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Article

Reduction of Multidrug-Resistant (MDR) Bacterial Infections during the COVID-19 Pandemic: A Retrospective Study

1
Internal Medicine and Emergency Medicine, St’Andrea Hospital, Sapienza University, 00189 Rome, Italy
2
Covid-Cardiology Unit, Madre Giuseppina Vannini Hospital, 00177 Rome, Italy
3
Hospital Direction and Clinical Departments, St’Andrea Hospital, Department of Neurosciences, Mental Health and Sensory Organs, Sapienza University, 00189 Rome, Italy
4
Department of Clinical and Molecular Medicine, Sapienza University, 00189 Rome, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(3), 1003; https://doi.org/10.3390/ijerph18031003
Submission received: 22 December 2020 / Revised: 17 January 2021 / Accepted: 21 January 2021 / Published: 23 January 2021

Abstract

Multidrug-resistant (MDR) organisms are emerging as some of the main healthcare problems worldwide. During the COVID-19 pandemic, several Infection Prevention and Control (IPC) measures have been adopted to reduce nosocomial microorganism transmission. We performed a case–control study to identify if the incidence of MDR bacterial infections while using pandemic-related preventive measures is lower than in previous years. From 2017 to 2020, we monitored hospital discharges over a four-month period (P #) (1 March to 30 June) in St. Andrea Hospital, Rome. In total, we reported 1617 discharges. Pearson’s chi-squared test was used to identify significant differences. A value of p ≤ 0.05 was considered statistically significant. A significant reduction in the incidence of total MDR bacterial infections was observed during the pandemic compared to in prepandemic years (p < 0.05). We also found a significantly higher incidence of MDR bacterial infections in COVID-19 departments compared with other medical departments (29% and 19%, respectively), with extended-spectrum β-lactamase Klebsiella pneumoniae as the pathogens presenting the highest increase. This study demonstrates that maintaining a high level of preventive measures could help tackle an important health problem such as that of the spread of MDR bacteria.
Keywords: COVID-19; SARS-CoV-2; multidrug resistant; prevention; hygiene; PPI; nosocomial infections; hospital-acquired infections COVID-19; SARS-CoV-2; multidrug resistant; prevention; hygiene; PPI; nosocomial infections; hospital-acquired infections

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MDPI and ACS Style

Bentivegna, E.; Luciani, M.; Arcari, L.; Santino, I.; Simmaco, M.; Martelletti, P. Reduction of Multidrug-Resistant (MDR) Bacterial Infections during the COVID-19 Pandemic: A Retrospective Study. Int. J. Environ. Res. Public Health 2021, 18, 1003. https://doi.org/10.3390/ijerph18031003

AMA Style

Bentivegna E, Luciani M, Arcari L, Santino I, Simmaco M, Martelletti P. Reduction of Multidrug-Resistant (MDR) Bacterial Infections during the COVID-19 Pandemic: A Retrospective Study. International Journal of Environmental Research and Public Health. 2021; 18(3):1003. https://doi.org/10.3390/ijerph18031003

Chicago/Turabian Style

Bentivegna, Enrico, Michelangelo Luciani, Luca Arcari, Iolanda Santino, Maurizio Simmaco, and Paolo Martelletti. 2021. "Reduction of Multidrug-Resistant (MDR) Bacterial Infections during the COVID-19 Pandemic: A Retrospective Study" International Journal of Environmental Research and Public Health 18, no. 3: 1003. https://doi.org/10.3390/ijerph18031003

APA Style

Bentivegna, E., Luciani, M., Arcari, L., Santino, I., Simmaco, M., & Martelletti, P. (2021). Reduction of Multidrug-Resistant (MDR) Bacterial Infections during the COVID-19 Pandemic: A Retrospective Study. International Journal of Environmental Research and Public Health, 18(3), 1003. https://doi.org/10.3390/ijerph18031003

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