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Table 1 Clinical characteristics and results of routine microbiological tests performed on intubated COVID-19 patients during the CMg study across 7 linked dedicated COVID-19 intensive care units on Guy’s and St Thomas’ Hospital sites

From: Evaluating the potential for respiratory metagenomics to improve treatment of secondary infection and detection of nosocomial transmission on expanded COVID-19 intensive care units

 

Non-metagenomics group (n = 141)

Metagenomics groupa (n = 34)

Median age (IQR)

56 (46–61)

52 (41–58)

Sex–male

101 (72%)

23 (70%)

Ethnicity

  White

49 (35%)

16 (47%)

  Black and minority ethnicities

74 (52%)

15 (44%)

  Not known

19 (13%)

3 (9%)

Mortality

34 (25%)

8 (24%)

Length of stay (IQR)

25 days (15–45)

32 days (24–47)

Respiratory cultures in ICUb

Median samples per patient (IQR)

2 (1–3)

4 (4–6)

Total number of samples/patients tested

372/117

180/34

Organisms from respiratory culture whilst in ICU (number of individuals who ever had the following organisms in any sample)

Klebsiella spp.

48 (34%)

18 (53%)

Staphylococcus aureus

14 (10%)

3 (9%)

Citrobacter spp.

14 (10%)

5 (15%)

Escherichia coli

7 (5%)

3 (9%)

Pseudomonas spp.

10 (7%)

1 (3%)

Corynebacterium striatum

8 (6%)

8 (24%)

Enterococcus spp.

12 (9%)

4 (12%)

Serratia spp.

9 (6%)

2 (6%)

Enterobacter spp.

6 (4%)

1 (3%)

Haemophilus spp.

2 (1%)

0 (0%)

Stenotrophomonas maltophilia

4 (3%)

1 (3%)

Proteus spp.

0 (0%)

4 (12%)

Morganella spp.

0 (0%)

1 (3%)

Acinetobacter spp.

0 (0%)

1 (3%)

Streptococcus pyogenes

3 (2%)

0 (0%)

Candida albicans

40 (28%)

13 (38%)

Candida spp. (non-albicans)

10 (7%)

5 (15%)

Aspergillus spp.

1 (1%)

3 (9%)

 No organisms isolated

40 (30%)

2 (6%)

Galactomannans (GMs)

Bronchoalveolar lavage (BAL) GMs

Number of tests/patients tested

38/28

25/16

 Positive tests/patients positive

0/0

6/5

Serum GMs

Number of tests/patients tested

74/50

34/22

 Positive tests/patients positive

4/4

3/3

  1. aOne patient was SARS-CoV-2 RNA PCR-negative but had clinical diagnosis of COVID-19
  2. bOne patient in the metagenomics group and 48 patients from the non-metagenomics group had no respiratory specimens collected whilst on ICU during the study period