The Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?

The COVID-19 epidemic has been a great challenge to health systems and especially hospitals. A prospective observational epidemiological study was planned as of February 26, 2020 in a tertiary hospital in the Valencia region. The total number of patients followed up with complete information during...

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Autores principales:	Jose Luis Alfonso-Sanchez, Adriana Agurto-Ramirez, María A. Chong-Valbuena, Isabel De-Jesús-María, Paula Julián-Paches, Luis López-Cerrillo, Hilary Piedrahita-Valdés, Martina Giménez-Azagra, José María Martín-Moreno
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	risk factors SARS-CoV-2 COVID-19 disease management COVID epidemiology germ colonization Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7f3592ef68c54e98b8dd547815f1ed47
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spelling	oai:doaj.org-article:7f3592ef68c54e98b8dd547815f1ed472021-11-11T11:29:17ZThe Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?2296-256510.3389/fpubh.2021.747791https://doaj.org/article/7f3592ef68c54e98b8dd547815f1ed472021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.747791/fullhttps://doaj.org/toc/2296-2565The COVID-19 epidemic has been a great challenge to health systems and especially hospitals. A prospective observational epidemiological study was planned as of February 26, 2020 in a tertiary hospital in the Valencia region. The total number of patients followed up with complete information during the first year was 2,448. Among other variables, the comorbidities of the patients were collected (and grouped in the Charson index), the stay in the intensive care unit (ICU), the co-infections, and the colonizations. Data on nosocomial infections due to said virus were also collected. The median days from the onset of symptoms to diagnosis were 4 + 4.6, while an additional 4.4 days had to pass for the patients to be admitted to the ICU. The factors associated with a higher risk of death were those with coinfection, especially with Candida auris [odds ratio (OR): 4.6], a situation that also occurred in the ICU (OR: 3.18). Charlson Index comorbidity and C. auris colonization were also very important both in general hospitalization and in the ICU.Jose Luis Alfonso-SanchezJose Luis Alfonso-SanchezAdriana Agurto-RamirezMaría A. Chong-ValbuenaIsabel De-Jesús-MaríaPaula Julián-PachesLuis López-CerrilloHilary Piedrahita-ValdésMartina Giménez-AzagraJosé María Martín-MorenoJosé María Martín-MorenoFrontiers Media S.A.articlerisk factorsSARS-CoV-2COVID-19disease managementCOVID epidemiologygerm colonizationPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	risk factors SARS-CoV-2 COVID-19 disease management COVID epidemiology germ colonization Public aspects of medicine RA1-1270
spellingShingle	risk factors SARS-CoV-2 COVID-19 disease management COVID epidemiology germ colonization Public aspects of medicine RA1-1270 Jose Luis Alfonso-Sanchez Jose Luis Alfonso-Sanchez Adriana Agurto-Ramirez María A. Chong-Valbuena Isabel De-Jesús-María Paula Julián-Paches Luis López-Cerrillo Hilary Piedrahita-Valdés Martina Giménez-Azagra José María Martín-Moreno José María Martín-Moreno The Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?
description	The COVID-19 epidemic has been a great challenge to health systems and especially hospitals. A prospective observational epidemiological study was planned as of February 26, 2020 in a tertiary hospital in the Valencia region. The total number of patients followed up with complete information during the first year was 2,448. Among other variables, the comorbidities of the patients were collected (and grouped in the Charson index), the stay in the intensive care unit (ICU), the co-infections, and the colonizations. Data on nosocomial infections due to said virus were also collected. The median days from the onset of symptoms to diagnosis were 4 + 4.6, while an additional 4.4 days had to pass for the patients to be admitted to the ICU. The factors associated with a higher risk of death were those with coinfection, especially with Candida auris [odds ratio (OR): 4.6], a situation that also occurred in the ICU (OR: 3.18). Charlson Index comorbidity and C. auris colonization were also very important both in general hospitalization and in the ICU.
format	article
author	Jose Luis Alfonso-Sanchez Jose Luis Alfonso-Sanchez Adriana Agurto-Ramirez María A. Chong-Valbuena Isabel De-Jesús-María Paula Julián-Paches Luis López-Cerrillo Hilary Piedrahita-Valdés Martina Giménez-Azagra José María Martín-Moreno José María Martín-Moreno
author_facet	Jose Luis Alfonso-Sanchez Jose Luis Alfonso-Sanchez Adriana Agurto-Ramirez María A. Chong-Valbuena Isabel De-Jesús-María Paula Julián-Paches Luis López-Cerrillo Hilary Piedrahita-Valdés Martina Giménez-Azagra José María Martín-Moreno José María Martín-Moreno
author_sort	Jose Luis Alfonso-Sanchez
title	The Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?
title_short	The Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?
title_full	The Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?
title_fullStr	The Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?
title_full_unstemmed	The Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?
title_sort	influence of infection and colonization on outcomes in inpatients with covid-19: are we forgetting something?
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/7f3592ef68c54e98b8dd547815f1ed47
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The Influence of Infection and Colonization on Outcomes in Inpatients With COVID-19: Are We Forgetting Something?

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