Low prevalence of bloodstream infection and high blood culture contamination rates in patients with COVID-19.

作者: David Yu , Karolina Ininbergs , Karolina Hedman , Christian G. Giske , Kristoffer Strålin

DOI: 10.1371/JOURNAL.PONE.0242533

关键词:

摘要: Purpose In the management of COVID-19, knowledge is lacking on frequency secondary bacterial infections and how empirical antibiotic therapy should be used. In present study, we aimed to compare blood culture (BC) results a COVID-19 patient cohort with two cohorts patients without detected COVID-19. Methods Using retrospective study design subjected BC in six tertiary care hospitals, SARS-CoV-2 positive from March 1 April 30 2020 (COVID-19 group) were compared confirmed during same period (control group-2020) sampled 2019 group-2019). The outcomes studied proportion positivity, clinically relevant growth, contaminant growth. Results total 15,103 17,865 episodes studied. Clinically growth was 197/3,027 (6.5%) group 717/6,663 (10.8%) control group-2020 (p<0.0001) 850/8,175 (10.4%) group-2019 (p<0.0001). Contamination 255/3,027 (8.4%) 330/6,663 (5.0%) 354/8,175 (4.3%) (p<0.0001). Conclusion patients, prevalence bloodstream infection low contamination rate high. This influence guidelines regarding sampling patients.

参考文章(15)
Wesley H. Self, Theodore Speroff, Carlos G. Grijalva, Candace D. McNaughton, Jacki Ashburn, Dandan Liu, Patrick G. Arbogast, Stephan Russ, Alan B. Storrow, Thomas R. Talbot, Reducing Blood Culture Contamination in the Emergency Department: An Interrupted Time Series Quality Improvement Study Academic Emergency Medicine. ,vol. 20, pp. 89- 97 ,(2013) , 10.1111/ACEM.12057
Wesley H. Self, Joyce Mickanin, Carlos G. Grijalva, Freda H. Grant, Michelle C. Henderson, Glenda Corley, D. Glen Blaschke II, Candace D. McNaughton, Tyler W. Barrett, Thomas R. Talbot, Barbara R. Paul, Reducing blood culture contamination in community hospital emergency departments: a multicenter evaluation of a quality improvement intervention Academic Emergency Medicine. ,vol. 21, pp. 274- 282 ,(2014) , 10.1111/ACEM.12337
Karin Liderot, Marcus Ahl, Volkan Özenci, Secondary bacterial infections in patients with seasonal influenza A and pandemic H1N1. BioMed Research International. ,vol. 2013, pp. 376219- 376219 ,(2013) , 10.1155/2013/376219
D. Leyssene, S. Gardes, P. Vilquin, J.-P. Flandrois, G. Carret, B. Lamy, Species-driven interpretation guidelines in case of a single-sampling strategy for blood culture European Journal of Clinical Microbiology & Infectious Diseases. ,vol. 30, pp. 1537- 1541 ,(2011) , 10.1007/S10096-011-1257-3
David M. Morens, Jeffery K. Taubenberger, Anthony S. Fauci, Predominant Role of Bacterial Pneumonia as a Cause of Death in Pandemic Influenza: Implications for Pandemic Influenza Preparedness The Journal of Infectious Diseases. ,vol. 198, pp. 962- 970 ,(2008) , 10.1086/591708
Mervyn Singer, Clifford S Deutschman, Christopher Warren Seymour, Manu Shankar-Hari, Djillali Annane, Michael Bauer, Rinaldo Bellomo, Gordon R Bernard, Jean-Daniel Chiche, Craig M Coopersmith, Richard S Hotchkiss, Mitchell M Levy, John C Marshall, Greg S Martin, Steven M Opal, Gordon D Rubenfeld, Tom van der Poll, Jean-Louis Vincent, Derek C Angus, None, The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) JAMA. ,vol. 315, pp. 801- 810 ,(2016) , 10.1001/JAMA.2016.0287
S. Dargère, H. Cormier, R. Verdon, Contaminants in blood cultures: importance, implications, interpretation and prevention Clinical Microbiology and Infection. ,vol. 24, pp. 964- 969 ,(2018) , 10.1016/J.CMI.2018.03.030
B. Lamy, Reprint of: Blood culture time-to-positivity: making use of the hidden information. Clinical Microbiology and Infection. ,vol. 25, pp. 399- 402 ,(2019) , 10.1016/J.CMI.2019.03.005
Bas van der Veer, Sharon van den Brink, Lisa Wijsman, Gabriel Goderski, Jean-Louis Romette, Joanna Ellis, Maria Zambon, Malik Peiris, Herman Goossens, Chantal Reusken, Marion PG Koopmans, Christian Drosten, Victor M Corman, Olfert Landt, Marco Kaiser, Richard Molenkamp, Adam Meijer, Daniel KW Chu, Tobias Bleicker, Sebastian Brünink, Julia Schneider, Marie Luisa Schmidt, Daphne GJC Mulders, Bart L Haagmans, Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR. Eurosurveillance. ,vol. 25, pp. 2000045- ,(2020) , 10.2807/1560-7917.ES.2020.25.3.2000045
Nanshan Chen, Min Zhou, Xuan Dong, Jieming Qu, Fengyun Gong, Yang Han, Yang Qiu, Jingli Wang, Ying Liu, Yuan Wei, Jia'an Xia, Ting Yu, Xinxin Zhang, Li Zhang, Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study The Lancet. ,vol. 395, pp. 507- 513 ,(2020) , 10.1016/S0140-6736(20)30211-7