Pre- and post-COVID-19 evaluation of antimicrobial susceptibility for healthcare-associated infections in the intensive care unit of a tertiary hospital

Rev Soc Bras Med Trop. 2021 Jul 23:54:e00902021. doi: 10.1590/0037-8682-0090-2021. eCollection 2021.

Abstract

Introduction: Antimicrobial resistance has worsened since the onset of COVID-19.

Methods: This study involved patients admitted to the adult intensive care unit (ICU) of a tertiary hospital. Pre- and post-COVID-19 data were analyzed. The healthcare-related infections (HCRIs) reported between January 2018 and January 2020 and during the pandemic between February and July 2020 were compared.

Results: Antimicrobial resistance increased during the pandemic, especially for Klebsiella pneumoniae isolates, with a rate increase from 5% to 50% for Polymyxin B.

Conclusions: The susceptibilities of the main pathogens associated with HCRIs in the ICU changed and should be considered in managing severe COVID-19.

MeSH terms

  • Adult
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use
  • COVID-19*
  • Cross Infection* / drug therapy
  • Delivery of Health Care
  • Drug Resistance, Bacterial
  • Humans
  • Intensive Care Units
  • Microbial Sensitivity Tests
  • SARS-CoV-2
  • Tertiary Care Centers

Substances

  • Anti-Bacterial Agents