Evidence map›Paper›PMID 37112844›Full record

SynthesisViruses2023

COVID-19 and Respiratory Virus Co-Infections: A Systematic Review of the Literature.

Helena C Maltezou, Amalia Papanikolopoulou, Sofia Vassiliu, Kalliopi Theodoridou, Georgia Nikolopoulou, Nikolaos V Sipsas

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07254052 (Effectiveness of a Sustained-release Ammonium Chloride Formulation in Reducing the Viral Load of Patients With COVID-19 or Influenza), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07254052 completednot on this mapstarted 2024, after this paper: background citation

Effectiveness of a Sustained-release Ammonium Chloride Formulation in Reducing the Viral Load of Patients With COVID-19 or Influenza

TypeobservationalSponsorNational and Kapodistrian University of AthensRan2024 to 2025Enrolled32ConditionsRNA Virus Infections, Viral Infection COVID-19, Influenza A and B
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
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

6 authors.

Helena C MaltezouDirectorate of Research, Studies and Documentation, National Public Health Organization, 15123 Athens, Greece.ORCID 0000-0003-0264-3547
Amalia PapanikolopoulouThird Department of Internal Medicine, Sotiria General Hospital for Thoracic Diseases, National and Kapodistrian University of Athens, School of Medicine, Sotiria General Hospital, 11527 Athens, Greece.
Sofia VassiliuNafplion General Hospital, 21100 Nafplion, Greece.
Kalliopi TheodoridouDepartment of Microbiology, Andreas Sygros Hospital, National and Kapodistrian University of Athens, 16121 Athens, Greece.
Georgia NikolopoulouDepartment of Hepatitides, National Public Health Organization, 15123 Athens, Greece.
Nikolaos V SipsasPathophysiology Department, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0001-6955-3453

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Τhe COVID-19 pandemic highly impacted the circulation, seasonality, and morbidity burden of several respiratory viruses. We reviewed published cases of SARS-CoV-2 and respiratory virus co-infections as of 12 April 2022. SARS-CoV-2 and influenza co-infections were reported almost exclusively during the first pandemic wave. It is possible that the overall incidence of SARS-CoV-2 co-infections is higher because of the paucity of co-testing for respiratory viruses during the first pandemic waves when mild cases might have been missed. Animal models indicate severe lung pathology and high fatality; nevertheless, the available literature is largely inconclusive regarding the clinical course and prognosis of co-infected patients. Animal models also indicate the importance of considering the sequence timing of each respiratory virus infection; however, there is no such information in reported human cases. Given the differences between 2020 and 2023 in terms of epidemiology and availability of vaccines and specific treatment against COVID-19, it is rational not to extrapolate these early findings to present times. It is expected that the characteristics of SARS-CoV-2 and respiratory virus co-infections will evolve in the upcoming seasons. Multiplex real-time PCR-based assays have been developed in the past two years and should be used to increase diagnostic and infection control capacity, and also for surveillance purposes. Given that COVID-19 and influenza share the same high-risk groups, it is essential that the latter get vaccinated against both viruses. Further studies are needed to elucidate how SARS-CoV-2 and respiratory virus co-infections will be shaped in the upcoming years, in terms of impact and prognosis.

Indexed as

CoinfectionCOVID-19Influenza, HumanInfluenza VaccinesAnimalsHumansPandemicsSARS-CoV-2Influenza Vaccinesco-infectionCOVID-19influenzarespiratory virusRSVSARS-CoV-2

Identifiers

PMID37112844
PMCPMC10142898

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.