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Digital archive of theses discussed at the University of Pisa

 

Thesis etd-10122021-115356


Thesis type
Tesi di specializzazione (5 anni)
Author
BIAGINI, RAFFAELLO UMBERTO DARIO
URN
etd-10122021-115356
Thesis title
Superinfezioni nei pazienti covid-19: l'esperienza di una terapia intensiva
Department
PATOLOGIA CHIRURGICA, MEDICA, MOLECOLARE E DELL'AREA CRITICA
Course of study
ANESTESIA, RIANIMAZIONE, TERAPIA INTENSIVA E DEL DOLORE
Supervisors
relatore Prof. Forfori, Francesco
relatore Dott. Malacarne, Paolo
correlatore Dott. Viaggi, Bruno
Keywords
  • COVID
  • ICU
  • Superinfection
Graduation session start date
03/11/2021
Availability
None
Summary
Our group evaluated in a retrospective way the incidence of superinfection in our COVID19-ICU, called "Bolla Covid"; we analyzed the etiology of superinfection, the site of infection, the number of patient who developed superinfection, the number of infection episodes, the correlation between infection episodes and outcomes: infection without sepsis, sepsis, septic shock (as defined by SSC/ESICM task force 2016); finally we evaluated mortality between the group who developed superinfection and the group who did not.
Results: we found an incidence of superinfection similar to that described in literature for ICU patients (55% of the court). We found a mild difference in mortality rates: 78% in the superinfection group versus 60% in the group who not developed superinfection. About etiology, Acinetobacter Baumannii MDR was the major cause of VAP and bacteremia; we found also a not insignificant incidence of Enterococcus spp driven bacteremias, as recently described in other papers.
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