Worldwide prevalence of microbial agents' coinfection among COVID-19 patients: A comprehensive updated systematic review and meta-analysis

Article Infectious Diseases

Incidence of co-infections and superinfections in hospitalized patients with COVID-19: a retrospective cohort study

Carolina Garcia-Vidal et al.

Summary: The study found that co-infections and superinfections in hospitalized COVID-19 patients were relatively low compared to other viral pandemics. Patients experienced worse outcomes after hospital-acquired superinfections occurred.

CLINICAL MICROBIOLOGY AND INFECTION (2021)

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Article Public, Environmental & Occupational Health

Bacterial and fungal coinfections in COVID-19 patients hospitalized during the New York City pandemic surge

Priya Nori et al.

Summary: Bacterial or fungal coinfections were observed in a small percentage of COVID-19 patients, with a high mortality rate and a majority requiring intubation. Half of the patients with bacteremia had central venous catheters. Metallo-beta-lactamase-producing E. cloacae coinfections occurred in 5 patients.

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY (2021)

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Article Virology

High prevalence of SARS-CoV-2 and influenza A virus (H1N1) coinfection in dead patients in Northeastern Iran

Seyed A. Hashemi et al.

Summary: The study reveals a high prevalence of coinfection with other respiratory viruses in SARS-CoV-2 positive dead patients, with influenza A virus being the highest and human metapneumovirus being predominant in children.

JOURNAL OF MEDICAL VIROLOGY (2021)

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Article Immunology

Empiric Antibacterial Therapy and Community-onset Bacterial Coinfection in Patients Hospitalized With Coronavirus Disease 2019 (COVID-19): A Multi-hospital Cohort Study

Valerie M. Vaughn et al.

Summary: Among 1705 hospitalized COVID-19 patients, 56.6% received early empiric antibacterial therapy, while only 3.5% had confirmed community-onset bacterial infections. The use of early empiric antibacterials varied widely across hospitals.

CLINICAL INFECTIOUS DISEASES (2021)

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Article Infectious Diseases

Secondary infections in patients hospitalized with COVID-19: incidence and predictive factors

Marco Ripa et al.

Summary: The study aimed to describe the incidence and predictive factors of secondary infections in COVID-19 patients. Risk factors identified for secondary infections included low lymphocyte count, baseline PaO2/FiO2 decrease, and ICU admission within the first 48 hours.

CLINICAL MICROBIOLOGY AND INFECTION (2021)

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Article Virology

Bacterial infections and patterns of antibiotic use in patients with COVID-19

Alvaro Goncalves Mendes Neto et al.

Summary: Bacterial coinfection in patients with COVID-19 is associated with increased inpatient mortality, with genitourinary source being the most common source of bacterial infection. Patients who received antibiotic therapy had a significantly higher rate of inpatient mortality.

JOURNAL OF MEDICAL VIROLOGY (2021)

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Article Infectious Diseases

Few bacterial co-infections but frequent empiric antibiotic use in the early phase of hospitalized patients with COVID-19: results from a multicentre retrospective cohort study in The Netherlands

Zara Karami et al.

Summary: The study found that bacterial co-infections are rare in hospitalized COVID-19 patients, yet the use of antibiotics is prevalent. Caution should be exercised in antibiotic use to reduce overuse in the current COVID-19 pandemic.

INFECTIOUS DISEASES (2021)

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Article Infectious Diseases

Differentiating influenza from COVID-19 in patients presenting with suspected sepsis

Valentino D'Onofrio et al.

Summary: A quick assessment of severely ill patients presenting to the hospital is essential. This study identified factors that differentiate between influenza and COVID-19, with early bacterial co-infection more common in influenza patients. Differentiating between the two based on presentation parameters can aid in triage and early management.

EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES (2021)

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Article Dermatology

Prevalence of opportunistic invasive aspergillosis in COVID-19 patients with severe pneumonia

Gonzalo Segrelles-Calvo et al.

Summary: As the COVID-19 pandemic continues to spread globally, the risk of invasive fungal infections as a coinfection poses a significant threat to severely ill patients. Larger cohort studies are necessary to investigate the impact of COVID-19 immunosuppressive therapy on the development of aspergillosis.

MYCOSES (2021)

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Review Neurosciences

COVID-19 associated central nervous system manifestations, mental and neurological symptoms: a systematic review and meta-analysis

Saber Soltani et al.

Summary: The study suggests a possible connection between COVID-19 and neurological symptoms, with the most common symptom being hyposmia/anosmia. Other common symptoms include headache or dizziness, dysgeusia or ageusia, dysphonia, and fatigue.

