Impact of SARS-CoV-2 Epidemic on Antimicrobial Resistance: A Literature Review
Francesco Vladimiro Segala | Davide Fiore Bavaro | Francesco Di Gennaro | Federica Salvati | Claudia Marotta | Annalisa Saracino | Rita Murri | Massimo Fantoni
Antimicrobial resistance is an urgent threat to public health and global development; in this scenario, the SARS-CoV2 pandemic has caused a major disruption of healthcare systems and practices. A narrative review was conducted on articles focusing on the impact of COVID-19 on multidrug-resistant gram-negative, gram-positive bacteria, and fungi. We found that, worldwide, multiple studies reported an unexpected high incidence of infections due to methicillin-resistant <i>S. aureus</i>, carbapenem-resistant <i>A. baumannii</i>, carbapenem-resistant Enterobacteriaceae, and <i>C. auris</i> among COVID-19 patients admitted to the intensive care unit. In this setting, inappropriate antimicrobial exposure, environmental contamination, and discontinuation of infection control measures may have driven selection and diffusion of drug-resistant pathogens.
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