Evidence map›Paper›PMID 34321896›Full record

ArticleInfection and drug resistance2021

Detection of Viral and Bacterial Respiratory Pathogens Identified by Molecular Methods in COVID-19 Hospitalized Patients and Its Impact on Mortality and Unfavorable Outcomes.

Alonso Soto, Dante M Quiñones-Laveriano, Faviola Valdivia, Eduardo Juscamayta-López, Johan Azañero-Haro, Liliana Chambi, Helen Horna, Gladys Patiño, Elizabet Guzman, Jhony A De la Cruz-Vargas

Open access · goldAbstract read
In one paragraph

Article in Infection and drug resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. SARS-CoV-2 andFrontiers in cellular and infection microbiology · 2025
    Observational
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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

10 authors at 3 institutions in 1 country.

Alonso SotoInstituto de Investigaciones en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú.ORCID 0000-0001-8648-8032
Dante M Quiñones-LaverianoInstituto de Investigaciones en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú.
Faviola ValdiviaDepartment of Public Health, Instituto Nacional de Salud, Lima, Peru.
Eduardo Juscamayta-LópezDepartment of Public Health, Instituto Nacional de Salud, Lima, Peru.ORCID 0000-0001-6843-3206
Johan Azañero-HaroDepartment of Medicine, Hospital Nacional Hipólito Unanue, Lima, Peru.ORCID 0000-0003-3385-1891
Liliana ChambiDepartment of Medicine, Hospital Nacional Hipólito Unanue, Lima, Peru.
Helen HornaDepartment of Public Health, Instituto Nacional de Salud, Lima, Peru.ORCID 0000-0003-1020-6910
Gladys PatiñoDepartment of Clinical Pathology, Hospital Nacional Hipólito Unanue, Lima, Peru.
Elizabet GuzmanDepartment of Clinical Pathology, Hospital Nacional Hipólito Unanue, Lima, Peru.
Jhony A De la Cruz-VargasInstituto de Investigaciones en Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Perú.ORCID 0000-0002-5592-0504
Hospital Nacional Cayetano Heredia · PEInstituto Nacional de Salud · PEUniversidad Ricardo Palma · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to evaluate the frequency of viral and bacterial respiratory pathogens detected by molecular methods in sputum samples of patients hospitalized for COVID-19 and to evaluate its impact on mortality and unfavorable outcomes (in-hospital death or mechanical ventilation). PATIENTS AND

methodsThe prospective cohort included patients with diagnosis of COVID-19 hospitalized at Hospital Nacional Hipólito Unanue. Sociodemographic and clinical data were collected from clinical records. Sputum samples were analyzed with the Biofire Filmarray Pneumonia plus

resultsNinety-three patients who were able to collect sputum samples were recruited between September 8 and December 28, 2020. The median age was 61.7 years (IQR 52.3-69-8) and 66 (71%) were male. The most frequent symptoms were dyspnea, cough, fever, and general malaise found in 80 (86%), 76 (82%), 45 (48%), and 34 (37%) patients, respectively. Fifty-three percent of patients had comorbidities. Seventy-six (82%) patients received antibiotics prior to admission and 29 (31%) developed unfavorable outcome. Coinfection was evidenced in 38 (40.86%) cases. The most frequently found bacteria were

conclusionA high frequency of respiratory pathogens was detected by molecular methods in patients with COVID-19 pneumonia but were not associated with unfavorable outcomes. No atypical agents or influenza virus were found. The high use antibiotics before admission is a concern. Our data suggest that the use of drug therapy against atypical bacteria and viruses would not be justified in patients hospitalized for COVID-19.

Indexed as

coinfectionCOVID-19molecular biologymortalitySARS-CoV-2

Identifiers

PMID34321896
PMCPMC8312249
OpenAlexW3186461113

What OpenQuestion holds

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LicenceCC BY-NC
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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.