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Impact of COVID-19 on acquisitions of multi-drug-resistant organisms in a tertiary intensive care unit: A single center retrospective observational study.
- Source :
- Journal of Emergency Medicine, Trauma & Acute Care; 2023, Vol. 2023 Issue 4, p1-7, 7p
- Publication Year :
- 2023
-
Abstract
- Background: The coronavirus disease (COVID-19) has resulted in more than 6 million deaths worldwide since it was identified in 2019, resulting in significant morbidity and mortality. The impact of COVID-19 on the acquisition of multi-drug-resistant organisms (MDRO) remains uncertain. This study aims to investigate the effect of COVID-19 on the acquisition of MDRO in the intensive care unit (ICU). Methods: A single-center, retrospective observational study at Wollongong ICU compared the acquisition rate of MDRO, especially vancomycin-resistant enterococci (VRE) and methicillinresistant Staphylococcus aureus (MRSA), pre- and post-COVID. Results: There was a significant increase in MDRO incidence post-COVID compared to pre-COVID, with incidence rates increasing from 1.6% to 4.56%, especially in MRSA acquisitions, which increased from 0.91% to 5.71%. This increase was associated with a longer ICU length of stay (LOS) but did not have a significant effect on hospital LOS or mortality. The increased incidence of MDRO was potentially related to increased antibiotic use and staffing changes during the COVID period. Conclusion: COVID-19 significantly impacted the acquisition of MDRO, particularly MRSA. [ABSTRACT FROM AUTHOR]
- Subjects :
- INTENSIVE care units
VANCOMYCIN resistance
COVID-19
SCIENTIFIC observation
TERTIARY care
METHICILLIN-resistant staphylococcus aureus
RETROSPECTIVE studies
MANN Whitney U Test
T-test (Statistics)
ENTEROCOCCUS
DESCRIPTIVE statistics
CHI-squared test
DRUG resistance in microorganisms
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 19997086
- Volume :
- 2023
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Emergency Medicine, Trauma & Acute Care
- Publication Type :
- Academic Journal
- Accession number :
- 173985508
- Full Text :
- https://doi.org/10.5339/jemtac.2023.33