Management of infectious complications associated with coronavirus infection in severe patients admitted to ICU()

Estella, Á.; Vidal-Cortés, P.; Rodríguez, A.; Andaluz Ojeda, D.; Martín-Loeches, I.; Díaz, E.; Suberviola, B.; Gracia Arnillas, M.P.; Catalán González, M.; Álvarez-Lerma, F.; Ramírez, P.; Nuvials, X.; Borges, M.; Zaragoza, R.

Infections have become one of the main complications of patients with severe SARS-CoV-2 pneumonia admitted in ICU. Poor immune status, frequent development of organic failure requiring invasive supportive treatments, and prolonged ICU length of stay in saturated structural areas of patients are risk factors for infection development. The Working Group on Infectious Diseases and Sepsis GTEIS of the Spanish Society of Intensive Medicine and Coronary Units SEMICYUC emphasizes the importance of infection prevention measures related to health care, the detection and early treatment of major infections in the patient with SARS-CoV-2 infections. Bacterial co-infection, respiratory infections related to mechanical ventilation, catheter-related bacteremia, device-associated urinary tract infection and opportunistic infections are review in the document.