An Update on Secondary Bacterial and Fungal Infections and Their Antimicrobial Resistance Pattern (AMR) in COVID-19 Confirmed Patients

Introduction Since coronavirus disease 2019 (COVID-19) has limited treatment options, concern has been raised over secondary infections and antimicrobial resistance (AMR) patterns. It has been observed that patients who were infected with COVID-19 were predisposed to develop secondary infections. Th...

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Main Authors: Sushma Yadav Boorgula, Sadhana Yelamanchili, Pragathi Kottapalli, Mohini D. Naga
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-09-01
Series:Journal of Laboratory Physicians
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1741438
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author Sushma Yadav Boorgula
Sadhana Yelamanchili
Pragathi Kottapalli
Mohini D. Naga
author_facet Sushma Yadav Boorgula
Sadhana Yelamanchili
Pragathi Kottapalli
Mohini D. Naga
author_sort Sushma Yadav Boorgula
collection DOAJ
description Introduction Since coronavirus disease 2019 (COVID-19) has limited treatment options, concern has been raised over secondary infections and antimicrobial resistance (AMR) patterns. It has been observed that patients who were infected with COVID-19 were predisposed to develop secondary infections. The purpose of the study is to ascertain the prevalence of the bacterial and fungal coinfections in COVID-19 patients, and also to assess the AMR patterns in the obtained isolates. Methods We have studied 200 clinical samples obtained from 122 COVID-19 positive patients. Pathogens were identified using Vitek 2 system. The demographic and clinical patterns were also observed. Results A total of 122 patients developed secondary infections. Patients aged more than 40 years were majorly affected (p-value < 0.0001). Respiratory samples (n = 96) were predominant. Klebsiella pneumoniae (n = 68) was the most common pathogen isolated followed by Acinetobacter baumannii (n = 54) and an overall 6% rise in the Carbapenem resistance was observed in the isolates. Conclusion To contain the secondary infections in COVID-19 patients, it is imperative to adhere to antimicrobial stewardship program and timely revise the empirical antibiotic policy.
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spelling doaj.art-8f1d6121cc6b493b85673ea9f4f4355a2022-12-22T04:30:51ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Laboratory Physicians0974-27270974-78262022-09-01140326026410.1055/s-0041-1741438An Update on Secondary Bacterial and Fungal Infections and Their Antimicrobial Resistance Pattern (AMR) in COVID-19 Confirmed PatientsSushma Yadav Boorgula0Sadhana Yelamanchili1Pragathi Kottapalli2Mohini D. Naga3Department of Microbiology, AIG Hospitals, Hyderabad, Telangana, IndiaDepartment of Microbiology, AIG Hospitals, Hyderabad, Telangana, IndiaDepartment of Microbiology, AIG Hospitals, Hyderabad, Telangana, IndiaDepartment of Microbiology, AIG Hospitals, Hyderabad, Telangana, IndiaIntroduction Since coronavirus disease 2019 (COVID-19) has limited treatment options, concern has been raised over secondary infections and antimicrobial resistance (AMR) patterns. It has been observed that patients who were infected with COVID-19 were predisposed to develop secondary infections. The purpose of the study is to ascertain the prevalence of the bacterial and fungal coinfections in COVID-19 patients, and also to assess the AMR patterns in the obtained isolates. Methods We have studied 200 clinical samples obtained from 122 COVID-19 positive patients. Pathogens were identified using Vitek 2 system. The demographic and clinical patterns were also observed. Results A total of 122 patients developed secondary infections. Patients aged more than 40 years were majorly affected (p-value < 0.0001). Respiratory samples (n = 96) were predominant. Klebsiella pneumoniae (n = 68) was the most common pathogen isolated followed by Acinetobacter baumannii (n = 54) and an overall 6% rise in the Carbapenem resistance was observed in the isolates. Conclusion To contain the secondary infections in COVID-19 patients, it is imperative to adhere to antimicrobial stewardship program and timely revise the empirical antibiotic policy.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1741438antimicrobial resistancecoagulase-negative staphylococcuscentral line associated bloodstream infections
spellingShingle Sushma Yadav Boorgula
Sadhana Yelamanchili
Pragathi Kottapalli
Mohini D. Naga
An Update on Secondary Bacterial and Fungal Infections and Their Antimicrobial Resistance Pattern (AMR) in COVID-19 Confirmed Patients
Journal of Laboratory Physicians
antimicrobial resistance
coagulase-negative staphylococcus
central line associated bloodstream infections
title An Update on Secondary Bacterial and Fungal Infections and Their Antimicrobial Resistance Pattern (AMR) in COVID-19 Confirmed Patients
title_full An Update on Secondary Bacterial and Fungal Infections and Their Antimicrobial Resistance Pattern (AMR) in COVID-19 Confirmed Patients
title_fullStr An Update on Secondary Bacterial and Fungal Infections and Their Antimicrobial Resistance Pattern (AMR) in COVID-19 Confirmed Patients
title_full_unstemmed An Update on Secondary Bacterial and Fungal Infections and Their Antimicrobial Resistance Pattern (AMR) in COVID-19 Confirmed Patients
title_short An Update on Secondary Bacterial and Fungal Infections and Their Antimicrobial Resistance Pattern (AMR) in COVID-19 Confirmed Patients
title_sort update on secondary bacterial and fungal infections and their antimicrobial resistance pattern amr in covid 19 confirmed patients
topic antimicrobial resistance
coagulase-negative staphylococcus
central line associated bloodstream infections
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1741438
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