Evidence map›Paper›PMID 36243668›Full record

ReviewJournal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi2022

Coronavirus disease 2019 (COVID-19) associated bacterial coinfection: Incidence, diagnosis and treatment.

Huan-Yi Wu, Peng-Hao Chang, Kuan-Yu Chen, I-Fan Lin, Wen-Hsin Hsih, Wan-Lin Tsai, Jiun-An Chen, Susan Shin-Jung Lee, GREAT working group

Open access · goldAbstract readReview
In one paragraph

Review in Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. SARS-CoV-2-International journal of microbiology · 2026
    Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. An anti-complement homogeneous polysaccharide fromActa pharmaceutica Sinica. B · 2025
    Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. 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
  17. Article
  18. Review
  19. 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

9 authors at 6 institutions in 1 country.

Huan-Yi WuDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Peng-Hao ChangDivision of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taiwan.
Kuan-Yu ChenDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
I-Fan LinDivision of Infectious Diseases, Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan.
Wen-Hsin HsihDivision of Infectious Diseases, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.
Wan-Lin TsaiDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Jiun-An ChenDivision of Pediatric Infectious Diseases, China Medical University Children's Hospital, China Medical University, Taichung, Taiwan.
Susan Shin-Jung LeeDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung, Taiwan. Electronic address: ssjlee@gmail.com.
GREAT working group
China Medical University · TWKaohsiung Veterans General Hospital · TWChang Gung Memorial Hospital · TWE-Da Hospital · TWNational Sun Yat-sen University · TWTri-Service General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) emerged as a pandemic that spread rapidly around the world, causing nearly 500 billion infections and more than 6 million deaths to date. During the first wave of the pandemic, empirical antibiotics was prescribed in over 70% of hospitalized COVID-19 patients. However, research now shows a low incidence rate of bacterial coinfection in hospitalized COVID-19 patients, between 2.5% and 5.1%. The rate of secondary infections was 3.7% in overall, but can be as high as 41.9% in the intensive care units. Over-prescription of antibiotics to treat COVID-19 patients fueled the ongoing antimicrobial resistance globally. Diagnosis of bacterial coinfection is challenging due to indistinguishable clinical presentations with overlapping lower respiratory tract symptoms such as fever, cough and dyspnea. Other diagnostic methods include conventional culture, diagnostic syndromic testing, serology test and biomarkers. COVID-19 patients with bacterial coinfection or secondary infection have a higher in-hospital mortality and longer length of stay, timely and appropriate antibiotic use aided by accurate diagnosis is crucial to improve patient outcome and prevent antimicrobial resistance.

Indexed as

Bacterial InfectionsCoinfectionCOVID-19Anti-Bacterial AgentsBacteriaHumansIncidenceSARS-CoV-2Anti-Bacterial AgentsBacterial coinfectionCoronavirus disease 2019 (COVID-19)DiagnosisIncidencePathogen

Identifiers

PMID36243668
PMCPMC9536868
OpenAlexW4302774122

What OpenQuestion holds

Textmetadata
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.