西班牙一家三级医院在 COVID-19 大流行期间的菌血症。
Bacteremia during COVID-19 pandemic in a tertiary hospital in Spain.
机构信息
Servicio de Microbiología, Hospital Universitario Miguel Servet Zaragoza, Spain.
Servicio de Microbiología, Hospital Universitario Miguel Servet Zaragoza, Spain.
出版信息
Enferm Infecc Microbiol Clin (Engl Ed). 2022 Apr;40(4):183-186. doi: 10.1016/j.eimce.2021.01.007.
INTRODUCTION
The reasons for the decrease in blood cultures were investigated and the rate and aetiology of bacteremia and contaminated blood cultures collected from COVID and non-COVID patients were assessed.
METHODS
We performed a retrospective analysis in a tertiary hospital in Spain during the COVID period from 4th March 2020 to 21st June 2020.
RESULTS
The number of blood cultures processed was 5313, representing 22.7% and 18.8% of decrease compared to the same months of 2019 and 2018, respectively (p=0.173). The rate of bacteremia was 1.2% higher among COVID-patients than among non-COVID patients (p<0.001). COVID patients had a higher proportion of nosocomial bacteremia (95.5%) than non-COVID patients (30.5%) (p<0.001). In COVID-positive patients, the contamination rate was 12.3% vs 5.7% in non-COVID patients (p<0.001).
CONCLUSION
There was a decrease in the number of blood cultures collected during the COVID period compared to previous years. Bacteremia in COVID patients was mainly nosocomial and catheter-related.
简介
本研究旨在调查血培养减少的原因，并评估 COVID 患者和非 COVID 患者血培养中菌血症的发生率和病因。
方法
我们在西班牙的一家三级医院进行了回顾性分析，研究时间段为 2020 年 3 月 4 日至 2020 年 6 月 21 日。
结果
与 2019 年和 2018 年同期相比，血培养的处理数量分别减少了 22.7%和 18.8%（p=0.173）。COVID 患者的菌血症发生率比非 COVID 患者高 1.2%（p<0.001）。COVID 患者的医院获得性菌血症比例（95.5%）高于非 COVID 患者（30.5%）（p<0.001）。在 COVID 阳性患者中，污染率为 12.3%，而非 COVID 患者为 5.7%（p<0.001）。
结论
与前几年相比，COVID 期间采集的血培养数量有所减少。COVID 患者的菌血症主要为医院获得性和导管相关。
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