Management of infectious complications associated with coronavirus infection in severe patients admitted to ICU
Med Intensiva (Engl Ed). 2021 Apr 30:S0210-5691(21)00081-4.
doi: 10.1016/j.medin.2021.04.007.
Online ahead of print.
[Article in
English,
Spanish]
Authors
Á Estella
1
, P Vidal-Cortés
2
, A Rodríguez
3
, D Andaluz Ojeda
4
, I Martín-Loeches
5
, E Díaz
6
, B Suberviola
7
, M P Gracia Arnillas
8
, M Catalán González
9
, F Álvarez-Lerma
10
, P Ramírez
11
, X Nuvials
12
, M Borges
13
, R Zaragoza
14
Affiliations
- 1 Servicio de Medicina Intensiva, Hospital Universitario de Jerez, Departamento de Medicina, Facultad de Medicina de Cádiz, Jerez de la Frontera, Cádiz, España. Electronic address: litoestella@hotmail.com.
- 2 Servicio de Medicina Intensiva, Complexo Hospitalario Universitario de Ourense, Ourense, España.
- 3 Servicio de Medicina Intensiva, Hospital Universitario Joan XXIII de Tarragona, Tarragona, España.
- 4 Servicio de Medicina Intensiva, Hospital Universitario de Sanchinarro de Madrid, Madrid, España.
- 5 PhD JFICMI Consultant in Intensive Care Medicine, CLOD Dublin Midlands group, St James's University Hospital, Trinity Centre for Health Sciences, HRB-Welcome Trust St James's Hospital, Dublín, EIRE, Universidad de Barcelona, Barcelona, España.
- 6 Servicio de Medicina Intensiva, Hospital Parc Tauli, Sabadell, España.
- 7 Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla. Santander, España.
- 8 Servicio de Medicina Intensiva, Hospital Universitario del Mar, Barcelona, España.
- 9 Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España.
- 10 Servicio de Medicina Intensiva, Parc de Salut Mar, Hospital del Mar, Barcelona, España.
- 11 Servicio de Medicina Intensiva, Hospital La Fe de Valencia, Valencia, España.
- 12 Servicio de Medicina Intensiva, Hospital Vall d'Hebrón, Barcelona, España.
- 13 Unidad Multidisciplinar de Sepsis, Servicio de Medicina Intensiva, Hospital Universitario Son Llatzer, IDISBA, Enfermedades Infecciosas UIB, Palma de Mallorca, Área de Sepsis e Infecciosas, Federación Ibérica y Panamericana de Medicina Intensiva (FEPIMCTI), Palma de Mallorca, España.
- 14 Servicio de Medicina Intensiva, Hospital Universitario Dr. Peset, Valencia, España.
Abstract
Infections have become one of the main complications of patients with severe SARS-CoV-2 pneumonia admitted in ICU. Poor immune status, frequent development of organic failure requiring invasive supportive treatments, and prolonged ICU length of stay in saturated structural areas of patients are risk factors for infection development. The Working Group on Infectious Diseases and Sepsis GTEIS of the Spanish Society of Intensive Medicine and Coronary Units SEMICYUC emphasizes the importance of infection prevention measures related to health care, the detection and early treatment of major infections in the patient with SARS-CoV-2 infections. Bacterial co-infection, respiratory infections related to mechanical ventilation, catheter-related bacteremia, device-associated urinary tract infection and opportunistic infections are review in the document.
Keywords:
Infecciones oportunistas; Infection prevention; Neumonía; Nosocomial; Opportunistic infections; Pneumonia; Prevención infecciones; SARS-CoV-2.
Copyright © 2021 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.