Table 1.
Bloodstream infection among COVID-19 positive cases
| Onset of bloodstream infection | On hospital admission (<48 hrs.) N = 23 (%) | Nosocomial (≥48 hrs.) N =16 (%) |
|---|---|---|
| Patient demographics | ||
| Age < 70 y | 14 (60.9) | 12 (75.0) |
| Male sex | 18 (78.3) | 10 (62.5) |
| African American race | 19 (82.6) | 12 (75.0) |
| Admitted from nursing facility | 14 (60.9) | 6 (37.5) |
| Patient Comorbidities | ||
| Hypertension | 18 (78.3) | 9 (56.3) |
| Diabetes | 9 (39.1) | 6 (37.5) |
| Chronic Lung disease | 4 (17.4) | 5 (31.3) |
| Congestive Heart failure | 5 (21.7) | 1 (6.3) |
| Source of Bloodstream Infection | ||
| Pneumonia | 8 (34.8) | 11 (68.8) |
| Hemodialysis catheter related | 1 (4.3) | 0 |
| Other line related | 0 | 4 (25.0) |
| Skin & soft tissue | 3 (13.0) | 0 |
| Urinary tract | 3 (13.0) | 0 |
| Gastrointestinal | 3 (13.0) | 0 |
| Endocarditis | 3 (13.0) | 0 |
| Unknown | 2 (8.7) | 1 (6.2) |
| Previous Hospitalization within 90 d | 4 (17.4) | 2 (12.5) |
| Previous receipt of antimicrobials within 90 d | 4 (17.4) | 3 (18.8) |
| Polymicrobial Bacteremia | 0 | 5 (31.3) |
| MDRO | 12 (52.1) | 4 (25.0) |
| Resistant Gram-positive organisms | 9/12 = 75.0% | 4/4 = 100% |
| Methicillin Resistant S. aureus | 7 | 4 |
| Vancomycin Resistant Enterococcus | 2 | 0 |
| Resistant Gram-negative organisms | 3/12 = 25.0% | 0 |
| ESBL E. coli | 2 | 0 |
| A. baumannii | 1 | 0 |
| Hospital course | ||
| Hospital site where positive BC obtained | Emergency 20 (87.0) | Intensive Care 14 (87.5) |
| Mechanical ventilation | 7 (30.4) | 16 (100) |
| Died | 12 (52.2) | 13 (81.3) |