Effect of Caring of Critically Sick Patients with COVID-19 Pneumonia at Undesignated ICU Wards on Secondary Infections
Introduction: COVID-19 has caused high rates of mortality. During pandemic peak, a significant number of patients were admitted to undesignated ICU areas before transferring to designated ICU, owing to unavailability of ICU beds. We aimed to record the effect of care of critically sick patients with...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2022-01-01
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| Series: | Dubai Medical Journal |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/521221 |
| _version_ | 1819284671010177024 |
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| author | Rashid Nadeem Moatz Galal Mohamed Ali Elzeiny Ahmed Nazir Elsousi Ashraf Elhoufi Reham Helmy Amin Saad Kishore Kumar Sahish Kamat Islam Bon Akhter Mehmood Irshad Basheer |
| author_facet | Rashid Nadeem Moatz Galal Mohamed Ali Elzeiny Ahmed Nazir Elsousi Ashraf Elhoufi Reham Helmy Amin Saad Kishore Kumar Sahish Kamat Islam Bon Akhter Mehmood Irshad Basheer |
| author_sort | Rashid Nadeem |
| collection | DOAJ |
| description | Introduction: COVID-19 has caused high rates of mortality. During pandemic peak, a significant number of patients were admitted to undesignated ICU areas before transferring to designated ICU, owing to unavailability of ICU beds. We aimed to record the effect of care of critically sick patients with COVID-19 on prevalence of secondary bacterial infection. Methods: We retrospectively studied all critically ill patients with COVID-19 pneumonia meeting ICU admission criteria who were admitted to Dubai hospital between January 1, 2020, and June 30, 2020. All the patients who transferred to wards other than designated ICU constitute category as cases. All patients who directly admitted to the designated ICU ward from emergency department constitute controls. The demographics, clinical parameters, and treatment profile of these patients were recorded and compared. Prevalence of secondary bacterial infection was calculated. Results: Patients with COVID-19 had high prevalence of secondary bacterial infection. Patients who stayed at undesignated ICU wards had higher occurrence of inpatient fever, hypoxemia, and they were more likely to be sedated and paralyzed than patients who stayed in designated ICU wards. Multiple logistic regression analysis showed care outside designated ICU ward does not predict increase in secondary nonviral microbial infections. Conclusion: Care of patients at undesignated ICU wards prior to admission to designated ICU does not impact prevalence of secondary bacterial infection. |
| first_indexed | 2024-12-24T01:51:04Z |
| format | Article |
| id | doaj.art-71dd09bcfd8b4ff8b67a98ebeece5e29 |
| institution | Directory Open Access Journal |
| issn | 2571-726X |
| language | English |
| last_indexed | 2024-12-24T01:51:04Z |
| publishDate | 2022-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Dubai Medical Journal |
| spelling | doaj.art-71dd09bcfd8b4ff8b67a98ebeece5e292022-12-21T17:21:44ZengKarger PublishersDubai Medical Journal2571-726X2022-01-011610.1159/000521221521221Effect of Caring of Critically Sick Patients with COVID-19 Pneumonia at Undesignated ICU Wards on Secondary InfectionsRashid NadeemMoatz Galal Mohamed Ali ElzeinyAhmed Nazir ElsousiAshraf ElhoufiReham Helmy Amin SaadKishore KumarSahish KamatIslam BonAkhter MehmoodIrshad BasheerIntroduction: COVID-19 has caused high rates of mortality. During pandemic peak, a significant number of patients were admitted to undesignated ICU areas before transferring to designated ICU, owing to unavailability of ICU beds. We aimed to record the effect of care of critically sick patients with COVID-19 on prevalence of secondary bacterial infection. Methods: We retrospectively studied all critically ill patients with COVID-19 pneumonia meeting ICU admission criteria who were admitted to Dubai hospital between January 1, 2020, and June 30, 2020. All the patients who transferred to wards other than designated ICU constitute category as cases. All patients who directly admitted to the designated ICU ward from emergency department constitute controls. The demographics, clinical parameters, and treatment profile of these patients were recorded and compared. Prevalence of secondary bacterial infection was calculated. Results: Patients with COVID-19 had high prevalence of secondary bacterial infection. Patients who stayed at undesignated ICU wards had higher occurrence of inpatient fever, hypoxemia, and they were more likely to be sedated and paralyzed than patients who stayed in designated ICU wards. Multiple logistic regression analysis showed care outside designated ICU ward does not predict increase in secondary nonviral microbial infections. Conclusion: Care of patients at undesignated ICU wards prior to admission to designated ICU does not impact prevalence of secondary bacterial infection.https://www.karger.com/Article/FullText/521221coronavirus disease 2019ardsmortalitycriticalundesignated icu |
| spellingShingle | Rashid Nadeem Moatz Galal Mohamed Ali Elzeiny Ahmed Nazir Elsousi Ashraf Elhoufi Reham Helmy Amin Saad Kishore Kumar Sahish Kamat Islam Bon Akhter Mehmood Irshad Basheer Effect of Caring of Critically Sick Patients with COVID-19 Pneumonia at Undesignated ICU Wards on Secondary Infections Dubai Medical Journal coronavirus disease 2019 ards mortality critical undesignated icu |
| title | Effect of Caring of Critically Sick Patients with COVID-19 Pneumonia at Undesignated ICU Wards on Secondary Infections |
| title_full | Effect of Caring of Critically Sick Patients with COVID-19 Pneumonia at Undesignated ICU Wards on Secondary Infections |
| title_fullStr | Effect of Caring of Critically Sick Patients with COVID-19 Pneumonia at Undesignated ICU Wards on Secondary Infections |
| title_full_unstemmed | Effect of Caring of Critically Sick Patients with COVID-19 Pneumonia at Undesignated ICU Wards on Secondary Infections |
| title_short | Effect of Caring of Critically Sick Patients with COVID-19 Pneumonia at Undesignated ICU Wards on Secondary Infections |
| title_sort | effect of caring of critically sick patients with covid 19 pneumonia at undesignated icu wards on secondary infections |
| topic | coronavirus disease 2019 ards mortality critical undesignated icu |
| url | https://www.karger.com/Article/FullText/521221 |
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