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
Rights
License
Abierto (Texto Completo)
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oai_identifier_str oai:expeditiorepositorio.utadeo.edu.co:20.500.12010/14055
network_acronym_str UTADEO2
network_name_str Expeditio: repositorio UTadeo
repository_id_str
dc.title.spa.fl_str_mv Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit
title Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit
spellingShingle Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit
COVID-19
SARS-CoV-2
Procalcitonin
PCT
Antibiotic stewardship
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
title_short Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit
title_full Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit
title_fullStr Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit
title_full_unstemmed Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit
title_sort Procalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unit
dc.subject.spa.fl_str_mv COVID-19
SARS-CoV-2
Procalcitonin
PCT
Antibiotic stewardship
topic COVID-19
SARS-CoV-2
Procalcitonin
PCT
Antibiotic stewardship
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
dc.subject.lemb.spa.fl_str_mv Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
description 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.
publishDate 2020
dc.date.accessioned.none.fl_str_mv 2020-09-30T21:39:31Z
dc.date.available.none.fl_str_mv 2020-09-30T21:39:31Z
dc.date.created.none.fl_str_mv 2020
dc.type.local.spa.fl_str_mv Artículo
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
format http://purl.org/coar/resource_type/c_2df8fbb1
dc.identifier.issn.spa.fl_str_mv 2213-7165
dc.identifier.other.spa.fl_str_mv http://dx.doi.org/10.1016/j.jgar.2020.07.017
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12010/14055
dc.identifier.doi.spa.fl_str_mv http://dx.doi.org/10.1016/j.jgar.2020.07.017
identifier_str_mv 2213-7165
url http://dx.doi.org/10.1016/j.jgar.2020.07.017
http://hdl.handle.net/20.500.12010/14055
dc.language.iso.spa.fl_str_mv eng
language eng
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.local.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
dc.format.extent.spa.fl_str_mv 3 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Journal of Global Antimicrobial Resistance
dc.source.spa.fl_str_mv reponame:Expeditio Repositorio Institucional UJTL
instname:Universidad de Bogotá Jorge Tadeo Lozano
instname_str Universidad de Bogotá Jorge Tadeo Lozano
institution Universidad de Bogotá Jorge Tadeo Lozano
reponame_str Expeditio Repositorio Institucional UJTL
collection Expeditio Repositorio Institucional UJTL
bitstream.url.fl_str_mv https://expeditiorepositorio.utadeo.edu.co/bitstream/20.500.12010/14055/2/license.txt
https://expeditiorepositorio.utadeo.edu.co/bitstream/20.500.12010/14055/3/Procalcitonin-as-an-antibiotic-stewardship-tool-i_2020_Journal-of-Global-Ant.pdf.jpg
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bitstream.checksumAlgorithm.fl_str_mv MD5
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repository.name.fl_str_mv Repositorio Institucional - Universidad Jorge Tadeo Lozano
repository.mail.fl_str_mv expeditio@utadeo.edu.co
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spelling 2020-09-30T21:39:31Z2020-09-30T21:39:31Z20202213-7165http://dx.doi.org/10.1016/j.jgar.2020.07.017http://hdl.handle.net/20.500.12010/14055http://dx.doi.org/10.1016/j.jgar.2020.07.017The 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.3 páginasapplication/pdfengJournal of Global Antimicrobial Resistancereponame:Expeditio Repositorio Institucional UJTLinstname:Universidad de Bogotá Jorge Tadeo LozanoCOVID-19SARS-CoV-2ProcalcitoninPCTAntibiotic stewardshipSíndrome respiratorio agudo graveCOVID-19SARS-CoV-2CoronavirusProcalcitonin as an antibiotic stewardship tool in COVID-19 patients in the intensive care unitArtículohttp://purl.org/coar/resource_type/c_2df8fbb1Abierto (Texto Completo)http://purl.org/coar/access_right/c_abf2Heesom, LesleyRehnberg, LucasNasim-Mohi, MyraJackson, Alexander I.R.Celinski, MichaelDushianthan, AhilanadanCook, PaulRivinberg, WilliamSaeed, KordoLICENSElicense.txtlicense.txttext/plain; charset=utf-82938https://expeditiorepositorio.utadeo.edu.co/bitstream/20.500.12010/14055/2/license.txtabceeb1c943c50d3343516f9dbfc110fMD52open accessTHUMBNAILProcalcitonin-as-an-antibiotic-stewardship-tool-i_2020_Journal-of-Global-Ant.pdf.jpgProcalcitonin-as-an-antibiotic-stewardship-tool-i_2020_Journal-of-Global-Ant.pdf.jpgIM Thumbnailimage/jpeg20292https://expeditiorepositorio.utadeo.edu.co/bitstream/20.500.12010/14055/3/Procalcitonin-as-an-antibiotic-stewardship-tool-i_2020_Journal-of-Global-Ant.pdf.jpg1a1f6011f25fbc1c02ac3583609f3eb2MD53open access20.500.12010/14055oai:expeditiorepositorio.utadeo.edu.co:20.500.12010/140552021-03-17 19:41:26.542metadata only accessRepositorio Institucional - Universidad Jorge Tadeo Lozanoexpeditio@utadeo.edu.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