Evidence map›Paper›PMID 34302864›Full record

ArticleThe Journal of infection2021

Co-infections and superinfections complicating COVID-19 in cancer patients: A multicentre, international study.

C Gudiol, X Durà-Miralles, J Aguilar-Company, P Hernández-Jiménez, M Martínez-Cutillas, F Fernandez-Avilés, M Machado, L Vázquez, P Martín-Dávila, N de Castro and 23 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The Journal of infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. SARS-CoV-2-International journal of microbiology · 2026
    Review
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  4. Innovative Amino-Functionalization of Pyrido[2,3-Pharmaceuticals (Basel, Switzerland) · 2025
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  8. Pre-existing Immunocompromising Conditions and Outcomes of Acute COVID-19 Patients Admitted for Pediatric Intensive Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Antimicrobial Therapy as a Risk Factor of Multidrug-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2023
    Article
  17. Article
  18. Article
  19. Pathogens (Basel, Switzerland) · 2022
    Review
  20. Article
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

33 authors at 20 institutions in 9 countries.

C GudiolDepartment of Infectious Diseases, Biostatistics Unit, Bellvitge University Hospital, Bellvitge Institute for Biomedical Research (IDIBELL), University of Barcelona, Barcelona, Spain; Institut Català d'Oncologia, IDIBELL, University of Barcelona, Barcelona, Spain; Spainsh Network for Research in Infectious Diseases (REIPI), Instituto de Salud Carlos III, Madrid, Spain. Electronic address: cgudiol@iconcologia.net.
X Durà-MirallesDepartment of Infectious Diseases, Biostatistics Unit, Bellvitge University Hospital, Bellvitge Institute for Biomedical Research (IDIBELL), University of Barcelona, Barcelona, Spain; Spainsh Network for Research in Infectious Diseases (REIPI), Instituto de Salud Carlos III, Madrid, Spain.
J Aguilar-CompanyDepartment of Medical Oncology and Department of Infectious Diseases, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
P Hernández-JiménezInfectious Diseases Unit, 12 de Octubre University Hospital, Madrid, Spain.
M Martínez-CutillasMedical Oncology Department, Puerta de Hierro University Hospital, Madrid, Spain.
F Fernandez-AvilésBone Marrow Transplantation Unit, Department of Haematology, Hospital Clinic of Barcelona, Spain.
M MachadoClinical Microbiology and Infectious Diseases Department. Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
L VázquezHematology Department, Salamanca University Hospital, Spain.
P Martín-DávilaInfectious Diseases Department, Ramony Cajal University Hospital, Madrid, Spain.
N de CastroInfectious Diseases Department, St-Louis Hospital, University of Paris, France.
E AbdalaFaculdade de Medicina da Universidade de Sao Paulo, Instituto do Cancer do Estado de Sao Paulo, Brazil.
L SorliInfectious Diseases Service, Hospital del Mar. Infectious Pathology and Antimicrobials Research Group (IPAR), CEXS-Universitat Pompeu Fabra, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain.
T M AndermannDepartment of Medicine, Division of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
I Márquez-GómezRegional Málaga University Hospital, Málaga, Spain.
H MoralesHospital Erasto Gaertner, Curitiba, Brazil.
F GabilánInfectious Diseases Department, Reina Sofía University Hospital, Córdoba, Spain.
C M AyazHacetteppe University Hospital, Ankara, Turkey.
B KayaaslanInfectious Disease and Clinical Microbiology, Ankara City Hospital, Ankara Yildirim Beyazit University, Turkey.
M Aguilar-GuisadoInfectious Diseases Department, Virgen del Rocío University Hospital, Seville, Spain.
F HerreraCentro de Educación Médica e Investigaciones Clínicas (CEMIC), Buenos Aires, Argentina.
C Royo-CebrecosNostra Senyora de Meritxell Hospital, Andorra.
M PeghinInfectious Diseases Department, Santa María Misericordia, Udine, Italy.
C González-RicoInfectious Diseases Service, Marqués de Valdecilla University Hospital, Santander, Cantabria, Spain.
J GoikoetxeaInfectious Diseases Department, Cruces University Hospital, Bilbao, Spain.
C SalgueiraSanatorio Anchorena, Buenos Aires, Argentina.
A Silva-PintoInfectious Diseases Intensive Care Unit, Centro Hospitalario Universitário de São João, Porto, Portugal.
B Gutiérrez-GutiérrezInfectious Diseases and Clinical Microbiology, Virgen de Macarena University Hospital, Institute of Biomedicine de Seville, University of Seville, Spain.
S CuellarBone Marrow Transplant Unit, Hospital Rossi, La Plata, Argentina.
G HaidarDivision of Infectious Diseases, University of Pittsburgh and UPMC, Pittsburgh, United States.
C MaluquerHematology Department, Institut Català d'Oncologia, IDIBELL, Barcelona, Spain.
M MarinOncology Department, Institut Català d'Oncologia, IDIBELL, Barcelona, Spain.
N PallarèsBiostatistics Unit, IDIBELL, Barcelona, Spain.
J CarratalàDepartment of Infectious Diseases, Biostatistics Unit, Bellvitge University Hospital, Bellvitge Institute for Biomedical Research (IDIBELL), University of Barcelona, Barcelona, Spain; Spainsh Network for Research in Infectious Diseases (REIPI), Instituto de Salud Carlos III, Madrid, Spain.
Institut d'Investigació Biomédica de Bellvitge · ESHacettepe University Hospital · TRHospital de São João · PTHospital Erasto Gaertner · BRHospital Italiano La Plata · ARInstituto de Salud Carlos III · ESMarqués de Valdecilla University Hospital · ESResearch Institute Hospital 12 de Octubre · ESUniversidad de Salamanca · ESUniversity of Andorra · ADUniversity of North Carolina at Chapel Hill · USAnkara Yıldırım Beyazıt University · TRBellvitge University Hospital · ESCentro de Educación Médica e Investigaciones Clínicas Norberto Quirno · ARHospital de Cruces · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario Puerta de Hierro Majadahonda · ESUniversidade de São Paulo · BRUniversitat Pompeu Fabra · ESUniversité Paris Cité · FR

