COINFECÇÃO COM Staphylococcus aureus COMO AGRAVANTE DA COVID-19
DOI:
10.46551/ruc.v23n1a03Palavras-chave:
Coinfecção. Staphylococcus aureus. COVID-19. AntibióticosResumo
Objetivo: investigar índices de ocorrência de coinfecção Staphylococcus aureus e SARSCoV-2 e discutir o uso de antimicrobianos durante a pandemia COVID-19. Métodos: Trata-se de uma revisão integrativa de literatura com busca de artigos na base de dados médicos internacional PubMed, com a produção de um fluxograma que inclui identificação, seleção e inclusão dos dados. Resultados: Os dados de coinfecção com S. aureus em pacientes COVID-19 são ainda escassos, todavia atentam
para uma taxa de coinfecção baixa. Embora os índices estatísticos sejam baixos, quando esse tipo de coinfecção se faz presente, resulta em agravamento da COVID-19 elevando a chance de letalidade. Suspeitas de coinfecções levam ao uso de antibióticos, muitas vezes de forma empírica, o que pode favorecer o aumento da seleção de bactérias resistentes, sendo este último ponto um problema grave de saúde pública mundial. Considerações finais: A partir da situação atual, é imperativo aconselhar o uso racional de antimicrobianos, mediante critérios clínico-epidemiológicos, rastreio laboratorial e teste de sensibilidade aos antimicrobianos. Tais parâmetros asseguram o correto tratamento, controlam a seleção de cepas multirresistentes e auxiliam na segurança do paciente.
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