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10.1186/s12985-021-01594-0

http://scihub22266oqcxt.onion/10.1186/s12985-021-01594-0
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suck abstract from ncbi


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pmid34127006      Virol+J 2021 ; 18 (1): 127
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  • Influenza co-infection associated with severity and mortality in COVID-19 patients #MMPMID34127006
  • Alosaimi B; Naeem A; Hamed ME; Alkadi HS; Alanazi T; Al Rehily SS; Almutairi AZ; Zafar A
  • Virol J 2021[Jun]; 18 (1): 127 PMID34127006show ga
  • BACKGROUND: In COVID-19 patients, undetected co-infections may have severe clinical implications associated with increased hospitalization, varied treatment approaches and mortality. Therefore, we investigated the implications of viral and bacterial co-infection in COVID-19 clinical outcomes. METHODS: Nasopharyngeal samples were obtained from 48 COVID-19 patients (29% ICU and 71% non-ICU) and screened for the presence of 24 respiratory pathogens using six multiplex PCR panels. RESULTS: We found evidence of co-infection in 34 COVID-19 patients (71%). Influenza A H1N1 (n = 17), Chlamydia pneumoniae (n = 13) and human adenovirus (n = 10) were the most commonly detected pathogens. Viral co-infection was associated with increased ICU admission (r = 0.1) and higher mortality (OR 1.78, CI = 0.38-8.28) compared to bacterial co-infections (OR 0.44, CI = 0.08-2.45). Two thirds of COVID-19 critically ill patients who died, had a co-infection; and Influenza A H1N1 was the only pathogen for which a direct relationship with mortality was seen (r = 0.2). CONCLUSIONS: Our study highlights the importance of screening for co-infecting viruses in COVID-19 patients, that could be the leading cause of disease severity and death. Given the high prevalence of Influenza co-infection in our study, increased coverage of flu vaccination is encouraged to mitigate the transmission of influenza virus during the on-going COVID-19 pandemic and reduce the risk of severe outcome and mortality.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Bacterial Infections/epidemiology/mortality/pathology[MESH]
  • |COVID-19/epidemiology/*mortality/pathology[MESH]
  • |Coinfection/epidemiology/*mortality/pathology[MESH]
  • |Female[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Influenza A Virus, H1N1 Subtype/isolation & purification[MESH]
  • |Influenza, Human/epidemiology/*mortality/pathology[MESH]
  • |Intensive Care Units[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nasopharynx/microbiology/virology[MESH]
  • |Prevalence[MESH]
  • |SARS-CoV-2/isolation & purification[MESH]


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