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Artikel ; Online: Antibiotics in treatment of COVID-19 complications: a review of frequency, indications, and efficacy.

Chedid, Marie / Waked, Rami / Haddad, Elie / Chetata, Nabil / Saliba, Gebrael / Choucair, Jacques

Journal of infection and public health

2021  Band 14, Heft 5, Seite(n) 570–576

Abstract: Objectives: To report available information in the literature regarding frequency, indications, types of antibiotic usage, duration, and their efficacy in Covid-19 infected patients.: Methods: The search was conducted on April 30 and May 7, 2020, ... ...

Abstract Objectives: To report available information in the literature regarding frequency, indications, types of antibiotic usage, duration, and their efficacy in Covid-19 infected patients.
Methods: The search was conducted on April 30 and May 7, 2020, using Ovid database and Google search. Patients' characteristics, clinical outcomes, as well as selected characteristics regarding antibiotic use (indication, class used, rates and types of bacterial secondary and co-infection, and duration of treatment) were analyzed.
Results: Nineteen clinical studies reporting data from 2834 patients were included. Mean rate of antibiotic use was 74.0 % of cases. Half the studies reported occurrence of a bacterial co-infection or complication (10 studies). Amongst the latter, at least 17.6 % of patients who received antibiotics had secondary infections. Pooled data of 4 studies show that half of patients receiving antibiotics were not severe nor critical. Detailed data on antibiotic use lack in most articles.
Conclusions: The present review found a major use of antibiotics amongst Covid-19 hospitalized patients, mainly in an empirical setting. There is no proven efficacy of this practice. Further research to determine relevant indications for antibiotic use in Covid-19 patients is critical in view of the significant mortality associated with secondary infections in these patients, and the rising antimicrobial resistance.
Mesh-Begriff(e) Anti-Bacterial Agents/therapeutic use ; Bacterial Infections/drug therapy ; Bacterial Infections/epidemiology ; COVID-19 ; Humans ; SARS-CoV-2
Chemische Substanzen Anti-Bacterial Agents
Sprache Englisch
Erscheinungsdatum 2021-02-09
Erscheinungsland England
Dokumenttyp Journal Article ; Review
ZDB-ID 2467587-8
ISSN 1876-035X ; 1876-0341
ISSN (online) 1876-035X
ISSN 1876-0341
DOI 10.1016/j.jiph.2021.02.001
Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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