Rapid Antibiotics Guideline for Treatment and Management of COVID-19 Pneumonia with Bacterial Co-infection
Background: There are many patients having serious or critical illness will require hospital admission due to SARS-CoV-2 pneumonia. While antibiotics are ineffective for treatment of viral infections, they are prescribed in patients with suspected or documented SARS-CoV-2 for a variety of reasons. This raises concerns of antibiotic overuse or receiving unnecessary antibiotics and increase antimicrobial resistance (AMR).
Objective: The authors would like to develop a rapid antibiotic guideline for the treatment of patients with SARS-CoV-2 who have coinfections. These recommendations are intended to ensure the better antibiotic management of suspected or confirmed bacterial pneumonia in adults during the SARS-CoV-2 pandemic.
Methods: We used MEDLINE, OVID Epub and EMBASE searches complemented with extensive use of Web engine to identify guidelines on empirical treatment of community and hospital-acquired pneumonia in the last 10 years.
Results: We could develop antibiotic prescribing recommendation for patients with suspected community-acquired pneumonia, that has developed before or within 48 hours and patients with suspected hospital acquired pneumonia at more than 48 hours of admission.
Conclusion: Patients who develop SARS-CoV-2 pneumonia can have guideline for antibiotic prescription in case of suspected secondary superimp
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