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Viruses . Prevalence of Co-Infections with Respiratory Viruses in Individuals Investigated for SARS-CoV-2 in Ontario, Canada

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  • Viruses . Prevalence of Co-Infections with Respiratory Viruses in Individuals Investigated for SARS-CoV-2 in Ontario, Canada


    Viruses


    . 2021 Jan 18;13(1):E130.
    doi: 10.3390/v13010130.
    Prevalence of Co-Infections with Respiratory Viruses in Individuals Investigated for SARS-CoV-2 in Ontario, Canada


    Adriana Peci 1 , Vanessa Tran 1 2 , Jennifer L Guthrie 1 , Ye Li 1 3 , Paul Nelson 1 , Kevin L Schwartz 1 3 4 , AliReza Eshaghi 1 , Sarah A Buchan 1 3 , Jonathan B Gubbay 1 2 5



    Affiliations

    Abstract

    Background: Co-infections of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with respiratory viruses, bacteria and fungi have been reported to cause a wide range of illness.
    Objectives: We assess the prevalence of co-infection of SARS-CoV-2 with seasonal respiratory viruses, document the respiratory viruses detected among individuals tested for SARS-CoV-2, and describe characteristics of individuals with respiratory virus co-infection detected.
    Methods: Specimens included in this study were submitted as part of routine clinical testing to Public Health Ontario Laboratory from individuals requiring testing for SARS-CoV-2 and/or seasonal respiratory viruses.
    Results: Co-infection was detected in a smaller proportion (2.5%) of individuals with laboratory confirmed SARS-CoV-2 than those with seasonal respiratory viruses (4.3%); this difference was not significant. Individuals with any respiratory virus co-infection were more likely to be younger than 65 years of age and male than those with single infection. Those with SARS-CoV-2 co-infection manifested mostly mild respiratory symptoms.
    Conclusions: Findings of this study may not support routine testing for seasonal respiratory viruses among all individuals tested for SARS-CoV-2, as they were rare during the study period nor associated with severe disease. However, testing for seasonal respiratory viruses should be performed in severely ill individuals, in which detection of other viruses may assist with patient management.

    Keywords: COVID-19; SARS-CoV-2; co-infection; seasonal respiratory viruses.


  • #2
    Open Forum Infect Dis . 2020 Dec 21;8(1):ofaa578. doi: 10.1093/ofid/ofaa578. eCollection 2021 Jan. Prevalence of Co-infection at the Time of Hospital Admission in COVID-19 Patients, A Multicenter Study Sara M Karaba (https://pubmed.ncbi.nlm.nih.gov/?sort=date&term=Karaba+SM&cauthor_id=33447639) 1 (https://pubmed.ncb

    Conclusions: Using multidisciplinary consensus definitions, proven or probable bCAP was uncommon in adults hospitalized due to COVID-19, as were other nonrespiratory bacterial infections. Empiric antibiotic use was high, highlighting the need to enhance antibiotic stewardship in the treatment of viral pneumonias
    "The only security we have is our ability to adapt."

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