Table 2.
Comparison of the Most Important Causative Organisms of CLABSI and VAP in the ICUs of 21 Brazilian Hospitals Between the Prepandemic and Early Pandemic Periods a
| Organism | Total Among All Hospitals, No. (%) b |
Proportion of Cases Identified in Each Hospital, Mean % (SD) |
Proportion of Cases Identified in Each Hospital Median % (IQR) | |||||
|---|---|---|---|---|---|---|---|---|
| Apr–Jun 2019 | Apr–Jun 2020 | Apr–Jun 2019 | Apr–Jun 2020 | Apr–Jun 2019 | Apr–Jun 2020 | P Value c | Adjusted. P Value d |
|
| CLABSI causative organism | ||||||||
| Candida spp | 10 (15) e | 38 (21) f | 6 (12) | 27 (33) | 0 (0–7) | 14 (0–50) | .017 | .221 |
| Enterococcus faecalis | 2 (3) | 21 (12) | 1 (4) | 14 (17) | 0 (0–0) | 8 (0–15) | .002 | .028 |
| Klebsiella pneumoniae | 16 (24) | 26 (15) | 15 (21) | 12 (23) | 0 (0–33) | 0 (0–20) | .209 | 1.000 |
| Staphylococcus aureus | 8 (12) | 10 (6) | 7 (13) | 2 (4) | 0 (0–13) | 0 (0–4) | .046 | .552 |
| Coagulase negative Staphylococcus | 10 (15) | 38 (21) | 20 (37) | 19 (26) | 0 (0–35) | 13 (0–29) | .865 | 1.000 |
| VAP causative organism | ||||||||
| Acinetobacter baumannii | 7 (12) | 24 (18) | 6 (13) | 16 (30) | 0 (0–0) | 0 (0–25) | .155 | 1.000 |
| Pseudomonas aeruginosa | 21 (37) | 44 (32) | 29 (36) | 33 (33) | 11 (0–50) | 27 (0–44) | .983 | 1.000 |
| Staphylococcus aureus | 11 (19) | 21 (15) | 19 (31) | 10 (15) | 0 (0–24) | 0 (0–20) | .650 | 1.000 |
Note. ICU, intensive care unit; IQR, interquartile range; CLABSI, central-line–associated bloodstream infection; VAP, ventilator-associated pneumonia.
The complete list of causative organisms of CLABSI and VAP (see Supplementary Table S3 online).
Some healthcare-associated infections had >1 causative organism.
Pairwise comparison of medians by the Wilcoxon signed rank-sum test (P value unadjusted for multiple comparisons).
P values adjusted for multiple comparisons according to the Hochberg procedure.
Candida spp: 2 C. albicans, 2 C. glabrata, 1 C. krusei, 4 C. parapsilosis, and 1 C. tropicalis.
Candida spp: 13 C. albicans, 8 C. glabrata, 8 C. parapsilosis, 8 C. tropicalis and 1 non-albicans Candida spp.