Ventilator-associated pneumonia in Polish intensive care unit dedicated to COVID-19 patients
Abstract Background Healthcare-Associated Infections (HAI) are most frequently associated with patients in the Intensive Care Unit (ICU). Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), led to ICU hospitalization for some patients. Methods...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Pulmonary Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12890-023-02743-7 |
| _version_ | 1797578397073801216 |
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| author | Marta Wałaszek Piotr Serwacki Zbigniew Cholewa Alicja Kosiarska Wioletta Świątek – Kwapniewska Małgorza Kołpa Elżbieta Rafa Róża Słowik Karolina Nowak Anna Różańska Jadwiga Wójkowska-Mach |
| author_facet | Marta Wałaszek Piotr Serwacki Zbigniew Cholewa Alicja Kosiarska Wioletta Świątek – Kwapniewska Małgorza Kołpa Elżbieta Rafa Róża Słowik Karolina Nowak Anna Różańska Jadwiga Wójkowska-Mach |
| author_sort | Marta Wałaszek |
| collection | DOAJ |
| description | Abstract Background Healthcare-Associated Infections (HAI) are most frequently associated with patients in the Intensive Care Unit (ICU). Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), led to ICU hospitalization for some patients. Methods The study was conducted in 2020 and 2021 at a hospital in southern Poland. The Healthcare-Associated Infections Surveillance Network (HAI-Net) of the European Centre for Disease Prevention and Control (ECDC) was used for HAI diagnosis. The aim of this case-control study was to retrospectively assess the epidemiology of HAIs in ICU patients, distinguishing between COVID-19 and non-COVID-19 cases. Results The study included 416 ICU patients: 125 (30%) with COVID-19 and 291 (70%) without COVID-19, p < 0.05. The mortality rate was 80 (64%) for COVID-19 patients and 45 (16%) for non-COVID-19 patients, p < 0.001. Ventilator-Associated Pneumonia (VAP) occurred in 40 cases, with an incidence rate density of 6.3/1000 patient-days (pds): 14.1/1000 pds for COVID-19 patients vs. 3.6/1000 pds for non-COVID-19 patients. Odds Ratio (OR) was 2.297, p < 0.01. Acinetobacter baumannii was the most often isolated microorganism in VAP, with 25 cases (incidence rate 8.5%): 16 (18.2%) in COVID-19 patients vs. 9 (4.4%) in non-COVID-19 patients. OR was 4.814 (1.084–4.806), p < 0.001. Conclusions Patients treated in the ICU for COVID-19 faced twice the risk of VAP compared to non-COVID-19 patients. The predominant microorganism in VAP cases was Acinetobacter baumannii. |
| first_indexed | 2024-03-10T22:22:19Z |
| format | Article |
| id | doaj.art-7ea8ea30a0f74aaf8d79f4798d6ae391 |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-03-10T22:22:19Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-7ea8ea30a0f74aaf8d79f4798d6ae3912023-11-19T12:14:53ZengBMCBMC Pulmonary Medicine1471-24662023-11-0123111010.1186/s12890-023-02743-7Ventilator-associated pneumonia in Polish intensive care unit dedicated to COVID-19 patientsMarta Wałaszek0Piotr Serwacki1Zbigniew Cholewa2Alicja Kosiarska3Wioletta Świątek – Kwapniewska4Małgorza Kołpa5Elżbieta Rafa6Róża Słowik7Karolina Nowak8Anna Różańska9Jadwiga Wójkowska-Mach10University of Applied Sciences in TarnówSt Luke Regional Hospital in TarnówSt Luke Regional Hospital in TarnówUniversity of Applied Sciences in TarnówSt Luke Regional Hospital in TarnówUniversity of Applied Sciences in TarnówUniversity of Applied Sciences in Nowy SączUniversity of Applied Sciences in TarnówDepartment of Microbiology, Jagiellonian University Medical CollegeDepartment of Microbiology, Jagiellonian University Medical CollegeDepartment of Microbiology, Jagiellonian University Medical CollegeAbstract Background Healthcare-Associated Infections (HAI) are most frequently associated with patients in the Intensive Care Unit (ICU). Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), led to ICU hospitalization for some patients. Methods The study was conducted in 2020 and 2021 at a hospital in southern Poland. The Healthcare-Associated Infections Surveillance Network (HAI-Net) of the European Centre for Disease Prevention and Control (ECDC) was used for HAI diagnosis. The aim of this case-control study was to retrospectively assess the epidemiology of HAIs in ICU patients, distinguishing between COVID-19 and non-COVID-19 cases. Results The study included 416 ICU patients: 125 (30%) with COVID-19 and 291 (70%) without COVID-19, p < 0.05. The mortality rate was 80 (64%) for COVID-19 patients and 45 (16%) for non-COVID-19 patients, p < 0.001. Ventilator-Associated Pneumonia (VAP) occurred in 40 cases, with an incidence rate density of 6.3/1000 patient-days (pds): 14.1/1000 pds for COVID-19 patients vs. 3.6/1000 pds for non-COVID-19 patients. Odds Ratio (OR) was 2.297, p < 0.01. Acinetobacter baumannii was the most often isolated microorganism in VAP, with 25 cases (incidence rate 8.5%): 16 (18.2%) in COVID-19 patients vs. 9 (4.4%) in non-COVID-19 patients. OR was 4.814 (1.084–4.806), p < 0.001. Conclusions Patients treated in the ICU for COVID-19 faced twice the risk of VAP compared to non-COVID-19 patients. The predominant microorganism in VAP cases was Acinetobacter baumannii.https://doi.org/10.1186/s12890-023-02743-7Healthcare-associated pneumoniaMechanical ventilationCOVID-19Infection control |
| spellingShingle | Marta Wałaszek Piotr Serwacki Zbigniew Cholewa Alicja Kosiarska Wioletta Świątek – Kwapniewska Małgorza Kołpa Elżbieta Rafa Róża Słowik Karolina Nowak Anna Różańska Jadwiga Wójkowska-Mach Ventilator-associated pneumonia in Polish intensive care unit dedicated to COVID-19 patients BMC Pulmonary Medicine Healthcare-associated pneumonia Mechanical ventilation COVID-19 Infection control |
| title | Ventilator-associated pneumonia in Polish intensive care unit dedicated to COVID-19 patients |
| title_full | Ventilator-associated pneumonia in Polish intensive care unit dedicated to COVID-19 patients |
| title_fullStr | Ventilator-associated pneumonia in Polish intensive care unit dedicated to COVID-19 patients |
| title_full_unstemmed | Ventilator-associated pneumonia in Polish intensive care unit dedicated to COVID-19 patients |
| title_short | Ventilator-associated pneumonia in Polish intensive care unit dedicated to COVID-19 patients |
| title_sort | ventilator associated pneumonia in polish intensive care unit dedicated to covid 19 patients |
| topic | Healthcare-associated pneumonia Mechanical ventilation COVID-19 Infection control |
| url | https://doi.org/10.1186/s12890-023-02743-7 |
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