The intertwining of healthcare-associated infections and COVID-19 in Italian intensive care units: an analysis of the SPIN-UTI project from 2006 to 2021

Although healthcare-associated infections (HAIs) pose an extraordinary burden on public health, the impact of coronavirus disease 2019 (COVID-19) is still a matter of debate. To describe trends of HAIs in Italian intensive care units (ICUs) from 2006 to 2021, and to compare characteristics and outco...

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Veröffentlicht in:	The Journal of hospital infection 2023-10, Vol.140, p.124-131
Hauptverfasser:	Barchitta, M., Maugeri, A., Favara, G., Lio, R. Magnano San, La Rosa, M.C., D'Ancona, F., Agodi, A., Murgia, P., Masia, M.D., Mura, I., Brusaferro, S., Arnoldo, L., Di Stefano, C., Lucchese, F., Lugano, M., Tardivo, S., Moretti, F., Bernasconi, M.O., Pappalardo, F., Pasquarella, C., Sicoli, E., Montagna, M.T., Caggiano, G., De Giglio, O., Fenaroli, S., Squeri, R., Cannavò, G., Pulvirenti, A., Catalano, S., Mattaliano, A.R., Castiglione, G., Astuto, M., La Camera, G., Panascia, E., Longhitano, A.M., Scrofani, G., Gallea, M.R., Civello, P., Milazzo, M., Calamusa, G., Giarratano, A., Di Benedetto, A., Rizzo, G.M.G., Manta, G., Angelone, C., Mancuso, R., Tetamo, R., Mella, L.M., Dei, I., Pandiani, I., Cannistrà, A., Piotti, P., Girardis, M., Barbieri, A., Borracino, S., Palermo, R., Di Stefano, D., Colombo, A., Romeo, A., Minerva, M., Fabiani, L., Marinangeli, F., D’Errico, M.M., Donati, A., Domizi, R., Saglimbene, S.T., Bianco, A., Vittori, C., Orsi, G.B., Scibilia, M., Calà, O., Di Giacinto, I., Amatucci, M.R., Principi, T., Di Fabio, G., Gobbini, V., Olori, M.P., Antonelli, M., Laurenti, P., Condorelli, L., Ingala, F., Russo, S., Costa, P., Canonico, L., Farruggia, P., Cristina, M.L., Sartini, M., Arrigoni, C., Galassi, I., Vinci, V.M.
Format:	Artikel
Sprache:	eng
Schlagworte:	COVID-19 COVID-19 - epidemiology Cross Infection - epidemiology Delivery of Health Care Healthcare-associated infections Humans Incidence Intensive care unit Intensive Care Units Italy - epidemiology Nosocomial infections Pandemic Pandemics SARS-CoV-2
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Zusammenfassung:	Although healthcare-associated infections (HAIs) pose an extraordinary burden on public health, the impact of coronavirus disease 2019 (COVID-19) is still a matter of debate. To describe trends of HAIs in Italian intensive care units (ICUs) from 2006 to 2021, and to compare characteristics and outcomes of patients with or without COVID-19. We evaluated patients participating in the ‘Italian Nosocomial Infections Surveillance in Intensive Care Units’ (SPIN-UTI) project, who were admitted to ICUs for more than 48 h. Data regarding diagnosis, clinical conditions, therapies, treatments and outcomes of COVID-19 patients were also collected. From a total of 21,523 patients from 2006 to 2021, 3485 (16.2%) presented at least one HAI. We observed an increasing trend for both the incidence of patients with HAI and the incidence density of HAIs (P-trend
ISSN:	0195-6701 1532-2939 1532-2939
DOI:	10.1016/j.jhin.2023.07.021