<i>Enterococcus</i> and COVID-19: The Emergence of a Perfect Storm?

(1) Background: Based on the uncontrolled use of antibiotics and the lack of worldwide-accepted healthcare policies, the COVID-19 pandemic has provided the best premises for the emergence of life-threatening infections. Based on changes described in the intestinal microbiome, showing an increased nu...

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Bibliographic Details
Main Authors: Dan Alexandru Toc, Razvan Marian Mihaila, Alexandru Botan, Carina Nicoleta Bobohalma, Giulia Andreea Risteiu, Bogdan Nicolae Simut-Cacuci, Bianca Steorobelea, Stefan Troanca, Lia Monica Junie
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:International Journal of Translational Medicine
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Online Access:https://www.mdpi.com/2673-8937/2/2/20
Description
Summary:(1) Background: Based on the uncontrolled use of antibiotics and the lack of worldwide-accepted healthcare policies, the COVID-19 pandemic has provided the best premises for the emergence of life-threatening infections. Based on changes described in the intestinal microbiome, showing an increased number of <i>Enterococcus</i> bacteria and increased intestinal permeability due to viral infection, infections with <i>Enterococcus</i> have taken the spotlight in the healthcare setting; (2) Methods: We conducted a brief review in order to analyze the relationship between the two pathogens: the SARS-CoV-2 virus and the <i>Enterococcus</i> bacterial genus. We searched in PubMed, the Cochrane Library electronic database and MedNar and included twenty-one studies based on relevance; (3) Results: The existing studies show a statistically significant difference in the composition of the intestinal microbiome, favoring <i>Enterococcus</i> genus, when compared to a control group. Changes also seem to persist over a period of time, suggesting possible implications for long COVID. Regarding bloodstream infections, <i>Enterococcus</i> is statistically significantly isolated more often when compared to the pre-COVID-19 era, and to a control group of non-COVID-19 patients. (4) Conclusions: The intimate synergy between COVID-19 and <i>Enterococcus</i> has the potential to pose a real threat to human healthcare, and more extensive research is needed to explore the relationship between these two pathogens.
ISSN:2673-8937