Unexpected High Prevalence of Secondary Bacterial Infection in Patients  with Mycetoma

Introduction: COVID-19 has caused high rates of mortality. During pandemic peak, a significant number of patients were admitted to undesignated ICU areas before transferring to designated ICU, owing to unavailability of ICU beds. We aimed to record the effect of care of critically sick patients with COVID-19 on prevalence of secondary bacterial infection. Methods: We retrospectively studied all critically ill patients with COVID-19 pneumonia meeting ICU admission criteria who were admitted to Dubai hospital between January 1, 2020, and June 30, 2020. All the patients who transferred to wards other than designated ICU constitute category as cases. All patients who directly admitted to the designated ICU ward from emergency department constitute controls. The demographics, clinical parameters, and treatment profile of these patients were recorded and compared. Prevalence of secondary bacterial infection was calculated. Results: Patients with COVID-19 had high prevalence of secondary bacterial infection. Patients who stayed at undesignated ICU wards had higher occurrence of inpatient fever, hypoxemia, and they were more likely to be sedated and paralyzed than patients who stayed in designated ICU wards. Multiple logistic regression analysis showed care outside designated ICU ward does not predict increase in secondary nonviral microbial infections. Conclusion: Care of patients at undesignated ICU wards prior to admission to designated ICU does not impact prevalence of secondary bacterial infection.

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Herpetic Whitlow of the Hand in Infants

Journal of Hand and Microsurgery ◽

10.1055/s-0040-1710199 ◽

2020 ◽

Author(s):

Mohammad M. Al-Qattan ◽

Nada G. AlQadri ◽

Ghada AlHayaza

Keyword(s):

Bacterial Infection ◽

Case Reports ◽

Case Series ◽

Individual Case ◽

Senior Author ◽

Secondary Bacterial Infection ◽

Clinical Appearance ◽

History Of ◽

Mode Of Transmission ◽

Time Of Presentation

Abstract Introduction Herpetic whitlows in infants are rare. Previous authors only reported individual case reports. We present a case series of six infants. Materials and Methods This is a retrospective study of six cases of herpetic whitlows in infants seen by the senior author (MMA) over the past 23 years (1995–2017 inclusive). The following data were collected: age, sex, digit involved in the hand, mode of transmission, time of presentation to the author, clinical appearance, presence of secondary bacterial infection, presence of other lesions outside the hand, method of diagnosis, treatment, and outcome. Results All six infants initially presented with classic multiple vesicles of the digital pulp. In all cases, there was a history of active herpes labialis in the mother. Incision and drainage or deroofing of the vesicles (for diagnostic purposes) resulted in secondary bacterial infection. Conclusion The current report is the first series in the literature on herpetic whitlows in infants. We stress on the mode of transmission (from the mother) and establishing the diagnosis clinically. In these cases, no need for obtaining viral cultures or polymerase chain reaction; and no medications are required. Once the vesicles are disrupted, secondary bacterial infection is frequent and a combination of oral acyclovir and intravenous antibiotics will be required.

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Virus-induced secondary bacterial infection: a concise review

Therapeutics and Clinical Risk Management ◽

10.2147/tcrm.s87789 ◽

2015 ◽

pp. 1265 ◽

Cited By ~ 35

Author(s):

Mohamed Hendaus ◽

Fatima Jomha ◽

Ahmed Alhammadi

Keyword(s):

Bacterial Infection ◽

Secondary Bacterial Infection ◽

Concise Review

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Is Topical or Systemic Antimicrobial Therapy More Effective for the Treatment of Feline Acne With Secondary Bacterial Infection?

Veterinary Evidence ◽

10.18849/ve.v3i3.125 ◽

2018 ◽

Vol 3 (3) ◽

Author(s):

Wendy Kwok ◽

Kate Charlotte Mellor

Keyword(s):

Open Access ◽

Bacterial Infection ◽

Antimicrobial Therapy ◽

Systemic Treatment ◽

Clinical Signs ◽

Sufficient Evidence ◽

Bottom Line ◽

Secondary Bacterial Infection

PICO question In cats with feline acne and secondary bacterial folliculitis or furunculosis, is topical or systemic antimicrobial therapy superior for reducing time to resolution and severity of clinical signs?Clinical bottom line There is no sufficient evidence to compare topical versus systemic treatment in feline acne with secondary folliculitis/furunculosis. <img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access" /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" />

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New antimicrobial prescribing guidance on secondary bacterial infection of eczema

News Digital Object Group ◽

10.1002/psb.0010024 ◽

2021 ◽

Keyword(s):

Bacterial Infection ◽

Secondary Bacterial Infection ◽

Antimicrobial Prescribing

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Complications of Smallpox Vaccination, 1968 Surveillance in a Comprehensive Care Clinic

PEDIATRICS ◽

10.1542/peds.50.3.481 ◽

1972 ◽

Vol 50 (3) ◽

pp. 481-483

Author(s):

John M. Neff ◽

Robert H. Drachman

Keyword(s):

Bacterial Infection ◽

Comprehensive Care ◽

Smallpox Vaccination ◽

Age Group ◽

Care Clinic ◽

Secondary Bacterial Infection ◽

Group 1

The records of all children who received smallpox vaccination in a large comprehensive care clinic were reviewed for complications. There were 944 vaccinations performed during 1968. Of these, 539 were primary vaccinations, 32 on children in the age group less than 1, and 517 on children in the age group 1 to 4. There were nine complications observed, all in children in the age group 1 to 4. Five of these complications were generalized erythematous urticarial eruptions, three were auto-inoculations, and one was a secondary bacterial infection at the site of vaccination.

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Is There Evidence That Antibiotics Prevent Oral Infections?

PEDIATRICS ◽

10.1542/peds.55.2.294 ◽

1975 ◽

Vol 55 (2) ◽

pp. 294-294

Author(s):

William T. Speck

Keyword(s):

Bacterial Infection ◽

Secondary Infection ◽

Secondary Bacterial Infection ◽

Oral Infections ◽

Herpetic Gingivostomatitis

Dr. Alan M. Polson's article on gingival and periodontal problems in children was most informative.1 However, I found the last sentence somewhat puzzling, i.e., "Antibiotics are a help in preventing secondary infection." I wonder if the author could (1) provide evidence to substantiate his suggestion that secondary bacterial infection occur with acute herpetic gingivostomatitis and (2) substantiate his claim that antibiotics prevent such a complication?

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