Evidence map›Paper›PMID 34287033›Full record

ArticleMicrobiology spectrum2021

Coinfections with Other Respiratory Pathogens among Patients with COVID-19.

K Sreenath, Priyam Batra, E V Vinayaraj, Ridhima Bhatia, Kvp SaiKiran, Vishwajeet Singh, Sheetal Singh, Nishant Verma, Urvashi B Singh, Anant Mohan and 4 more

Open access · goldAbstract read
In one paragraph

Article in Microbiology spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
8.0field-weighted citation impact, top 2% 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

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Influenza A Virus andInternational journal of molecular sciences · 2025
    Article
  8. Review
  9. Observational
  10. Article
  11. Trends in Group AMedicina (Kaunas, Lithuania) · 2025
    Observational
  12. Article
  13. Article
  14. Article
  15. Multidrug resistantCurrent research in microbial sciences · 2025
    Review
  16. Article
  17. Article
  18. Detection of community-acquired respiratory viruses during COVID-19 pandemic in subtropical region in Japan.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

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

14 authors at 2 institutions in 1 country.

K SreenathDepartment of Microbiology, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Priyam BatraDepartment of Microbiology, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
E V VinayarajDepartment of Microbiology, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Ridhima BhatiaDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Kvp SaiKiranDepartment of Microbiology, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Vishwajeet SinghDepartment of Geriatric Medicine, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Sheetal SinghDepartment of Hospital Administration, National Cancer Institute, Jhajjar, Haryana, India.
Nishant VermaDepartment of Microbiology, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Urvashi B SinghDepartment of Microbiology, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Anant MohanDepartment of Pulmonary, Critical Care and Sleep Medicine, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Sushma BhatnagarDepartment of Onco-Anaesthesia and Palliative Medicine, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Anjan TrikhaDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Randeep GuleriaDepartment of Pulmonary, Critical Care and Sleep Medicine, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
Rama ChaudhryDepartment of Microbiology, All India Institute of Medical Sciencesgrid.413618.9, New Delhi, India.
All India Institute of Medical Sciences · INCancer Hospital and Research Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging evidence indicates that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected individuals are at an increased risk for coinfections; therefore, physicians need to be cognizant about excluding other treatable respiratory pathogens. Here, we report coinfection with SARS-CoV-2 and other respiratory pathogens in patients admitted to the coronavirus disease (COVID) care facilities of an Indian tertiary care hospital. From June 2020 through January 2021, we tested 191 patients with SARS-CoV-2 for 33 other respiratory pathogens using an fast track diagnostics respiratory pathogen 33 (FTD-33) assay. Additionally, information regarding other relevant respiratory pathogens was collected by reviewing their laboratory data. Overall, 13 pathogens were identified among patients infected with SARS-CoV-2, and 46.6% (89/191) of patients had coinfection with one or more additional pathogens. Bacterial coinfections (41.4% [79/191]) were frequent, with Staphylococcus aureus being the most common, followed by Klebsiella pneumoniae. Coinfections with SARS-CoV-2 and Pneumocystis jirovecii or Legionella pneumophila were also identified. The viral coinfection rate was 7.3%, with human adenovirus and human rhinovirus being the most common. Five patients in our cohort had positive cultures for Acinetobacter baumannii and K. pneumoniae, and two patients had active Mycobacterium tuberculosis infection. In total, 47.1% (90/191) of patients with coinfections were identified. The higher proportion of patients with coinfections in our cohort supports the systemic use of antibiotics in patients with severe SARS-CoV-2 pneumonia with rapid de-escalation based on respiratory PCR/culture results. The timely and simultaneous identification of coinfections can contribute to improved health of COVID-19 patients and enhanced antibiotic stewardship during the pandemic.

Indexed as

Acinetobacter baumanniiAdenoviruses, HumanAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsAntimicrobial StewardshipCoinfectionCOVID-19EnterovirusFemaleHumansIndiaKlebsiella pneumoniaeMaleAnti-Bacterial AgentscoinfectionsCOVID-19multiple-pathogen testingrespiratory PCRSARS-CoV-2

Identifiers

PMID34287033
PMCPMC8552727
OpenAlexW3184114326

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.