Beta
347138

Co-Infection with respiratory viruses among critically-ill SARS-CoV2 patients in a tertiary hospital in Egypt: Incidence and effect on patients outcome

Article

Last updated: 25 Dec 2024

Subjects

-

Tags

Clinical microbiology

Abstract

Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection could be associated with other co/super-infections that worsen the outcome. In our hospital, the burden of viral co-infections with SARS-CoV-2 is unknown. We aimed to identify the lower respiratory tract viral pathogens causing co-infections among SARS-CoV-2 patients, and to elucidate their outcome. Methods: We enrolled 147 patients with SARS-CoV-2 infection. Lower respiratory viral co-infection was identified in non-repetitive respiratory specimens by BiofireFilmArray Pneumonia Panel. Culture and Vitek-2 were used to identify bacterial and/or fungal super-infections in co-infected patients whose outcome was evaluated. Results: Of 147 enrolled patients, 29 had viral co-infection. The most common co-infection was by Influenza A (34.2%), Rhinovirus/Enterovirus (31.6%), other Coronaviruses (13.2%). Seventeen (58.6%) patients developed super-infection. Streptococcus pneumoniae was the most frequently isolated super-infection pathogen (17.2%). Mortality occurred in 41.40% of patients with co-infection which was higher compared to the group without co-infection (32.2%) but with no statistical significance, p: 0.463. In the co-infection cohort,  the deceased patients' hemoglobin (Hb), platelets count, C-reactive protein (CRP), and procalcitonin (PCT) levels were significantly different compared to survived ; 9.14 ± 1.23, 185.15 ± 91.42, 169.31 ± 94.91, and 2.42± 2.91 vs 10.65± 2.15 mg/dl, 249.0± 100.69 x103/μL, 49.88 ± 59.57   mg/l, and 0.44 ± 0.55 ng/ml, p value 0.044, 0.006, <0.001, and 0.012, respectively. Additionally, the deceased patient had a considerably longer ICU stay (25.75 ± 23.6 vs. 11.80 ± 11.19 days, p: 0.066). Conclusion:  In SARS-CoV-2 patients, co-infection with other respiratory viruses is linked to increased mortality. The Hb and platelet counts of the deceased patients are higher than those of the survivors, while their PCT and CRP levels are lower.

DOI

10.21608/mid.2024.273956.1831

Keywords

Co-infections, super-infection, Biofire FilmArray pneumonia panel, SARS-CoV-2

Authors

First Name

Mohamed

Last Name

Saleh

MiddleName

H

Affiliation

Department of Critical Care Medicine, Faculty of Medicine, Cairo University, Egypt

Email

mohamed.hamdi@kasralainy.edu.eg

City

-

Orcid

-

First Name

Maha

Last Name

Gad

MiddleName

A.

Affiliation

Department of Clinical and Chemical Pathology, Faculty of Medicine, Cairo University, Egypt

Email

maha.gad@kasralainy.edu.eg

City

Cairo, Egypt

Orcid

-

First Name

Amani

Last Name

El-Kholy

MiddleName

Ali

Affiliation

Department of Clinical and Chemical Pathology, Faculty of Medicine, Cairo University, Egypt

Email

aelkholy@kasralainy.edu.eg

City

Cairo, Egypt

Orcid

0000-0002-0645-7664

First Name

Lamiaa

Last Name

Saleh

MiddleName

-

Affiliation

Public Health and Community Medicine Department, Faculty of Medicine, Beni-Suef University, Egypt

Email

lamiaasaleh@yahoo.com

City

-

Orcid

-

First Name

Zahraa

Last Name

Mostafa

MiddleName

M

Affiliation

Public Health and Community Medicine Department, Faculty of Medicine, Beni-Suef University, Egypt

Email

zahraa_el_yasmeen@yahoo.com

City

-

Orcid

-

First Name

Shereen

Last Name

Abd-El-Aziz

MiddleName

H

Affiliation

Clinical Pathology Department, National Research Centre, Cairo, Egypt

Email

sherryhamdy4@yahoo.com

City

-

Orcid

-

Volume

5

Article Issue

2

Related Issue

47401

Issue Date

2024-05-01

Receive Date

2024-03-01

Publish Date

2024-05-01

Page Start

441

Page End

450

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_347138.html

Detail API

https://mid.journals.ekb.eg/service?article_code=347138

Order

5

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Co-Infection with respiratory viruses among critically-ill SARS-CoV2 patients in a tertiary hospital in Egypt: Incidence and effect on patients outcome

Details

Type

Article

Created At

25 Dec 2024