POST-COVID-19 ANTIMICROBIAL RESISTANCE: LITERATURE REVIEW
DOI:
https://doi.org/10.47820/recima21.v3i3.1266Keywords:
COVID-19, Infections, ResistanceAbstract
The new coronavirus reaches the cells of the lower respiratory tract, starting an inflammatory process. Considering this infection, the immune system must eliminate the pathological agents and mantein cellular homeostasis, tissue repair and generation of immunity memory. When there is a failure in this pathway, this system encounters a series of difficulties for the resumption of balance, in addition to secondary infections, leading to additional clinical complications. Thus, this study sought to address the immune response to Sars-CoV-2, and the main post-Covid secondary infections (bacterial and fungal) and antimicrobial resistance in this context. This is a literature review based on the analysis of journals from the following academic platforms: Google Scholar, Center for Biotechnology Information (PubMed), Science Direct, Scientific Electronic Library Online (SciELO) and Scopus. The research was delimited in a range from 2003 to 2021, using the keywords COVID-19 as a search tool; Immune response; Bacterial infections; Fungal infections; Resistance. The results obtained in the studies demonstrate the impact of secondary infections on mortality, thus, among the main infections, bacterial infections (84%) stand out, including mainly the agents: Staphylococcus aureus, Streptococcus pneumoniae, Clostridioides difficile and Mycoplasma pneumoniae. As for secondary fungal infections, Aspergillus sp. and Candida affected mainly critically ill patients. Based on the data, an evident problem was the difficulty in identifying the agent causing the secondary infection, resulting in a scenario of intense use of broad-spectrum antibiotics, contributing to the selection of resistant pathogens and, controversially, the worsening of the prognosis of the disease patient.
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