Evidence map›Paper›PMID 25976175›Full record

ArticleJournal of medical virology2015

Does virus-bacteria coinfection increase the clinical severity of acute respiratory infection?

Guilherme A C Damasio, Luciane A Pereira, Suzana D R Moreira, Claudia N Duarte dos Santos, Libera M Dalla-Costa, Sonia M Raboni

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical virology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Frontiers in microbiology · 2022
    Article
  7. Article
  8. Review
  9. Observational
  10. Respiratory pathogens and clinical outcomes in children with an asthma exacerbation: A systematic review.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2019
    Review
  11. Article
  12. Severe acute respiratory infections (SARI) from influenza in adult patients in Chile: the experience of a sentinel hospital.Revista panamericana de salud publica = Pan American journal of public health · 2019
    Article
  13. The nasopharyngeal microbiota in patients with viral respiratory tract infections is enriched in bacterial pathogens.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Article
  14. Review
  15. Review
  16. Postviral Complications: Bacterial Pneumonia.Clinics in chest medicine · 2017
    Review
  17. Observational
  18. Review
  19. Update on Human Rhinovirus and Coronavirus Infections.Seminars in respiratory and critical care medicine · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Guilherme A C DamasioPostgraduate Program in Microbiology, Parasitology and Pathology, Universidade Federal do Paraná, Curitiba, Brazil.
Luciane A PereiraVirology Laboratory, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Suzana D R MoreiraHospital Epidemiology Division, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Claudia N Duarte dos SantosInstituto Carlos Chagas, Fiocruz, Paraná, Brazil.
Libera M Dalla-CostaBacteriology Laboratory, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Sonia M RaboniPostgraduate Program in Microbiology, Parasitology and Pathology, Universidade Federal do Paraná, Curitiba, Brazil.
Universidade Federal do Paraná · BRFundação Carlos Chagas · BRHospital de Clínicas Universidade Federal do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective cohort study investigated the presence of bacteria in respiratory secretions of patients hospitalized with acute respiratory infections and analyzed the impact of viral and bacterial coinfection on severity and the mortality rate. A total of 169 patients with acute respiratory infections were included, viruses and bacteria in respiratory samples were detected using molecular methods. Among all samples, 73.3% and 59.7% were positive for viruses and bacteria, respectively; 45% contained both virus and bacteria. Bacterial coinfection was more frequent in patients infected by community respiratory viruses than influenza A H1N1pdm (83.3% vs. 40.6%). The most frequently bacteria detected were Streptococcus pneumoniae and Haemophilus influenzae. Both species were co-detected in 54 patients and identified alone in 22 and 21 patients, respectively. Overall, there were no significant differences in the period of hospitalization, severity, or mortality rate between patients infected with respiratory viruses alone and those coinfected by viruses and bacteria. The detection of mixed respiratory pathogens is frequent in hospitalized patients with acute respiratory infections, but its impact on the clinical outcome does not appear substantial. However, it should be noted that most of the patients received broad-spectrum antibiotic therapy, which may have contributed to this favorable outcome.

Indexed as

CoinfectionAcute DiseaseAgedBacteriaBacterial InfectionsCohort StudiesFemaleHaemophilus influenzaeHumansInfluenza A Virus, H1N1 SubtypeMaleMiddle AgedRespiratory Tract InfectionsRetrospective StudiesSeverity of Illness IndexStreptococcus pneumoniaeacute respiratory infectionsbacteriainfluenza A H1N1pdmrespiratory viruses

Identifiers

PMID25976175
PMCPMC7166438
OpenAlexW1528286522

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.