Coinfections in intensive care units. Has anything changed with Covid-19 pandemia?

• DOI: 10.23750/abm.v94i3.13429
• Publication Date: 2023-06-14
• Authors: Federica Romanelli; Stefania Stolfa; Luigi Ronga; Raffaele Del Prete; Davide Fiore Bavaro; Annalisa Saracino; Lidia Dalfino; Adriana Mosca
• Keywords: Enterococcus faecium; Enterococcus faecalis; Pandemic; Stenotrophomonas maltophilia; Acinetobacter baumannii

Since December 2019, the Coronavirus disease caused by severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2), has spread from China, becoming a pandemic. Bacterial and fungal co-infections may lead to increase in COVID-19 severity with decrease patients survive. The aim of this work was evaluate bacterial admitted ICU comparison recovered pre-COVID-19 era order understand whether pandemic had changed incidence overinfections ICU. In fact, epidemiological data should guide choice empirical therapy.During pandemic, AOUC Policlinico Bari organized dedicated ICUs for patient SARS-CoV-2. Blood cultures, urine, tracheobronchial aspirate were included analysis.Specimens 1905 analysed work. Comparing clinical isolates prevalence material vs. non-COVID-19 statistically significant differences detected A. baumannii complex, Aspergillus fumigatus, Escherichia coli, Haemophilus influenzae Serratia marcescens isolated aspirates; C. albicans urine samples, Enterococcus faecalis faecium blood culture.Although organisms are consistent those frequently associated healthcare infection, our suggest particular baumannii, Stenotrophomonas maltophilia spp. tract, E. cultures.