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http://hdl.handle.net/2445/198568
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DC Field | Value | Language |
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dc.contributor.author | Moreno García, Estela | - |
dc.contributor.author | Puerta-Alcalde, Pedro | - |
dc.contributor.author | Letona Giménez, Laura | - |
dc.contributor.author | Meira, Fernanda | - |
dc.contributor.author | Dueñas, Gerard | - |
dc.contributor.author | Chumbita, Mariana | - |
dc.contributor.author | García Pouton, Nicole | - |
dc.contributor.author | Monzó, Patricia | - |
dc.contributor.author | Lopera, Carlos | - |
dc.contributor.author | Serra, Laia | - |
dc.contributor.author | Cardozo Espinola, Celia | - |
dc.contributor.author | Hernández-Meneses, Marta | - |
dc.contributor.author | Rico, Verónica | - |
dc.contributor.author | Bodro, Marta | - |
dc.contributor.author | Morata, Laura | - |
dc.contributor.author | Fernández Pittol, Mariana José | - |
dc.contributor.author | Grafia, Ignacio | - |
dc.contributor.author | Castro, Pedro | - |
dc.contributor.author | Mensa Pueyo, Josep | - |
dc.contributor.author | Martínez, José Antonio | - |
dc.contributor.author | Sanjuan, Gemma | - |
dc.contributor.author | Marcos, Ma. Angeles | - |
dc.contributor.author | Soriano Viladomiu, Alex | - |
dc.contributor.author | Garcia Vidal, Carolina | - |
dc.contributor.author | Hospital Clinic of Barcelona COVID-19 Research Group | - |
dc.date.accessioned | 2023-05-29T16:02:11Z | - |
dc.date.available | 2023-05-29T16:02:11Z | - |
dc.date.issued | 2022-05-01 | - |
dc.identifier.issn | 1201-9712 | - |
dc.identifier.uri | http://hdl.handle.net/2445/198568 | - |
dc.description.abstract | Objectives: We described the current incidence and risk factors of bacterial co-infection in hospitalized patients with COVID-19. Methods: Observational cohort study was performed at the Hospital Clinic of Barcelona (February 2020-February 2021). All patients with COVID-19 who were admitted for >48 hours with microbiological sample collection and procalcitonin (PCT) determination within the first 48 hours were included. Results: A total of 1125 consecutive adults met inclusion criteria. Co-infections were microbiologically documented in 102 (9.1%) patients. Most frequent microorganisms were Streptococcus pneumoniae (79%), Staphylococcus aureus (6.8%), and Haemophilus influenzae (6.8%). Test positivity was 1% (8/803) for blood cultures, 10.1% (79/780) for pneumococcal urinary antigen test, and 11.4% (15/132) for sputum culture. Patients with PCT higher than 0.2, 0.5, 1, and 2 ng/mL had significantly more co-infections than those with lower levels (p=0.017, p=0.031, p<0.001, and p<0.001, respectively). In multivariate analysis, oxygen saturation ≤94% (OR 2.47, CI 1.57-3.86), ferritin levels <338 ng/mL (OR 2.63, CI 1.69-4.07), and PCT higher than 0.2 ng/mL (OR 1.74, CI 1.11-2.72) were independent risk factors for co-infection at hospital admission owing to COVID-19. Conclusions: Bacterial co-infection in patients hospitalized for COVID-19 is relatively common. However, clinicians could spare antibiotics in patients with PCT values <0.2, especially with high ferritin values and oxygen saturation >94%. | - |
dc.format.extent | 6 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier B.V. | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1016/j.ijid.2022.03.003 | - |
dc.relation.ispartof | International Journal of Infectious Diseases, 2022, vol. 118, p. 197-202 | - |
dc.relation.uri | https://doi.org/10.1016/j.ijid.2022.03.003 | - |
dc.rights | cc-by-nc-nd (c) Moreno García, Estela et al., 2022 | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | - |
dc.source | Articles publicats en revistes (Fonaments Clínics) | - |
dc.subject.classification | SARS-CoV-2 | - |
dc.subject.classification | COVID-19 | - |
dc.subject.classification | Antibiòtics | - |
dc.subject.classification | Malalties bacterianes | - |
dc.subject.classification | Infeccions per coronavirus | - |
dc.subject.classification | Malalts hospitalitzats | - |
dc.subject.other | SARS-CoV-2 | - |
dc.subject.other | COVID-19 | - |
dc.subject.other | Antibiotics | - |
dc.subject.other | Bacterial diseases | - |
dc.subject.other | Coronavirus infections | - |
dc.subject.other | Hospital patients | - |
dc.title | Bacterial co-infection at hospital admission in patients with COVID-19 | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 730207 | - |
dc.date.updated | 2023-05-29T16:02:12Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.idimarina | 9300236 | - |
dc.identifier.pmid | 35257905 | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Fonaments Clínics) Articles publicats en revistes (ISGlobal) |
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