Servicio de Medicina Intensiva, Hospital Universitario de Jerez, Departamento de Medicina, Facultad de Medicina de Cádiz, Jerez de la Frontera, Cádiz, Spain.
Servicio de Medicina Intensiva, Complexo Hospitalario Universitario de Ourense, Ourense, Spain.
Med Intensiva (Engl Ed). 2021 Nov;45(8):485-500. doi: 10.1016/j.medine.2021.08.013. Epub 2021 Aug 24.
Infections have become one of the main complications of patients with severe SARS-CoV-2 pneumonia admitted in ICU. Poor immune status, frequent development of organic failure requiring invasive supportive treatments, and prolonged ICU length of stay in saturated structural areas of patients are risk factors for infection development. The Working Group on Infectious Diseases and Sepsis GTEIS of the Spanish Society of Intensive Medicine and Coronary Units SEMICYUC emphasizes the importance of infection prevention measures related to health care, the detection and early treatment of major infections in the patient with SARS-CoV-2 infections. Bacterial co-infection, respiratory infections related to mechanical ventilation, catheter-related bacteremia, device-associated urinary tract infection and opportunistic infections are review in the document.
感染已成为入住 ICU 的重症 SARS-CoV-2 肺炎患者的主要并发症之一。免疫状态差、经常发生需要侵入性支持治疗的器官衰竭,以及患者饱和结构性区域 ICU 住院时间延长,这些都是感染发展的危险因素。西班牙重症监护医学和冠心病学会传染病和脓毒症工作组 GTEIS 强调了与医疗保健相关的感染预防措施的重要性,以及对 SARS-CoV-2 感染患者的重大感染进行检测和早期治疗。本文回顾了细菌合并感染、与机械通气相关的呼吸道感染、导管相关菌血症、与器械相关的尿路感染和机会性感染。