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Multimed
On-line version ISSN 1028-4818
Abstract
GONZALEZ AGUILERA, Julio César; MARTINEZ TAMAYO, Niubis Lázara; CABRERA LAVERNIA, Jorge Omar and ALVAREZ ALIAGA, Alexis. Clinical epidemiological characterization of critical ill patients with community-acquired infections during COVID-19. Multimed [online]. 2024, vol.28 Epub Apr 01, 2024. ISSN 1028-4818.
Introduction:
critically ill patients require admission to intensive care units due to community-acquired infections.
Objective:
to characterize, from a clinical and epidemiological point of view, critical ill patients with community-acquired infections during COVID-19.
Results:
52.7% of the patients were female. The mean age was 40.2 years (95% CI: 37.8-42.4). The mean Acute Physiology and Chronic Health Evaluation II (APACHE II) was estimated at 11.8 (95% CI: 9.7-12.2). The mean Sequential Organ Failure Assessment (SOFA) scale was 1.8 (95% CI: 1.4-2.2). 31.7% of the patients were hypertensive and 19.4% diabetic. Intra-abdominal infection was the main location (52.7%), followed by pneumonia (34.7%). 98.7% had antimicrobials on admission and 26.3% had artificial mechanical ventilation.
Conclusions:
the patients are mostly characterized by being female, being in the fourth decade of life, developing alterations in their physiological systems and organ dysfunction, and having high blood pressure and diabetes mellitus; intra-abdominal infection or pneumonia as well as requiring treatment with antimicrobials, invasive mechanical ventilation and vasoactive drugs.
Keywords : Community-acquired infections; Epidemiology; Critical patient; Intensive care unit; COVID-19.