Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region
Objectives: This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March–April 2020) on the incidence of bloodstream infections (BSIs) at Assistance Publique – Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France. Methods: The number of p...
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Elsevier
2022
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oai:doaj.org-article:dbe9193e72ae446ebaf008bb25bb9ab42021-11-30T04:14:27ZSurging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region1201-971210.1016/j.ijid.2021.10.034https://doaj.org/article/dbe9193e72ae446ebaf008bb25bb9ab42022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221008213https://doaj.org/toc/1201-9712Objectives: This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March–April 2020) on the incidence of bloodstream infections (BSIs) at Assistance Publique – Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France. Methods: The number of patient admission blood cultures (BCs) collected, number of positive BCs, and antibiotic resistance and consumption were analysed retrospectively for the first quarter of 2020, and also for the first quarter of 2019 for comparison, in 25 APHP hospitals (ca. 14 000 beds). Results: Up to a fourth of patients admitted in March–April 2020 in these hospitals had COVID-19. The BSI rate per 100 admissions increased overall by 24% in March 2020 and 115% in April 2020, and separately for the major pathogens (Escherichia coli, Klebsiella pneumoniae, enterococci, Staphylococcus aureus, Pseudomonas aeruginosa, yeasts). A sharp increase in the rate of BSIs caused by microorganisms resistant to third-generation cephalosporins (3GC) was also observed in March–April 2020, particularly in K. pneumoniae, enterobacterial species naturally producing inducible AmpC (Enterobacter cloacae...), and P. aeruginosa. A concomitant increase in 3GC consumption occurred. Conclusions: The COVID-19 pandemic had a strong impact on hospital management and also unfavourable effects on severe infections, antimicrobial resistance, and laboratory work diagnostics.Rishma AmarsyDavid TrystramEmmanuelle CambauCatherine MonteilSandra FournierJuliette OliaryHelga JunotPierre SabatierRaphaël PorcherJérôme RobertVincent JarlierGuillaume ArletLaurence Armand LefevreAlexandra AubryLaurent BelecBéatrice BercotStéphane BonacorsiVincent CalvezEmmanuelle CambauEtienne CarbonnelleStéphane ChevaliezJean-Winoc DecousserConstance DelaugerreDiane DescampsFlorence Doucet-PopulaireJean-Louis GaillardAntoine Garbarg- ChenonElyanne GaultJean-Louis HerrmannVincent JarlierJérôme Le GoffJean-Christophe LucetJean-Luc MainardiAnne-Geneviève MarcellinLaurence Morand-JoubertXavier NassifJean-Michel PawlotskyJérôme RobertAnne-Marie Roque AfonsoMartin RottmanChristine RouziouxFlore RozenbergFrançois SimonNicolas VezirisDavid SkurnikJean-Ralph ZaharGuilene BarnaudTyphaine Billard PomaresGaëlle CuzonDominique DecréAlexandra DoloyJean-Luc DonayLaurence Drieux-RouzetIsabelle DurandAgnès FerroniVincent FihmanNicolas FortineauCamille GomartNathalie GrallChristelle Guillet CarubaFrançoise JaureguyValérie LalandeLuce LandraudVéronique LeflonPatricia MarianiLiliana MihailaDidier MoissenetLatifa NoussairIsabelle PodglajenIsabelle PoilaneHélène PoupetEmilie RondinaudValérie Sivadon TardyDavid TrystramCharlotte VerdetEmmanuelle VigierSophie Vimont BillarantElsevierarticleCOVID-19Blood cultureBloodstream infection incidenceAntibiotic consumptionAntimicrobial resistanceInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 114, Iss , Pp 90-96 (2022) |
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DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
COVID-19 Blood culture Bloodstream infection incidence Antibiotic consumption Antimicrobial resistance Infectious and parasitic diseases RC109-216 |
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COVID-19 Blood culture Bloodstream infection incidence Antibiotic consumption Antimicrobial resistance Infectious and parasitic diseases RC109-216 Rishma Amarsy David Trystram Emmanuelle Cambau Catherine Monteil Sandra Fournier Juliette Oliary Helga Junot Pierre Sabatier Raphaël Porcher Jérôme Robert Vincent Jarlier Guillaume Arlet Laurence Armand Lefevre Alexandra Aubry Laurent Belec Béatrice Bercot Stéphane Bonacorsi Vincent Calvez Emmanuelle Cambau Etienne Carbonnelle Stéphane Chevaliez Jean-Winoc Decousser Constance Delaugerre Diane Descamps Florence Doucet-Populaire Jean-Louis Gaillard Antoine Garbarg- Chenon Elyanne Gault Jean-Louis Herrmann Vincent Jarlier Jérôme Le Goff Jean-Christophe Lucet Jean-Luc Mainardi Anne-Geneviève Marcellin Laurence Morand-Joubert Xavier Nassif Jean-Michel Pawlotsky Jérôme Robert Anne-Marie Roque Afonso Martin Rottman Christine Rouzioux Flore Rozenberg François Simon Nicolas Veziris David Skurnik Jean-Ralph Zahar Guilene Barnaud Typhaine Billard Pomares Gaëlle Cuzon Dominique Decré Alexandra Doloy Jean-Luc Donay Laurence Drieux-Rouzet Isabelle Durand Agnès Ferroni Vincent Fihman Nicolas Fortineau Camille Gomart Nathalie Grall Christelle Guillet Caruba Françoise Jaureguy Valérie Lalande Luce Landraud Véronique Leflon Patricia Mariani Liliana Mihaila Didier Moissenet Latifa Noussair Isabelle Podglajen Isabelle Poilane Hélène Poupet Emilie Rondinaud Valérie Sivadon Tardy David Trystram Charlotte Verdet Emmanuelle Vigier Sophie Vimont Billarant Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region |
