Nosocomial Bacterial Infections in Covid-19 ICU at Ibn Rochd University Hospital Casablanca Morocco

Clin Lab. 2022 Jun 1;68(6). doi: 10.7754/Clin.Lab.2021.210733.

Abstract

Background: The aim is to determine the prevalence of bacterial nosocomial infections (NI) and its associated factors in COVID-19 ICU.

Methods: A descriptive retrospective study, from April to August 2020, was carried on patients with respiratory distress following SARS-Cov-2 infection presenting a sign of bacterial infection.

Results: A total of 29 patients (33% of hospitalized patients) contracted a NI, their age was 65 years ± 13.90 and sex-ratio M/F was 2.62. All patients had an invasive device: central line (65%), bladder catheter (72%), and mechanical ventilation (76%). The time of NI occurring was 5 to 8 days. Charlson comorbidity index was 4 - 6 in 18 patients (62%). Of the 35 samples taken, 45 bacteria were isolated: multi drug resistant A. baumannii and P. aeruginosa accounted for 24.4%. Of all, 16 deaths were recorded (55, 17%).

Conclusions: NI is common in COVID-19 ICU and can be predicted by risk factors that should be managed.

MeSH terms

  • Aged
  • COVID-19* / epidemiology
  • Cross Infection* / epidemiology
  • Cross Infection* / microbiology
  • Hospitals, University
  • Humans
  • Intensive Care Units
  • Morocco / epidemiology
  • Pseudomonas aeruginosa
  • Retrospective Studies
  • SARS-CoV-2