Evidence map›Paper›PMID 40756030›Full record

Observational studyFrontiers in cellular and infection microbiology2025

SARS-CoV-2 and

Sara Calvo-Silveria, Lucía Fernández-Delgado, Aida González-Díaz, Rocío España-Bonilla, Laura Calatayud, Jordi Niubó, Sara Martí, Ma Ángeles Domínguez, Jordi Càmara, Carmen Ardanuy

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in cellular and infection microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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

10 authors.

Sara Calvo-Silveria *Department of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Lucía Fernández-Delgado *Department of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Aida González-DíazDepartment of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Rocío España-BonillaDepartment of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Laura CalatayudDepartment of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Jordi NiubóDepartment of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Sara MartíDepartment of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Ma Ángeles DomínguezDepartment of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Jordi CàmaraDepartment of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.
Carmen ArdanuyDepartment of Microbiology, Hospital Universitari de Bellvitge - IDIBELL-UB, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The COVID-19 pandemic has impacted global health and altered respiratory pathogens. While SARS-CoV-2 vaccines have mitigated COVID-19 severity, emerging variants remain challenging. Co-infection of Methods: To this end, three approaches were used. First, a laboratory-based analysis of invasive pneumococcal disease (IPD) in adults (2019-2023). Second, a retrospective analysis of COVID-19 clinical cases with pneumococcal isolates (March,2020-December,2023), including clinical and microbiological data such as patients' comorbidities, episode severity, serotypes and resistance genes. Third, a retrospective analysis to assess pneumococcal colonization in SARS-CoV-2 positive nasopharyngeal samples (May-October 2023; dual-target RT-PCR). WGS and bioinformatics were performed on both bacterial (serotyping and resistance analysis) and viral genomes (lineage determination). Statistical comparisons (Chi-square, Fisher's test), with significance set at Results: First, IPD incidence declined during the COVID-19 pandemic, with cases dropping by 70% in both age groups (18-64 and >64) from 2019 to 2021 and rebounding after 2021, concomitant with the relaxation of non-pharmaceutical measures, especially among older adults. Pneumococcal serotype distribution remained stable with dominance of serotypes 3 and 8. Serotype 12F disappeared during the lockdown and re-emerged in 2023 as a multidrug-resistant sub-lineage through multi-fragment recombination, derived from the former GPSC26. Second, SARS-CoV-2 and pneumococcal co-infection occurred in 66 hospitalized patients, mainly by serotype 3 (15%), with resistance to macrolides (26.3%) and tetracycline (22.8%). Third, pneumococcal colonization in SARS-CoV-2-infected patients was low (2.8%), especially in older adults (>64 years; 1.5%), with slightly higher rates in severe cases (4.7% vs 2.5%; Discussion: This study highlights how non-pharmaceutical measures disrupt

Indexed as

CoinfectionCOVID-19Pneumococcal InfectionsSARS-CoV-2Streptococcus pneumoniaeAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNasopharynxRetrospective StudiesYoung Adultco-infectionCOVID-19SARS-CoV-2serotypesStreptococcus pneumoniae

Identifiers

PMID40756030
PMCPMC12313665

What OpenQuestion holds

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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.