REVIEWS IN THE NEUROSCIENCES (2021)

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Article Virology

Effect of SARS-CoV-2 coinfection was not apparent on the dynamics of chronic hepatitis B infection

Rentao Yu et al.

Summary: In patients coinfected with SARS-CoV-2 and HBV, liver injury is common. However, the interactions between the two infections remain unknown. The study found that markers of HBV replication did not fluctuate significantly during SARS-CoV-2 infection, and coinfection did not affect the viral shedding cycle or incubation periods of SARS-CoV-2. Additionally, SARS-CoV-2 infection does not seem to lead to HBV reactivation in these individuals.

VIROLOGY (2021)

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Article Parasitology

Clinical and biochemical parameters of COVID-19 patients with prior or active dengue fever

Isabella Marcia Soares Nogueira Teotonio et al.

Summary: A study in Brazil found that a considerable percentage of COVID-19 patients were co-infected with dengue virus, which led to worse clinical parameters, particularly in patients with active dengue fever.

ACTA TROPICA (2021)

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Article Infectious Diseases

SARS-CoV-2 respiratory co-infections: Incidence of viral and bacterial co-pathogens

Vijay Singh et al.

Summary: This study investigated bacterial and viral co-infections in COVID-19 patients and found a lower rate of viral co-infections overall, but significant levels of Staphylococcus aureus and Epstein-Barr virus co-infections in SARS-CoV-2-positive patients. The findings contribute to our understanding of the current pandemic and can assist clinicians in making better patient care decisions.

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES (2021)

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Review Multidisciplinary Sciences

Prevalence and outcomes of co-infection and superinfection with SARS-CoV-2 and other pathogens: A systematic review and meta-analysis

Jackson S. Musuuza et al.

Summary: Our study found that as many as 19% of patients with COVID-19 had co-infections and 24% had superinfections. The presence of either co-infection or superinfection was associated with poor outcomes, such as increased mortality.

PLOS ONE (2021)

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Review Biotechnology & Applied Microbiology

Viral Coinfection among COVID-19 Patient Groups: An Update Systematic Review and Meta-Analysis

Pooneh Malekifar et al.

Summary: The study revealed a viral coinfection prevalence of approximately 12.58% among COVID-19 patients, with blood-borne viruses having the highest coinfection rate. Respiratory viruses had a relatively lower coinfection rate.

BIOMED RESEARCH INTERNATIONAL (2021)

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Article Biochemistry & Molecular Biology

Patients with SARS-CoV-2 and HBV co-infection are at risk of greater liver injury

Yong Lin et al.

Summary: This study showed that patients with chronic HBV infection and SARS-CoV-2 co-infection are at higher risk of abnormal liver function tests. However, there were no significant differences in discharge rate or hospitalization duration between the two groups. Enhanced liver injury induced by the co-infection may be related to hepatocyte involvement and inflammatory response.

GENES & DISEASES (2021)

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Review Respiratory System

The role of co-infections and secondary infections in patients with COVID-19

Charles Feldman et al.

Summary: The current review provides an extensive look at the prevalence of co-infections and superinfections in patients with COVID-19, highlighting their potential impact on the severity and outcome of the disease. However, a clear distinction between the two types of infections is often lacking in the literature.

PNEUMONIA (2021)

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Article Infectious Diseases

Rates of bacterial co-infections and antimicrobial use in COVID-19 patients: a retrospective cohort study in light of antibiotic stewardship

Kathrin Rothe et al.

Summary: Bacterial and fungal co-infections are rare in COVID-19 patients and mainly occur in critically ill patients. Adherence to antibiotic stewardship principles is crucial in preventing antimicrobial overuse.

EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES (2021)

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Review Infectious Diseases

Bacterial coinfection among coronavirus disease 2019 patient groups: an updated systematic review and meta-analysis

S. Soltani et al.

Summary: This study reviewed the pooled prevalence of bacterial coinfections in COVID-19 patients, with an average prevalence of around 20.97%. The respiratory subtype had a prevalence of 5.20% and the gastrointestinal subtype had a prevalence of 4.79%. The Eastern Mediterranean Regional Office had a high prevalence of bacterial coinfections, while the South-East Asia Regional Office had a lower prevalence.

NEW MICROBES AND NEW INFECTIONS (2021)

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Review Ophthalmology

Global and regional prevalence of age-related cataract: a comprehensive systematic review and meta-analysis

Hassan Hashemi et al.

EYE (2020)

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Letter Medical Laboratory Technology

Coinfection of SARS-CoV-2 and multiple respiratory pathogens in children

Shupeng Jiang et al.

CLINICAL CHEMISTRY AND LABORATORY MEDICINE (2020)

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Editorial Material Medicine, Research & Experimental

SARS-CoV-2, bacterial co-infections, andAMR: the deadly trio inCOVID-19?

