Observational study on Aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samples

Objective: To explore Aspergillus infection’s risks, treatment, and prognostic factors in critically ill COVID-19 patients. Methodology: Retrospective analysis of 50 critically ill COVID-19 patients' data. Patients were divided into Aspergillus infection group (10 cases) and non-Aspergillus...

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Main Authors: Rui-ming Xu, Xiao-li Yuan, Qing-qing Ge, Yan-yun He, Qiu-mei Cao
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2025-05-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/20072
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author Rui-ming Xu
Xiao-li Yuan
Qing-qing Ge
Yan-yun He
Qiu-mei Cao
author_facet Rui-ming Xu
Xiao-li Yuan
Qing-qing Ge
Yan-yun He
Qiu-mei Cao
author_sort Rui-ming Xu
collection DOAJ
description Objective: To explore Aspergillus infection’s risks, treatment, and prognostic factors in critically ill COVID-19 patients. Methodology: Retrospective analysis of 50 critically ill COVID-19 patients' data. Patients were divided into Aspergillus infection group (10 cases) and non-Aspergillus infection group (40 cases) to examine risk factors and compare hospitalization length, expenses, and survival outcomes. Results: Logistic regression showed a significant correlation between Aspergillus infection and diabetes history, and steroid use duration in COVID-19 patients. Diabetes increased Aspergillus infection risk 9.708 times (not statistically significant). Each extra steroid use day raised infection risk by 25.6%. The Aspergillus infection group had longer hospital stays, and higher costs (p < 0.05) but surprisingly higher survival rate than the non-infection group (p < 0.05). Conclusions: The main risk factor for Aspergillus infection in critically ill COVID-19 patients is steroid use duration. The infection group had longer hospital stays and higher costs, and Aspergillus infection affected the survival duration of critically ill COVID-19 patients.
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institution OA Journals
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language English
publishDate 2025-05-01
publisher The Journal of Infection in Developing Countries
record_format Article
series Journal of Infection in Developing Countries
spelling doaj-art-fa131b4e34084136aaa53c991275f77d2025-08-20T02:37:16ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802025-05-01190510.3855/jidc.20072Observational study on Aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samplesRui-ming Xu0Xiao-li Yuan1Qing-qing Ge2Yan-yun He3Qiu-mei Cao4Department of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing, China 100176Department of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing, China 100176Department of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing, China 100176Department of General Practice, Beijing Tongren Hospital, Capital Medical University, Beijing, China 100176Department of Emergency, Beijing Tongren Hospital, Capital Medical University, Beijing, China 100176 Objective: To explore Aspergillus infection’s risks, treatment, and prognostic factors in critically ill COVID-19 patients. Methodology: Retrospective analysis of 50 critically ill COVID-19 patients' data. Patients were divided into Aspergillus infection group (10 cases) and non-Aspergillus infection group (40 cases) to examine risk factors and compare hospitalization length, expenses, and survival outcomes. Results: Logistic regression showed a significant correlation between Aspergillus infection and diabetes history, and steroid use duration in COVID-19 patients. Diabetes increased Aspergillus infection risk 9.708 times (not statistically significant). Each extra steroid use day raised infection risk by 25.6%. The Aspergillus infection group had longer hospital stays, and higher costs (p < 0.05) but surprisingly higher survival rate than the non-infection group (p < 0.05). Conclusions: The main risk factor for Aspergillus infection in critically ill COVID-19 patients is steroid use duration. The infection group had longer hospital stays and higher costs, and Aspergillus infection affected the survival duration of critically ill COVID-19 patients. https://jidc.org/index.php/journal/article/view/20072Aspergillus infectionCOVID-19diabetes mellitussteroidsurvival timetotal hospitalization cost
spellingShingle Rui-ming Xu
Xiao-li Yuan
Qing-qing Ge
Yan-yun He
Qiu-mei Cao
Observational study on Aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samples
Journal of Infection in Developing Countries
Aspergillus infection
COVID-19
diabetes mellitus
steroid
survival time
total hospitalization cost
title Observational study on Aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samples
title_full Observational study on Aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samples
title_fullStr Observational study on Aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samples
title_full_unstemmed Observational study on Aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samples
title_short Observational study on Aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samples
title_sort observational study on aspergillus infections in critically ill patients with coronavirus disease 2019 at a single medical center using sputum samples
topic Aspergillus infection
COVID-19
diabetes mellitus
steroid
survival time
total hospitalization cost
url https://jidc.org/index.php/journal/article/view/20072
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