Coinfections associated with COVID-19 in patients admitted to an adult ICU in the interior of the Amazon

Abstract

Coinfections by SARS-CoV-2 with other microorganisms, such as bacteria, viruses and fungi, is a determining factor that must be considered. Because the early detection of these coinfections can directly interfere with the length of hospitalization and, consequently, mortality. This study aimed to identify the epidemiological profile of patients and coinfections associated with COVID-19 carriers in an adult Intensive Care Unit (ICU) of a hospital in the interior of the Amazon. This is a retrospective, descriptive and documentary study, with a quantitative approach. The data sample was obtained from the Hospital Infection Control Commission (E-CCIH) registration system. 95 medical records of patients with COVID-19 associated with coinfections were analyzed. The prevalence of females was 62.1% and the average age was 58 years, 82.1% were brown and the highest prevalence for high school was 32.6%. Related to the site of infection, the study revealed that Ventilator-Associated Pneumonia (VAP) was the most prevalent condition with 53.7% of cases. Regarding the discharges, 60% were due to death. Coinfections associated with COVID-19 reveal a poor prognosis, worsening in the presence of respiratory system comorbidities.