Preprint Article Version 1 This version is not peer-reviewed

Bacterial and Viral Co-Infections in COVID-19 Patients: Etiology and Clinical Impact

Version 1 : Received: 27 August 2024 / Approved: 28 August 2024 / Online: 28 August 2024 (05:13:20 CEST)

How to cite: Madzharova, I. R.; Trifonova, I.; Korsun, N. S.; Levterova, V.; Velikov, P.; Voleva, S.; Ivanov, I.; Ivanov, D.; Yordanova, R.; Tcherveniakova, T.; Angelova, S.; Christova, I. Bacterial and Viral Co-Infections in COVID-19 Patients: Etiology and Clinical Impact. Preprints 2024, 2024081995. https://doi.org/10.20944/preprints202408.1995.v1 Madzharova, I. R.; Trifonova, I.; Korsun, N. S.; Levterova, V.; Velikov, P.; Voleva, S.; Ivanov, I.; Ivanov, D.; Yordanova, R.; Tcherveniakova, T.; Angelova, S.; Christova, I. Bacterial and Viral Co-Infections in COVID-19 Patients: Etiology and Clinical Impact. Preprints 2024, 2024081995. https://doi.org/10.20944/preprints202408.1995.v1

Abstract

The risk of a fatal outcome was 41% in unvaccinated patients (p = 0.713), which increased by 2.66% with co-infection with two pathogens (p = 0.342) and by 26% with three pathogens (p = 0.005). Additionally, 50% of ICU patients had a triple infection, compared with only 1.3% in the inpatient unit (p = 0.0029). The risk of death and/or ICU admission was 12 times higher (p = 0.042) with an additional pathogen and increased by 95% (p = 0.003) with a third concomitant pathogen. Regular multiplex testing is important for prompt treatment and targeted antibiotic use.

Keywords

SARS-CoV-2; co-infection; respiratory viruses; Haemophilus influenzae; RSV

Subject

Public Health and Healthcare, Other

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