Impact of SARS-CoV-2 Epidemic on Antimicrobial Resistance: A Literature Review.
Francesco Vladimiro SegalaDavide Fiore BavaroFrancesco Di GennaroEmanuele RandoClaudia MarottaAnnalisa SaracinoRita MurriMassimo FantoniPublished in: Viruses (2021)
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.
Keyphrases
- sars cov
- multidrug resistant
- antimicrobial resistance
- gram negative
- drug resistant
- healthcare
- public health
- acinetobacter baumannii
- staphylococcus aureus
- respiratory syndrome coronavirus
- klebsiella pneumoniae
- human health
- primary care
- case report
- risk assessment
- coronavirus disease
- methicillin resistant staphylococcus aureus
- drinking water
- escherichia coli
- cystic fibrosis
- health information