Evidence map›Paper›PMID 36875205›Full record

ArticleInfluenza and other respiratory viruses2023

Bacterial and viral infections among adults hospitalized with COVID-19, COVID-NET, 14 states, March 2020-April 2022.

Melisa M Shah, Kadam Patel, Jennifer Milucky, Christopher A Taylor, Arthur Reingold, Isaac Armistead, James Meek, Evan J Anderson, Andy Weigel, Libby Reeg and 10 more

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

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  12. Mortality in hospitalized SARS-CoV-2 patients with contemporaneous bacterial and fungal infections.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  13. [Bacterial coinfection in the critically-ill COVID-19 patient: incidence, impact and need for antimicrobial therapy].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Article
  14. Respiratory Coinfections in Children With SARS-CoV-2.The Pediatric infectious disease journal · 2023
    Article
  15. Article
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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

20 authors at 13 institutions in 1 country.

Melisa M ShahEpidemic Intelligence Service Centers for Disease Control and Prevention Atlanta Georgia USA.ORCID 0000-0002-7277-1547
Kadam PatelCOVID-19 Emergency Response Team Centers for Disease Control and Prevention Atlanta Georgia USA.
Jennifer MiluckyCOVID-19 Emergency Response Team Centers for Disease Control and Prevention Atlanta Georgia USA.ORCID 0000-0002-1491-4669
Christopher A TaylorCOVID-19 Emergency Response Team Centers for Disease Control and Prevention Atlanta Georgia USA.
Arthur ReingoldCalifornia Emerging Infections Program Oakland California USA.
Isaac ArmisteadColorado Department of Public Health & Environment Denver Colorado USA.
James MeekConnecticut Emerging Infections Program Yale School of Public Health New Haven Connecticut USA.
Evan J AndersonDepartments of Medicine and Pediatrics Emory University School of Medicine Atlanta Georgia USA.ORCID 0000-0002-1576-4420
Andy WeigelIowa Department of Health Des Moines Iowa USA.
Libby ReegMichigan Department of Health and Human Services Lansing Michigan USA.
Kathryn Como-SabettiMinnesota Department of Health Saint Paul Minnesota USA.
Susan L RoppNew Mexico Department of Health Santa Fe New Mexico USA.
Alison MuseNew York State Department of Health Albany New York USA.
Sophrena BusheyUniversity of Rochester School of Medicine and Dentistry Rochester New York USA.
Eli ShiltzOhio Department of Health Columbus Ohio USA.
Melissa SuttonPublic Health Division Oregon Health Authority Portland Oregon USA.
H Keipp TalbotVanderbilt University Medical Center Nashville Tennessee USA.
Ryan ChatelainSalt Lake County Health Department Salt Lake City Utah USA.
Fiona P HaversCOVID-19 Emergency Response Team Centers for Disease Control and Prevention Atlanta Georgia USA.
CDC COVID‐NET Surveillance Team
Centers for Disease Control and Prevention · USColorado Department of Public Health and Environment · USEmory University · USIowa Department of Public Health · USLake County · USMichigan Department of Health and Human Services · USMinnesota Department of Health · USNew Mexico Department of Health · USNew York State Department of Health · USOhio Department of Health · USOregon Health Authority · USUniversity of Rochester · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bacterial and viral infections can occur with SARS-CoV-2 infection, but prevalence, risk factors, and associated clinical outcomes are not fully understood. Methods: We used the Coronavirus Disease 2019-Associated Hospitalization Surveillance Network (COVID-NET), a population-based surveillance system, to investigate the occurrence of bacterial and viral infections among hospitalized adults with laboratory-confirmed SARS-CoV-2 infection between March 2020 and April 2022. Clinician-driven testing for bacterial pathogens from sputum, deep respiratory, and sterile sites were included. The demographic and clinical features of those with and without bacterial infections were compared. We also describe the prevalence of viral pathogens including respiratory syncytial virus, rhinovirus/enterovirus, influenza, adenovirus, human metapneumovirus, parainfluenza viruses, and non-SARS-CoV-2 endemic coronaviruses. Results: Among 36 490 hospitalized adults with COVID-19, 53.3% had bacterial cultures taken within 7 days of admission and 6.0% of these had a clinically relevant bacterial pathogen. After adjustment for demographic factors and co-morbidities, bacterial infections in patients with COVID-19 within 7 days of admission were associated with an adjusted relative risk of death 2.3 times that of patients with negative bacterial testing. Conclusions: Among patients with clinician-driven testing, 6.0% of adults hospitalized with COVID-19 were identified to have bacterial coinfections and 0.9% were identified to have viral coinfections; identification of a bacterial coinfection within 7 days of admission was associated with increased mortality.

Indexed as

Bacterial InfectionsCoinfectionCOVID-19Influenza, HumanVirus DiseasesAdultHumansSARS-CoV-2bacterial coinfectionCOVID‐19COVID‐NETSARS‐CoV‐2viral coinfection

Identifiers

PMID36875205
PMCPMC9981874
OpenAlexW4323045181

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.