在COVID-19阳性患者的呼吸道并发感染
Rania M Abd El-Halim1, Hala Hafez1, Ibrahim Albahet2
1Clinical Pathology Department, Faculty of Medicine Ain Shams University, Cairo, 11566, Egypt.
COVID-19患者经常患有细菌和真菌呼吸道联合感染,主要是Klebsiella和Aspergillus物种. 早期检测和明智的抗生素使用对于管理这些机会性感染至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
背景情况:
- 患有COVID-19的重症患者容易患上机会性呼吸道感染.
- 早期发现并发感染对于适当的抗微生物治疗和预防患者衰退至关重要.
研究的目的:
- 为了估计COVID-19患者呼吸道共感染的流行率.
主要方法:
- 89名COVID-19阳性患者接受了细菌和真菌共同感染的测试.
- 方法包括细菌培养,真菌培养和银河 (GM) 测试.
主要成果:
- 细菌共同感染很常见,克莱布西拉 (14名患者) 是最常见的,其次是Acinetobacter (9),Pseudomonas (6),以及大肠杆菌 (3).
- 共同感染的真菌包括阿斯伯吉勒斯 (9名患者),齐戈米塞 (2) 和坎迪达 (4).
- 银河体曼南测试显示,对于真菌感染的阳性预测值较低.
结论:
- 细菌病原体,特别是Klebsiella spp.和真菌病原体,主要是Aspergillus spp.,是COVID-19患者呼吸道共感染的主要原因.
- 有助于共同感染的因素包括长时间的ICU住院,广泛的抗菌素和类固醇治疗以及机械通风.
- 根据培养结果优化抗生素处方,抗生素管理计划是必不可少的.
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