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About:
Secondary pneumonia in critically ill ventilated patients with COVID-19
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covidontheweb.inria.fr
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Academic Article
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schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Secondary pneumonia in critically ill ventilated patients with COVID-19
Creator
Parmar, Surendra
Baker, Stephen
Morris, Andrew
Dougan, Gordon
Curran, Martin
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source
MedRxiv
abstract
Background Pandemic COVID-19 caused by the coronavirus SARS-CoV-2 has a high incidence of patients with severe acute respiratory syndrome (SARS). Many of these patients require admission to an intensive care unit (ICU) for invasive artificial ventilation and are at significant risk of developing a secondary, ventilator-associated pneumonia (VAP). Objectives To study the incidence of VAP, as well as differences in secondary infections, and bacterial lung microbiome composition of ventilated COVID-19 and non-COVID-19 patients. Methods In this prospective observational study, we compared the incidence of VAP and secondary infections using a combination of a TaqMan multi-pathogen array and microbial culture. In addition, we determined the lung microbime composition using 16S RNA analyisis. The study involved eighteen COVID-19 and seven non-COVID-19 patients receiving invasive ventilation in three ICUs located in a single University teaching hospital between April 13th 2020 and May 7th 2020. Results We observed a higher percentage of confirmed VAP in COVID-19 patients. However, there was no statistical difference in the detected organisms or pulmonary microbiome when compared to non-COVID-19 patients. Conclusion COVID-19 makes people more susceptible to developing VAP, partly but not entirely due to the increased duration of ventilation. The pulmonary dysbiosis caused by COVID-19, and the array of secondary infections observed are similar to that seen in critically ill patients ventilated for other reasons.
has issue date
2020-06-28
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bibo:doi
10.1101/2020.06.26.20139873
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medrxiv
sha1sum (hex)
038c26ffc03221c90df13408f1591c0bfa09f23c
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https://doi.org/10.1101/2020.06.26.20139873
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Secondary pneumonia in critically ill ventilated patients with COVID-19
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covid:038c26ffc03221c90df13408f1591c0bfa09f23c#body_text
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named entity 'COVID-19'
named entity 'lysis buffer'
named entity 'preprint'
named entity 'SARS-CoV-2'
named entity 'preprint'
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