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suck abstract from ncbi


10.1093/infdis/jiab128

http://scihub22266oqcxt.onion/10.1093/infdis/jiab128
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suck abstract from ncbi


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pmid33693636      J+Infect+Dis 2022 ; 225 (10): 1710-1720
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  • Prevention of Coronavirus Disease 2019 Among Older Adults Receiving Pneumococcal Conjugate Vaccine Suggests Interactions Between Streptococcus pneumoniae and Severe Acute Respiratory Syndrome Coronavirus 2 in the Respiratory Tract #MMPMID33693636
  • Lewnard JA; Bruxvoort KJ; Fischer H; Hong VX; Grant LR; Jodar L; Gessner BD; Tartof SY
  • J Infect Dis 2022[May]; 225 (10): 1710-1720 PMID33693636show ga
  • BACKGROUND: While secondary pneumococcal pneumonia occurs less commonly after coronavirus disease 2019 (COVID-19) than after other viral infections, it remains unclear whether other interactions occur between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and Streptococcus pneumoniae. METHODS: We probed potential interactions between these pathogens among adults aged >/=65 years by measuring associations of COVID-19 outcomes with pneumococcal vaccination (13-valent conjugate vaccine [PCV13] and 23-valent pneumococcal polysaccharide vaccine [PPSV23]). We estimated adjusted hazard ratios (aHRs) using Cox proportional hazards models with doubly robust inverse-propensity weighting. We assessed effect modification by antibiotic exposure to further test the biologic plausibility of a causal role for pneumococci. RESULTS: Among 531 033 adults, there were 3677 COVID-19 diagnoses, leading to 1075 hospitalizations and 334 fatalities, between 1 March and 22 July 2020. Estimated aHRs for COVID-19 diagnosis, hospitalization, and mortality associated with prior PCV13 receipt were 0.65 (95% confidence interval [CI], .59-.72), 0.68 (95% CI, .57-.83), and 0.68 (95% CI, .49-.95), respectively. Prior PPSV23 receipt was not associated with protection against the 3 outcomes. COVID-19 diagnosis was not associated with prior PCV13 within 90 days following antibiotic receipt, whereas aHR estimates were 0.65 (95% CI, .50-.84) and 0.62 (95% CI, .56-.70) during the risk periods 91-365 days and >365 days, respectively, following antibiotic receipt. CONCLUSIONS: Reduced risk of COVID-19 among PCV13 recipients, transiently attenuated by antibiotic exposure, suggests that pneumococci may interact with SARS-CoV-2.
  • |*COVID-19[MESH]
  • |*Pneumococcal Infections/epidemiology/prevention & control[MESH]
  • |Aged[MESH]
  • |Anti-Bacterial Agents/therapeutic use[MESH]
  • |COVID-19 Testing[MESH]
  • |Humans[MESH]
  • |Pneumococcal Vaccines[MESH]
  • |Respiratory System[MESH]
  • |SARS-CoV-2[MESH]
  • |Streptococcus pneumoniae[MESH]


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