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. 2021 Nov;45(8):485-500.
doi: 10.1016/j.medine.2021.08.013. Epub 2021 Aug 24.

Management of infectious complications associated with coronavirus infection in severe patients admitted to ICU

Á Estella  1 , P Vidal-Cortés  2 , A Rodríguez  3 , D Andaluz Ojeda  4 , I Martín-Loeches  5 , E Díaz  6 , B Suberviola  7 , M P Gracia Arnillas  8 , M Catalán González  9 , F Álvarez-Lerma  10 , P Ramírez  11 , X Nuvials  12 , M Borges  13 , R Zaragoza  14
Affiliations

Management of infectious complications associated with coronavirus infection in severe patients admitted to ICU

Á Estella et al. Med Intensiva (Engl Ed). 2021 Nov.

Abstract
in English, Spanish

Infections have become one of the main complications of patients with severe SARS-CoV-2 pneumonia admitted in ICU. Poor immune status, frequent development of organic failure requiring invasive supportive treatments, and prolonged ICU length of stay in saturated structural areas of patients are risk factors for infection development. The Working Group on Infectious Diseases and Sepsis GTEIS of the Spanish Society of Intensive Medicine and Coronary Units SEMICYUC emphasizes the importance of infection prevention measures related to health care, the detection and early treatment of major infections in the patient with SARS-CoV-2 infections. Bacterial co-infection, respiratory infections related to mechanical ventilation, catheter-related bacteremia, device-associated urinary tract infection and opportunistic infections are review in the document.

Las infecciones se han convertido en una de las principales complicaciones de los pacientes con neumonía grave por SARS-CoV-2 que ingresan en UCI. El deficiente estado inmunitario, el desarrollo frecuente de fracaso orgánico con necesidad de tratamientos de soporte invasivos y las estancias prolongadas en áreas estructurales en gran medida saturadas de enfermos son factores de riesgo para el desarrollo de infecciones. El Grupo de Trabajo de Enfermedades Infecciosas y Sepsis GTEIS de la Sociedad Española de Medicina Intensiva y Unidades Coronarias SEMICYUC enfatiza la importancia de las medidas de prevención de infecciones relacionadas con los cuidados sanitarios, y de la detección y tratamiento precoz de las principales infecciones en el paciente con infección por SARS-CoV-2. La coinfección bacteriana, las infecciones respiratorias relacionadas con la ventilación mecánica, bacteriemia relacionada con el catéter, infección del tracto urinario asociado a dispositivo e infecciones oportunistas son desarrolladas.

Keywords: Infecciones oportunistas; Infection prevention; Neumonía; Nosocomial; Opportunistic infections; Pneumonia; Prevención infecciones; SARS-CoV-2.

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