Journal
VIRUSES-BASEL
Volume 13, Issue 11, Pages -Publisher
MDPI
DOI: 10.3390/v13112110
Keywords
COVID-19; antimicrobial resistance; infection control; Candida auris; carbapenem-resistant Acinetobacter baumannii; carbapenem-resistant Enterobacteriaceae; methicillin-resistant Staphylococcus aureus
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The COVID-19 pandemic has led to a significant disruption of healthcare systems and practices, resulting in a high incidence of infections caused by multidrug-resistant pathogens. Inappropriate antimicrobial exposure and discontinuation of infection control measures may have contributed to the selection and spread of drug-resistant bacteria and fungi.
Antimicrobial resistance is an urgent threat to public health and global development; in this scenario, the SARS-CoV2 pandemic has caused a major disruption of healthcare systems and practices. A narrative review was conducted on articles focusing on the impact of COVID-19 on multidrug-resistant gram-negative, gram-positive bacteria, and fungi. We found that, worldwide, multiple studies reported an unexpected high incidence of infections due to methicillin-resistant S. aureus, carbapenem-resistant A. baumannii, carbapenem-resistant Enterobacteriaceae, and C. auris among COVID-19 patients admitted to the intensive care unit. In this setting, inappropriate antimicrobial exposure, environmental contamination, and discontinuation of infection control measures may have driven selection and diffusion of drug-resistant pathogens.
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