P197 Table 1ConclusionsA higher proportion of bacterial co-pathogens were seen in our study population compared to previously reported non-UK data1 Identifying true co-infection is complicated by fever, chest x-rays infiltrates and high CRP being characteristic of severe COVID-19 Staphylococcus aureus was commonly isolated in both early and late respiratory samples and supports empiric antibiotic regimens with staphylococcal activity for secondary bacterial pneumonia in COVID-19 as currently recommended by NICE2 However the proportion of resistant organisms isolated needs to be studied in larger cohorts to ensure guideline recommended antibiotics are appropriate ReferencesLansbury L, et al Co-infections in people with COVID-19:a systematic review and meta-analysis J Infect 2020;81(2):266–275 doi:10 1016/j jinf 2020 05 046NICE COVID-19 rapid guideline:antibiotics for pneumonia in adults in hospital Published:1 May 2020 www nice org uk/guidance/ng173
P197 Bacterial and fungal respiratory co-infection among patients admitted to ICU with COVID-19: a retrospective cohort study in a UK hospital