Trends in <i>Pseudomonas aeruginosa</i> (<i>P. aeruginosa</i>) Bacteremia during the COVID-19 Pandemic: A Systematic Review

• Main Authors: Qin Xiang Ng (Author), Natasha Yixuan Ong (Author), Dawn Yi Xin Lee (Author), Chun En Yau (Author), Yu Liang Lim (Author), Andrea Lay Hoon Kwa (Author), Ban Hock Tan (Author)
• Format: Book
• Published: MDPI AG, 2023-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 10.3390/antibiotics12020409; 2079-6382
• Keywords: <i>P. aeruginosa</i>; COVID-19; collateral effect; antibiotics; antimicrobial stewardship; Therapeutics. Pharmacology; RM1-950
• Source: Antibiotics, Vol 12, Iss 2, p 409 (2023)

<i>Pseudomonas aeruginosa</i> (<i>P. aeruginosa</i>) is among the most common pathogens associated with healthcare-acquired infections, and is often antibiotic resistant, causing significant morbidity and mortality in cases of <i>P. aeruginosa</i> bacteremia. It remains unclear how the incidence of <i>P. aeruginosa</i> bacteremia changed during the Coronavirus Disease 2019 (COVID-19) pandemic, with studies showing almost contradictory conclusions despite enhanced infection control practices during the pandemic. This systematic review sought to examine published reports with incidence rates for <i>P. aeruginosa</i> bacteremia during (defined as from March 2020 onwards) and prior to the COVID-19 pandemic. A systematic literature search was conducted in accordance with PRISMA guidelines and performed in Cochrane, Embase, and Medline with combinations of the key words (pseudomonas aeruginosa OR PAE) AND (incidence OR surveillance), from database inception until 1 December 2022. Based on the pre-defined inclusion criteria, a total of eight studies were eligible for review. Prior to the pandemic, the prevalence of <i>P. aeruginosa</i> was on an uptrend. Several international reports found a slight increase in the incidence of <i>P. aeruginosa</i> bacteremia during the COVID-19 pandemic. These findings collectively highlight the continued importance of good infection prevention and control and antimicrobial stewardship during both pandemic and non-pandemic periods. It is important to implement effective infection prevention and control measures, including ensuring hand hygiene, stepping up environmental cleaning and disinfection efforts, and developing timely guidelines on the appropriate prescription of antibiotics.