Medicina (Aug 2024)

Outcomes in COVID-19 Patients with Acute Cholangitis: A Single-Center Retrospective Analysis

  • Deiana Vuletici,
  • Bogdan Miutescu,
  • Calin Burciu,
  • Iulia Ratiu,
  • Tudor Moga,
  • Eyad Gadour,
  • Alexandru Catalin Motofelea,
  • Oana Koppandi,
  • Roxana Sirli,
  • Alina Popescu

DOI
https://doi.org/10.3390/medicina60081354
Journal volume & issue
Vol. 60, no. 8
p. 1354

Abstract

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Background and Objectives: This study aimed to assess the impact of coronavirus disease 2019 (COVID-19) on patients with acute cholangitis (AC) by comparing outcomes, complications, and hospital stays in a tertiary Gastroenterology department. Materials and Methods: This retrospective observational cohort study was conducted in a tertiary gastroenterology department, collecting data from all AC and AC + COVID-19 patients between April 2020 and February 2022. Data included clinical and demographic information, COVID-19-specific details, acute cholangitis presentation, medical records, laboratory results, and interventions. AC was diagnosed using Tokyo Guidelines 2018 (TG18) criteria, with all patients undergoing bile culture sampling. Results: The study included 241 patients, 30 in the COVID group and 211 in the non-COVID group. The COVID group’s mean age was significantly higher (74.3 vs. 67.3 years, p p p Pseudomonas spp. was significantly more prevalent in COVID patients (16.7% vs. 5.7%, p = 0.028). Conclusions: Our study results show that COVID-19 affected the duration of hospitalization for patients with AC. Furthermore, this study presents observations regarding the impact of COVID-19 on AC, revealing differences in microbial profiles.

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