A study evaluating the association between secondary bloodstream disease and acute COVID-19

People with severe COVID-19 and secondary blood disease were significantly more ill when they were admitted to the hospital, had longer hospital stays and worse outcomes, according to the Rutgers study.

The study, published in the journal Clinical infectious diseases, the first to evaluate microbiology, risk factors, and outcomes in hospitalized patients with severe COVID-19 infections and secondary blood flow.

The researchers looked at 375 patients diagnosed with severe COVID-19 between March and May 2020. Of that group, they sampled 128 cases with secondary bloodstream infections, 92 percent of which of bacterial infections.

These patients were more likely to have a change in mental status, lower percentage oxygen absorption, septic shock and admission to the intensive care unit compared to those without bloodstream infections. “

Pinki Bhatt, Study C.o -Principal author and Associate Professor, Rutgers Robert Wood Johnson School of Medicine, Department of Allergy, Psychology and Infectious Disease

The researchers also found that patients who needed more advanced types of extra oxygen when they were admitted to hospital had higher rates of secondary blood flow diseases.

The in-hospital mortality rate for these patients was more than 50 percent, but the study revealed that these deaths were related to it, and not the condition with the condition.

According to the study, infections in COVID-19 patients may have contributed to the severity of the disease or may indicate other physiological and immunological complications of COVID-19.

The study showed that the most common cause of secondary bloodstream diseases was not known or confirmed and then with midline-related bloodstream disease as the most common source.

The study found that 80 percent of all patients in the study received non-chemical substances at some point in the hospital, including those who did not have bloodstream infections. “This tends to reflect the tendency of clinicians to administer non-chemical substances with the limited information on the natural course of this novel disease,” said Bhatt. She noted that further studies are needed to better understand when to suspect and empirically treat for secondary bloodstream infections in severe COVID-19.

“Antimicrobial stewardship remains critical during this unprecedented period,” said co-author Navaneeth Narayanan, a clinical professor at Ernest Mario’s Rutgers School of Medicine. “Given the prevalence of pandemic disease, improper use will lead to widespread complications such as drug side effects, resistance to chemicals and Clostridium difficile diseases.”

Source:

Magazine Reference:

Bhatt, PJ, et al. (2020) Risk factors and outcomes of hospitalized patients with severe coronavirus disease 2019 (COVID-19) and Secondary bloodstream diseases: A Multicenter Case Control Study. Clinical infectious diseases. doi.org/10.1093/cid/ciaa1748.

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