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Diagn Microbiol Infect Dis . Respiratory co-infections with COVID-19 in the Veterans Health Administration, 2020

tetano

Editor, Senior Moderator
Diagn Microbiol Infect Dis


. 2021 Jan 20;100(1):115312.
doi: 10.1016/j.diagmicrobio.2021.115312. Online ahead of print.
Respiratory co-infections with COVID-19 in the Veterans Health Administration, 2020


Patricia Schirmer[SUP] 1 [/SUP], Cynthia Lucero-Obusan[SUP] 2 [/SUP], Aditya Sharma[SUP] 2 [/SUP], Pooja Sohoni[SUP] 2 [/SUP], Gina Oda[SUP] 2 [/SUP], Mark Holodniy[SUP] 3 [/SUP]



Affiliations

Abstract

Reporting of Coronavirus disease 2019 (COVID-19) co-infections with other respiratory pathogens has varied. We evaluated 825,280 molecular and/or viral culture respiratory assays within the Veterans Health Administration from September 29, 2019 to May 31, 2020. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was detected in 10,222 of 174,746 (5.8%) individuals. 30,063 (17.2%) of 174,746 individuals tested for SARS-CoV-2 had additional respiratory pathogen testing; co-infection was identified in 56 of 3757 (1.5%) individuals positive for SARS-CoV-2. Among those negative for SARS-CoV-2, 1022 of 26,306 (3.9%) were positive for at least 1 respiratory pathogen. Compared to COVID-19 mono-infection, individuals with COVID-19 co-infection had lower odds of being female. Compared to non-COVID-19 respiratory pathogen infection, individuals with COVID-19 co-infection had lower odds of being female, were hospitalized more frequently, had higher odds of death, and were younger at death. Our findings suggest COVID-19 co-infections were rare; however, not all COVID-19 patients were concurrently tested for other respiratory pathogens and seasonal decreases in other respiratory pathogens were occurring as COVID-19 emerged.

Keywords: COVID-19; Co-infection; Respiratory pathogens; Veterans.
 
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