Bacterial and fungal coinfections among patients with COVID-19 in Zanjan, Northwest of Iran; a single-center observational with meta-analysis of the literature

Morovati, Hamid; Eslami, Saba; Bonab, Hesam Farzaneh; Kord, Mohammad; Darabian, Sima

doi:10.18502/ijm.v14i5.10955

Cited by 1 publication

(2 citation statements)

References 46 publications

(74 reference statements)

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“…aureus isolates are MRSA. The findings are in line with a recent cohort study by Morovati et al (2022) that discovered 72% of COVID-19 patients had positive sputum cultures. But he discovered that 63.2 and 8.8%, respectively, of secondary infections were caused by bacterial and fungal species respectively.…”

Section: Discussionsupporting

confidence: 92%

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ICU COVID-19 patients with bacterial and fungal super-infections in Saudi Arabia

Manal¹,

Mohammed²,

Altaf³

et al. 2023

Afr. J. Microbiol. Res.

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Bacterial and fungal infections inCOVID-19 patients were reported all over the world. A retrospective study was conducted to determine the prevalence of bacterial and fungal superinfections in COVID-19 positive patients between April 2020 and December 2021. This research included patients admitted in a specialized medical center in Saudi Arabia. A total of 2643 patients with confirmed diagnosis of COVID-19 via reverse transcriptase-polymerase chain reaction assay (RT-PCR) conducted on nasopharyngeal swab and chest computed tomography. The age forty-nine years (SD 12•5) 2087 were men (79%). Patients with positive cultures for bacteria or fungi were included in the study, and patients with negative cultures were excluded. Total number of COVID-19 patients who acquired bacterial infection was 509 (19%) and two hundred forty-six (246) of COVID-19 patients were admitted to ICU and were under mechanical ventilation (9.3%). All mechanically ventilated cases developed bacterial ventilator associated pneumonia. Multidrug resistant organisms represent 97%. Extended spectrum b-lactamase comprise 35.1%, Methicillin resistant Staph aureus 32.2%, vancomycin resistant Enterococci 2.1%. Clostridium difficile was 1.7%. 46 patients under mechanical ventilation acquired fungal superinfection (18.6%) with long duration of mechanical ventilation more than 14 days (p value=0.019) and under dexamethasone treatment (p value=0.027). Candida is the most common type of fungi isolated (89%). Candida auris isolated from three cases (6.5%), one case developed invasive mucormycosis (2%) one acquired invasive Aspergillosis (2%). 5 patients died (11%). This research tries to provide factual evidence of types of bacterial and fungal superinfection in COVID-19 cases and implement prevention and control measures of infection.

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Section: Discussionsupporting

confidence: 92%

“…Additionally, the two main fungal pathogens were Aspergillus spp. (2.1%) and C. albicans (6.7%) (Morovati et al, 2022).…”

Section: Discussionmentioning

confidence: 98%

ICU COVID-19 patients with bacterial and fungal super-infections in Saudi Arabia

Manal¹,

Mohammed²,

Altaf³

et al. 2023

Afr. J. Microbiol. Res.

View full text Add to dashboard Cite

show abstract

Bacterial and fungal coinfections among patients with COVID-19 in Zanjan, Northwest of Iran; a single-center observational with meta-analysis of the literature

Cited by 1 publication

References 46 publications

ICU COVID-19 patients with bacterial and fungal super-infections in Saudi Arabia

ICU COVID-19 patients with bacterial and fungal super-infections in Saudi Arabia

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