Funding

The Gut Microbiome in Carbapenem-Resistant Enterobacteriaceae Colonization, Persistence, Infection, and Tolerance after Lung or Liver TransplantationK23AI154546 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HAIDAR, GHADY · 2021 to 2025
$896k
6 · The paper itself

Abstract

backgroundWe aimed to describe the epidemiology, risk factors, and clinical outcomes of co-infections and superinfections in onco-hematological patients with COVID-19.

methodsInternational, multicentre cohort study of cancer patients with COVID-19. All patients were included in the analysis of co-infections at diagnosis, while only patients admitted at least 48 h were included in the analysis of superinfections.

results684 patients were included (384 with solid tumors and 300 with hematological malignancies). Co-infections and superinfections were documented in 7.8% (54/684) and 19.1% (113/590) of patients, respectively. Lower respiratory tract infections were the most frequent infectious complications, most often caused by Streptococcus pneumoniae and Pseudomonas aeruginosa. Only seven patients developed opportunistic infections. Compared to patients without infectious complications, those with infections had worse outcomes, with high rates of acute respiratory distress syndrome, intensive care unit (ICU) admission, and case-fatality rates. Neutropenia, ICU admission and high levels of C-reactive protein (CRP) were independent risk factors for infections.

conclusionsInfectious complications in cancer patients with COVID-19 were lower than expected, affecting mainly neutropenic patients with high levels of CRP and/or ICU admission. The rate of opportunistic infections was unexpectedly low. The use of empiric antimicrobials in cancer patients with COVID-19 needs to be optimized.

Indexed as

CoinfectionCOVID-19NeoplasmsSuperinfectionCohort StudiesHumansIntensive Care UnitsSARS-CoV-2

Identifiers

PMID34302864
PMCPMC8295054
OpenAlexW3185453370

What OpenQuestion holds

Textmetadata
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Registered trials

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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.