Evidence map›Paper›PMID 34851526›Full record

SynthesisJournal of clinical laboratory analysis2022

Worldwide prevalence of microbial agents' coinfection among COVID-19 patients: A comprehensive updated systematic review and meta-analysis.

Reza Pakzad, Pooneh Malekifar, Zainab Shateri, Milad Zandi, Sara Akhavan Rezayat, Maral Soleymani, Mohammad Reza Karimi, Seyed Esmaeil Ahmadi, Ramin Shahbahrami, Iraj Pakzad and 5 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of clinical laboratory analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 6 pooled it
3.9field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Systematic review with meta-analysis of active herpesvirus infections in patients with COVID-19: Old players on the new field.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
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  7. Review
  8. Article
  9. A pilot study of the impact of bacterial and fungal coinfections on mildly ill COVID-19 patients.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2025
    Article
  10. Article
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  12. Fungal coinfection/superinfection in COVID-19 patients in a tertiary hospital in MexicoBiomedica : revista del Instituto Nacional de Salud · 2024
    Article
  13. Article
  14. Article
  15. Genomic Epidemiology Identifies Azole Resistance Due to TRJournal of fungi (Basel, Switzerland) · 2023
    Article
  16. Review
  17. Article
  18. Review
  19. Biases in COVID-19 Case and Death Definitions: Potential Causes and Consequences.Disaster medicine and public health preparedness · 2022
    Article
  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

15 authors at 6 institutions in 1 country.

Reza PakzadDepartment of Epidemiology, Faculty of Health, Ilam University Medical Sciences, Ilam, Iran.
Pooneh MalekifarDepartment of Epidemiology, School of Public Health, Tehran University Medical Sciences, Tehran, Iran.
Zainab ShateriStudent research committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Milad ZandiDepartment of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Sara Akhavan RezayatDepartment of Management & Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Maral SoleymaniFaculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Mohammad Reza KarimiResearch Center for Clinical Virology, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Esmaeil AhmadiDepartment of Hematology and Blood Banking, School of Allied Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-1227-491X
Ramin ShahbahramiResearch Center for Clinical Virology, Tehran University of Medical Sciences, Tehran, Iran.
Iraj PakzadDepartment of Microbiology, School of Medicine, Ilam University Medical Sciences, Ilam, Iran.
Fatemeh AbdiNon-communicable Disease Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Abbas FarahaniInfectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.ORCID https://orcid.org/0000-0002-0245-2612
Saber SoltaniDepartment of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0003-3369-0856
Mina Mobini KeshehDepartment of Virology, School of Medicine, Iran University of Medical Science, Tehran, Iran.
Parastoo HosseiniDepartment of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences · IRAhvaz Jundishapur University of Medical Sciences · IRIlam University · IRIran University of Medical Sciences · IRHormozgan University of Medical Sciences · IRJahrom University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo provide information about pathogens' coinfection prevalence with SARS-CoV-2 could be a real help to save patients' lives. This study aims to evaluate the pathogens' coinfection prevalence among COVID-19 patients.

methodIn order to find all of the relevant articles, we used systematic search approach. Research-based databases including PubMed, Web of Science, Embase, and Scopus, without language restrictions, were searched to identify the relevant bacterial, fungal, and viral coinfections among COVID-19 cases from December 1, 2019, to August 23, 2021. In order to dig deeper, other scientific repositories such as Medrxiv were probed.

resultsA total of 13,023 studies were found through systematic search. After thorough analysis, only 64 studies with 61,547 patients were included in the study. The most common causative agents of coinfection among COVID-19 patients were bacteria (pooled prevalence: 20.97%; 95% CI: 15.95-26.46; I

conclusionWe identified a high prevalence of pathogenic microorganism coinfection among COVID-19 patients. Because of this rate of coinfection empirical use of antibacterial, antifungal, and antiviral treatment are advisable specifically at the early stage of COVID-19 infection. We also suggest running simultaneously diagnostic tests to identify other microbiological agents' coinfection with SARS-CoV-2.

Indexed as

Bacterial InfectionsCoinfectionCOVID-19HumansMycosesPrevalencecoinfectioncoronavirusCOVID-19meta-analysissystematic review

Identifiers

PMID34851526
PMCPMC8761407
OpenAlexW3216631975

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.