Evidence map›Paper›PMID 33819304›Full record

ArticlePloS one2021

Clinical characteristics of COVID-19 patients with clinically diagnosed bacterial co-infection: A multi-center study.

Shengyang He, Wenlong Liu, Mingyan Jiang, Peng Huang, Zhi Xiang, Dingding Deng, Ping Chen, Lihua Xie

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
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

45 citing papers in PubMed.

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  17. Use of nares swab to de-escalate vancomycin for patients with suspected methicillin-resistantAntimicrobial stewardship & healthcare epidemiology : ASHE · 2023
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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

8 authors.

Shengyang HeDepartment of Respiratory and Critical Care Medicine, The Third Xiangya Hospital of Central South University, Hunan, China.ORCID 0000-0003-1301-3524
Wenlong LiuDepartment of Respiratory and Critical Care Medicine, The Second People Hospital of Yueyang, Yueyang, China.
Mingyan JiangDepartment of Respiratory and Critical Medicine, Xiangtan Central Hospital, Xiangtan, China.
Peng HuangDepartment of Respiratory and Critical Medicine, The Zhuzhou Central Hospital, Zhuzhou, China.
Zhi XiangDepartment of Respiratory and Critical Medicine, The First People Hospital of Huaihua, Huaihua, China.
Dingding DengDepartment of Respiratory and Critical Medicine, The First People Hospital of Shaoyang, Shaoyang, China.
Ping ChenDepartment of Respiratory and Critical Care Medicine, The Second Xiangya Hospital of Central South University, Hunan, China.
Lihua XieDepartment of Respiratory and Critical Care Medicine, The Third Xiangya Hospital of Central South University, Hunan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand the clinical characteristics of COVID-19 patients with clinically diagnosed bacterial co-infection (CDBC), and therefore contributing to their early identification and prognosis estimation.

method905 COVID-19 patients from 7 different centers were enrolled. The demography data, clinical manifestations, laboratory results, and treatments were collected accordingly for further analyses.

resultsAround 9.5% of the enrolled COVID-19 patients were diagnosed with CDBC. Older patients or patients with cardiovascular comorbidities have increased CDBC probability. Increased body temperature, longer fever duration, anhelation, gastrointestinal symptoms, illness severity, intensive care unit attending, ventilation treatment, glucocorticoid therapy, longer hospitalization time are correlated to CDBC. Among laboratory results, increased white blood cell counting (mainly neutrophil), lymphocytopenia, increased procalcitonin, erythrocyte sedimentation rate, C-reaction protein, D-dimer, blood urea nitrogen, lactate dehydrogenase, brain natriuretic peptide, myoglobin, blood sugar and decreased albumin are also observed, indicating multiple system functional damage. Radiology results suggested ground glass opacity mixed with high density effusion opacities and even pleural effusion.

conclusionThe aged COVID-19 patients with increased inflammatory indicators, worse lymphopenia and cardiovascular comorbidities are more likely to have clinically diagnosed bacterial co-infection. Moreover, they tend to have severer clinical manifestations and increased probability of multiple system functional damage.

Indexed as

Bacterial InfectionsCoinfectionAdultAgedComorbidityCOVID-19Early DiagnosisFemaleHumansMaleMiddle AgedPrognosisSeverity of Illness Index

Identifiers

PMID33819304
PMCPMC8021165

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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.