| description |
Objectives: This study measured the impact of the first wave of COVID-19 pandemic (COVID-19) (March–April 2020) on the incidence of bloodstream infections (BSIs) at Assistance Publique – Hôpitaux de Paris (APHP), the largest multisite public healthcare institution in France. Methods: The number of patient admission blood cultures (BCs) collected, number of positive BCs, and antibiotic resistance and consumption were analysed retrospectively for the first quarter of 2020, and also for the first quarter of 2019 for comparison, in 25 APHP hospitals (ca. 14 000 beds). Results: Up to a fourth of patients admitted in March–April 2020 in these hospitals had COVID-19. The BSI rate per 100 admissions increased overall by 24% in March 2020 and 115% in April 2020, and separately for the major pathogens (Escherichia coli, Klebsiella pneumoniae, enterococci, Staphylococcus aureus, Pseudomonas aeruginosa, yeasts). A sharp increase in the rate of BSIs caused by microorganisms resistant to third-generation cephalosporins (3GC) was also observed in March–April 2020, particularly in K. pneumoniae, enterobacterial species naturally producing inducible AmpC (Enterobacter cloacae...), and P. aeruginosa. A concomitant increase in 3GC consumption occurred. Conclusions: The COVID-19 pandemic had a strong impact on hospital management and also unfavourable effects on severe infections, antimicrobial resistance, and laboratory work diagnostics. |
| format |
article |
| author |
Rishma Amarsy David Trystram Emmanuelle Cambau Catherine Monteil Sandra Fournier Juliette Oliary Helga Junot Pierre Sabatier Raphaël Porcher Jérôme Robert Vincent Jarlier Guillaume Arlet Laurence Armand Lefevre Alexandra Aubry Laurent Belec Béatrice Bercot Stéphane Bonacorsi Vincent Calvez Emmanuelle Cambau Etienne Carbonnelle Stéphane Chevaliez Jean-Winoc Decousser Constance Delaugerre Diane Descamps Florence Doucet-Populaire Jean-Louis Gaillard Antoine Garbarg- Chenon Elyanne Gault Jean-Louis Herrmann Vincent Jarlier Jérôme Le Goff Jean-Christophe Lucet Jean-Luc Mainardi Anne-Geneviève Marcellin Laurence Morand-Joubert Xavier Nassif Jean-Michel Pawlotsky Jérôme Robert Anne-Marie Roque Afonso Martin Rottman Christine Rouzioux Flore Rozenberg François Simon Nicolas Veziris David Skurnik Jean-Ralph Zahar Guilene Barnaud Typhaine Billard Pomares Gaëlle Cuzon Dominique Decré Alexandra Doloy Jean-Luc Donay Laurence Drieux-Rouzet Isabelle Durand Agnès Ferroni Vincent Fihman Nicolas Fortineau Camille Gomart Nathalie Grall Christelle Guillet Caruba Françoise Jaureguy Valérie Lalande Luce Landraud Véronique Leflon Patricia Mariani Liliana Mihaila Didier Moissenet Latifa Noussair Isabelle Podglajen Isabelle Poilane Hélène Poupet Emilie Rondinaud Valérie Sivadon Tardy David Trystram Charlotte Verdet Emmanuelle Vigier Sophie Vimont Billarant |
| author_facet |
Rishma Amarsy David Trystram Emmanuelle Cambau Catherine Monteil Sandra Fournier Juliette Oliary Helga Junot Pierre Sabatier Raphaël Porcher Jérôme Robert Vincent Jarlier Guillaume Arlet Laurence Armand Lefevre Alexandra Aubry Laurent Belec Béatrice Bercot Stéphane Bonacorsi Vincent Calvez Emmanuelle Cambau Etienne Carbonnelle Stéphane Chevaliez Jean-Winoc Decousser Constance Delaugerre Diane Descamps Florence Doucet-Populaire Jean-Louis Gaillard Antoine Garbarg- Chenon Elyanne Gault Jean-Louis Herrmann Vincent Jarlier Jérôme Le Goff Jean-Christophe Lucet Jean-Luc Mainardi Anne-Geneviève Marcellin Laurence Morand-Joubert Xavier Nassif Jean-Michel Pawlotsky Jérôme Robert Anne-Marie Roque Afonso Martin Rottman Christine Rouzioux Flore Rozenberg François Simon Nicolas Veziris David Skurnik Jean-Ralph Zahar Guilene Barnaud Typhaine Billard Pomares Gaëlle Cuzon Dominique Decré Alexandra Doloy Jean-Luc Donay Laurence Drieux-Rouzet Isabelle Durand Agnès Ferroni Vincent Fihman Nicolas Fortineau Camille Gomart Nathalie Grall Christelle Guillet Caruba Françoise Jaureguy Valérie Lalande Luce Landraud Véronique Leflon Patricia Mariani Liliana Mihaila Didier Moissenet Latifa Noussair Isabelle Podglajen Isabelle Poilane Hélène Poupet Emilie Rondinaud Valérie Sivadon Tardy David Trystram Charlotte Verdet Emmanuelle Vigier Sophie Vimont Billarant |
| author_sort |
Rishma Amarsy |
| title |
Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region |
| title_short |
Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region |
| title_full |
Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region |
| title_fullStr |
Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region |
| title_full_unstemmed |
Surging bloodstream infections and antimicrobial resistance during the first wave of COVID–19: a study in a large multihospital institution in the Paris region |
| title_sort |
surging bloodstream infections and antimicrobial resistance during the first wave of covid–19: a study in a large multihospital institution in the paris region |
| publisher |
Elsevier |
| publishDate |
2022 |
| url |
https://doaj.org/article/dbe9193e72ae446ebaf008bb25bb9ab4 |
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