Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit

The coronavirus-2019 (COVID-19) pandemic caused by the virus SARS-CoV-2 infection has imposed significant demand on all healthcare systems. Based on national and international guidance which were mostly anecdotal [1], COVID-19 patients admitted to our General Intensive Care Unit (GICU) were routinel...

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Autores:
Tipo de recurso:
Article of investigation
Fecha de publicación:
2020
Institución:
Universidad de Bogotá Jorge Tadeo Lozano
Repositorio:
Expeditio: repositorio UTadeo
Idioma:
eng
OAI Identifier:
oai:expeditiorepositorio.utadeo.edu.co:20.500.12010/14055
Acceso en línea:
http://dx.doi.org/10.1016/j.jgar.2020.07.017
http://hdl.handle.net/20.500.12010/14055
Palabra clave:
COVID-19
SARS-CoV-2
Procalcitonin
PCT
Antibiotic stewardship
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
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License
Abierto (Texto Completo)
Description
Summary:The coronavirus-2019 (COVID-19) pandemic caused by the virus SARS-CoV-2 infection has imposed significant demand on all healthcare systems. Based on national and international guidance which were mostly anecdotal [1], COVID-19 patients admitted to our General Intensive Care Unit (GICU) were routinely commenced on antibiotics to cover possible secondary bacterial lower respiratory tract infection (LRTI). The antibiotics should have been reviewed after 48 h, however, it was challenging to stop early because of the many factors such as persistent hyperinflammatory status, ongoing/worsening lung infiltrates with the need for continued mechanical ventilation, and also partly because of the lack of reliable indicators of bacterial infection.