in April 2020, and separately for the major pathogens (Escherichia coli, Klebsiella pneumoniae, enterococci, Staphylococcus aureus, Pseudomonas aeruginosa, yeasts). A sharp increase in the rate of BSIs caused by microorganisms resistant to third-generation cephalosporins (3GC) was also observed in March–April 2020, particularly in K. pneumoniae, enterobacterial species naturally producing inducible AmpC (Enterobacter cloacae...), and P. aeruginosa. A concomitant increase in 3GC consumption occurred. The COVID-19 pandemic had a strong impact on hospital management and also unfavourable effects on severe infections, antimicrobial resistance, and laboratory work diagnostics.
Author Simon, François
Trystram, David
Decousser, Jean-Winoc
Porcher, Raphaël
Bercot, Béatrice
Herrmann, Jean-Louis
Sabatier, Pierre
Morand-Joubert, Laurence
Decré, Dominique
Moissenet, Didier
Calvez, Vincent
Cuzon, Gaëlle
Durand, Isabelle
Doloy, Alexandra
Bonacorsi, Stéphane
Landraud, Luce
Ferroni, Agnès
Jarlier, Vincent
Billarant, Sophie Vimont
Gault, Elyanne
Skurnik, David
Veziris, Nicolas
Podglajen, Isabelle
Monteil, Catherine
Nassif, Xavier
Pawlotsky, Jean-Michel
Grall, Nathalie
Rondinaud, Emilie
Doucet-Populaire, Florence
Fortineau, Nicolas
Caruba, Christelle Guillet
Noussair, Latifa
Lalande, Valérie
Chevaliez, Stéphane
Belec, Laurent
Zahar, Jean-Ralph
Marcellin, Anne-Geneviève
Mihaila, Liliana
Mariani, Patricia
Descamps, Diane
Poupet, Hélène
Afonso, Anne-Marie Roque
Fournier, Sandra
Rozenberg, Flore
Donay, Jean-Luc
Fihman, Vincent
Robert, Jérôme
Aubry, Alexandra
Carbonnelle, Etienne
Poilane, Isabelle
Lucet, Jean-Christophe
Verdet, Charlotte
Gaillard, Jean-Louis
Pomares, Typhaine Billard
Leflon, Véronique
Gomart, Camille
Mainardi, Jean-Luc
Am
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https://hal.sorbonne-universite.fr/hal-03405933$$DView record in HAL
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Keywords COVID-19
Bloodstream infection incidence
Antimicrobial resistance
Blood culture
Antibiotic consumption
bloodstream infection incidence
antibiotic consumption
antimicrobial resistance
blood culture
Language English
License This is an open access article under the CC BY-NC-ND license.
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Distributed under a Creative Commons Attribution 4.0 International License: http://creativecommons.org/licenses/by/4.0
Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
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SSID ssj0004668
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Snippet •The first wave of COVID-19 in 2020 had collateral bacteriological effects in French hospitals in the Paris region.•There was a massive increase in blood...
This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March-April 2020) on the incidence of bloodstream infections (BSIs) at...
OBJECTIVESThis study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March-April 2020) on the incidence of bloodstream infections (BSIs)...
ObjectivesWe measured the impact of the first wave of COVID-19 (March-April 2020) on the incidence of bloodstream infections (BSIs) during at the Assistance...
Objectives: This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March–April 2020) on the incidence of bloodstream infections...
SourceID doaj
pubmedcentral
hal
proquest
crossref
pubmed
elsevier
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Publisher
StartPage 90
SubjectTerms Anti-Bacterial Agents - pharmacology
Anti-Bacterial Agents - therapeutic use
Antibiotic consumption
Antimicrobial resistance
Bacteremia - drug therapy
Bacteremia - epidemiology
Blood culture
Bloodstream infection incidence
COVID-19
Cross Infection - drug therapy
Cross Infection - epidemiology
Drug Resistance, Bacterial
Human health and pathology
Humans
Life Sciences
Pandemics
Retrospective Studies
SARS-CoV-2
Sepsis - drug therapy
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Title Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region
URI https://dx.doi.org/10.1016/j.ijid.2021.10.034
https://www.ncbi.nlm.nih.gov/pubmed/34688945
https://search.proquest.com/docview/2585915168
https://hal.sorbonne-universite.fr/hal-03405933
https://pubmed.ncbi.nlm.nih.gov/PMC8531236
https://doaj.org/article/dbe9193e72ae446ebaf008bb25bb9ab4
Volume 114
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