0000000000146590
AUTHOR
Carolina Ferrer Gómez
Delirium en pacientes críticos con infección por SARS-CoV-2
INTRODUCCIÓN. Durante la pandemia en el año 2020, según los datos de John Hopkins University, más de 750000 pacientes con COVID-19 en todo el mundo estuvieron críticos y precisaron ventilación mecánica, exponiéndose a sufrir un mayor riesgo de disfunción cerebral aguda (coma y delirium). En este estudio se investigó la prevalencia y los factores de riesgo del delirium y coma en pacientes adultos críticos con COVID-19. METODOLOGIA. Estudio multicéntrico de cohortes retrospectivo, con la participación de 69 unidades de cuidados intensivos (UCI) de 14 países. Se incluyeron todos los pacientes adultos (≥ 18 años) con Síndrome de Distrés Respiratorio Agudo Severo por infección de Coronavirus-2 (…
Prevalence and risk factors for delirium in critically ill patients with COVID-19 (COVID-D): a multicentre cohort study
Background: To date, 750 000 patients with COVID-19 worldwide have required mechanical ventilation and thus are at high risk of acute brain dysfunction (coma and delirium). We aimed to investigate the prevalence of delirium and coma, and risk factors for delirium in critically ill patients with COVID-19, to aid the development of strategies to mitigate delirium and associated sequelae. Methods: This multicentre cohort study included 69 adult intensive care units (ICUs), across 14 countries. We included all patients (aged ≥18 years) admitted to participating ICUs with severe acute respiratory syndrome coronavirus 2 infection before April 28, 2020. Patients who were moribund or had life-suppo…
Characteristics and Management of Candidaemia Episodes in an Established Candida auris Outbreak
The multi-resistant yeast Candida auris has become a global public health threat because of its ease to persist and spread in clinical environments, especially in intensive care units. One of the most severe manifestations of invasive candidiasis is candidaemia, whose epidemiology has evolved to more resistant non-albicansCandida species, such as C. auris. It is crucial to establish infection control policies in order to control an outbreak due to nosocomial pathogens, including the implementation of screening colonisation studies. We describe here our experience in managing a C. auris outbreak lasting more than two and a half years which, despite our efforts in establishing control measure…