Corpus overview


Overview

MeSH Disease

Human Phenotype

Transmission

There are no transmission terms in the subcorpus


Seroprevalence

There are no seroprevalence terms in the subcorpus

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    Hospital-acquired infective endocarditis MESHD endocarditis HP during Covid-19 pandemic

    Authors: Antonio Ramos-Martinez; Ana Fernndez-Cruz; Fernando Dominguez; Alberto Forteza; Marta Cobo; Isabel Sanchez-Romero; Angel asensio

    doi:10.1101/2020.05.17.20101063 Date: 2020-05-22 Source: medRxiv

    Background. The COVID pandemic has had a major impact on healthcare in hospitals, including the diagnosis and treatment of infections MESHD. Hospital-acquired infective endocarditis MESHD endocarditis HP (HAIE) is a severe complication of medical procedures that has shown a progressive increase in recent years. Objectives. to determine whether the incidence of HAIE during the first two months of the epidemic (March-April 2020) was higher than previously observed and to describe the clinical characteristics of these cases. The probability of studied event (HAIE) during the studied period was calculate by Poisson distribution. Results. Four cases of HAIE were diagnosed in our institution during the study period. The incidence of HAIE during the study period was 2/patient-month and 0.25/patient-month during the previous 5 years (p=0.024). Two cases appeared during admission for COVID-19 with pulmonary involvement treated with metilprednisolone and tocilizumab. The other two cases were admitted to the hospital during the epidemic. All cases underwent central venous and urinary catheterization during admission. The etiology of HAIE was Enterococcus faecalis (2 cases), Staphylococcus aureus and Candida albicans (one case each). A source of infection MESHD was identified in three cases (central venous catheter, peripheral venous catheter, sternal wound infection MESHD, respectively). One patient was operated on. There were no fatalities during the first 30 days of follow-up. Conclusion. The incidence of HAIE during COVID-19 pandemic in our institution was higher than usual. In order to reduce the risk of this serious infection MESHD, optimal catheter care, appropriate use of corticosteroids and interleukin antagonists and early treatment of every local infection MESHD should be prioritized during coronavirus outbreaks.

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MeSH Disease
Human Phenotype
Transmission
Seroprevalence


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