Fungal infections in patients with Covid-19 admitted to the Intensive Care Unit of a University Hospital in the brazilian Northeast

• Autor(a) principal: Melo, Érika de Sá Leal
• Data de Publicação: 2023
• Outros Autores: Barbosa, Sara Machado Miranda Leal, Osternes, Fabiana Nayra Dantas, Dantas, Juliana de Menezes, Lima, Telma Vieira, Antunes, Thallyta Maria Tavares, Serra, Lívia Reverdosa Castro, Araújo, Pollyana Rocha de, Santos, João Gabriel Ribeiro dos, Carvalho, Lara Raquel Dias
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/38257
• topic: Unidade de Terapia Intensiva; COVID-19; Indicadores de morbimortalidade.; Unidad de Cuidados Intensivos; COVID-19; Indicadores de morbimortalidad.; Intensive Care Unit; COVID-19; Indicators of morbidity and mortality.

Objective: to determine the incidence of fungal infections in patients with Covid, to determine the main topographies and the outcome of patients admitted to an Intensive Care Unit (ICU) of a university hospital in the brazilian Northeast. Methodology: This is a cross-sectional, quantitative study, carried out in the ICU of a university hospital in the brazilian Northeast, from May 2020 to December 2021. Results: Of 252 patients admitted to the COVID ICU, 126 (50,4%) were male and 124 (49,6%) were female. The age group with the highest incidence of nosocomial infections associated with Covid occurred in patients over 60 years of age. As for topography, 74 (29,4%) patients had ventilator-associated pneumonia, 63 (25%) pyogenic primary bloodstream infection, 53 (21%) laboratory ventilator-associated pneumonia, and 44 (17,5%) respiratory tract infections urinary. 70 (38,9%) of the infections were diagnosed through peripheral blood culture and 54 (30%) through tracheal aspirate. Of the total infections, 30 (11,9%) were caused by candida albicans and 23 (9,1%) by non-albicans candida. There were 138 (54,8%) deaths, 23 (62,2%) caused by candida albicans and 14 (37,8%) by non-albicans candida. Conclusion: This study highlights the importance of preventive measures as indicated by patient safety protocols, and of Constant updates for health professionals regarding the proper management of patients in hospital care.