Evidence map›Paper›PMID 36681833›Full record

ArticleEuropean journal of medical research2023

Are bacterial coinfections really rare in COVID-19 intensive care units?

Banu Karaca, Murat Aksun, Nagihan Altıncı Karahan, Senem Girgin, Bahar Ormen, Ahmet Salih Tuzen, Tuna Demirdal, Atilla Sencan

Open access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Characteristics and risk factors of secondary bacterial infections in COVID-19 patients.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Banu KaracaInfectious Diseases Department, Faculty of Medicine, Atatürk Training and Research Hospital, Katip Celebi University, Basin Sitesi/Karabaglar, 35360, Izmir, Turkey. banukaraca@yahoo.com.ORCID http://orcid.org/0000-0003-1470-356X
Murat AksunAnesthesia and Reanimation Department, Faculty of Medicine, Katip Celebi University, Izmir, Turkey.
Nagihan Altıncı KarahanAnesthesia and Reanimation Department, Faculty of Medicine, Katip Celebi University, Izmir, Turkey.
Senem GirginAnesthesia and Reanimation Department, Faculty of Medicine, Katip Celebi University, Izmir, Turkey.
Bahar OrmenInfectious Diseases Department, Faculty of Medicine, Atatürk Training and Research Hospital, Katip Celebi University, Basin Sitesi/Karabaglar, 35360, Izmir, Turkey.
Ahmet Salih TuzenAnesthesia and Reanimation Department, Faculty of Medicine, Katip Celebi University, Izmir, Turkey.
Tuna DemirdalInfectious Diseases Department, Faculty of Medicine, Atatürk Training and Research Hospital, Katip Celebi University, Basin Sitesi/Karabaglar, 35360, Izmir, Turkey.
Atilla SencanAnesthesia and Reanimation Department, Faculty of Medicine, Katip Celebi University, Izmir, Turkey.
Izmir Kâtip Çelebi University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere are limited data about nosocomial coinfections of COVID-19 cases monitored in the intensive care unit. This study aims to investigate coinfections in COVID-19 patients followed in an intensive care unit of a university hospital.

methodsThis study analyzed retrospectively the data of coinfections of 351 COVID-19 patients in the period 28.02.2020-15.01.2021 in a tertiary care intensive care unit in a university hospital.

resultsBacterial coinfections were present in 216 of the 351 cases. One hundred and thirty of these cases were evaluated as nosocomial infections. On the third day the Sequential Organ Failure Assessment Score, usage of invasive mechanical ventilation and presence of septic shock were significantly higher in the coinfected group. The neutrophil/lymphocyte ratio, polymorphonuclear leukocyte count, procalcitonin, ferritin, and blood urea nitrogen values were significantly higher in the coinfection group. White blood cells (WBC) (OR: 1.075, 95% CI 1.032-1.121, p = 0.001) and ICU hospitalization day (OR: 1.114, 95% CI 1.063-1.167, p < 0.001) were found to be independent risk factors for coinfection in the multivariate logistic regression analysis. The rates of hospitalization day on the day of arrival, the 21st day, as well as total mortality (p = 0.004), were significantly higher in the coinfected group.

conclusionBacterial coinfections of COVID-19 patients in the intensive care unit remain a problem. Identifying the infectious agent, classifying colonizations and infections, and using the proper treatment of antibiotics are of great importance in the case management of COVID-19 patients in the intensive care unit.

Indexed as

CoinfectionCOVID-19Shock, SepticHumansIntensive Care UnitsPrognosisRetrospective StudiesBacterial coinfectionCOVID-19Intensive care unit

Identifiers

PMID36681833
PMCPMC9860221
OpenAlexW4317693939

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.