Jose A. Bengoechea et al.

EMBO MOLECULAR MEDICINE (2020)

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Letter Respiratory System

Active tuberculosis, sequelae and COVID-19 co-infection: first cohort of 49 cases

Marina Tadolini et al.

EUROPEAN RESPIRATORY JOURNAL (2020)

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Article Infectious Diseases

Clinical characteristics of critically ill patients co-infected with SARS-CoV-2 and the influenza virus in Wuhan, China

Simin Ma et al.

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES (2020)

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Letter Medicine, General & Internal

Rates of Co-infection Between SARS-CoV-2 and Other Respiratory Pathogens

David Kim et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2020)

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Article Microbiology

Bacteremia and Blood Culture Utilization during COVID-19 Surge in New York City

Jorge Sepulveda et al.

JOURNAL OF CLINICAL MICROBIOLOGY (2020)

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Letter Infectious Diseases

Different patterns of Influenza A and B detected during early stages of COVID-19 in a university hospital in Sao Paulo, Brazil

Luciano Kleber de Souza Luna et al.

JOURNAL OF INFECTION (2020)

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Letter Infectious Diseases

Impacts of immunosuppression and immunodeficiency on COVID-19: A systematic review and meta-analysis

Ya Gao et al.

JOURNAL OF INFECTION (2020)

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Letter Infectious Diseases

Co-infection of SARS-CoV-2 and Influenza virus in Early Stage of the COVID-19 Epidemic in Wuhan, China

Xin Zheng et al.

JOURNAL OF INFECTION (2020)

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Review Infectious Diseases

Co-infections in people with COVID-19: a systematic review and meta-analysis

Louise Lansbury et al.

JOURNAL OF INFECTION (2020)

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Editorial Material Medicine, General & Internal

Collateral damage of the COVID-19 pandemic: Exacerbation of antimicrobial resistance and disruptions to antimicrobial stewardship programmes?

V. Chibabhai et al.

SAMJ SOUTH AFRICAN MEDICAL JOURNAL (2020)

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Letter Biology

Co-infections of SARS-CoV-2 with multiple common respiratory pathogens in infected patients

Dachuan Lin et al.

SCIENCE CHINA-LIFE SCIENCES (2020)

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Editorial Material Virology

Coinfection in SARS-CoV-2 infected patients: Where are influenza virus and rhinovirus/enterovirus?

Michael D. Nowak et al.

JOURNAL OF MEDICAL VIROLOGY (2020)

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Letter Virology

Co-detection of respiratory pathogens in patients hospitalized with Coronavirus viral disease-2019 pneumonia

Maria Luisa Blasco et al.

JOURNAL OF MEDICAL VIROLOGY (2020)

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Article Virology

Presenting characteristics, comorbidities, and outcomes of patients coinfected with COVID-19 and Mycoplasma pneumoniae in the USA

Vijay Gayam et al.

JOURNAL OF MEDICAL VIROLOGY (2020)

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Article Virology

The clinical characteristics of pneumonia patients coinfected with 2019 novel coronavirus and influenza virus in Wuhan, China

Qiang Ding et al.

JOURNAL OF MEDICAL VIROLOGY (2020)

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Article Immunology

Clinical characteristics and co -infections of 354 hospitalized patients with COVID-19 in Wuhan, China: a retrospective cohort study

Zhihua Lv et al.

MICROBES AND INFECTION (2020)

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Article Respiratory System

Tuberculosis, COVID-19 and migrants: Preliminary analysis of deaths occurring in 69 patients from two cohorts

I. Motta et al.

PULMONOLOGY (2020)

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Article Pediatrics

Coinfection and Other Clinical Characteristics of COVID-19 in Children

Qin Wu et al.

PEDIATRICS (2020)

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Letter Public, Environmental & Occupational Health

Bacterial and fungal colonization of the respiratory tract in COVID-19 patients should not be neglected

Jari Intra et al.

AMERICAN JOURNAL OF INFECTION CONTROL (2020)

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Letter Public, Environmental & Occupational Health

Primary Respiratory Bacterial Coinfections in Patients with COVID-19

Waqas Ahmed Chauhdary et al.

AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE (2020)

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Article Infectious Diseases

Bacterial and fungal coinfection among hospitalized patients with COVID-19: a retrospective cohort study in a UK secondary-care setting

S. Hughes et al.

CLINICAL MICROBIOLOGY AND INFECTION (2020)

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Review Infectious Diseases

Bacterial co-infection and secondary infection in patients with COVID-19: a living rapid review and meta-analysis

Bradley J. Langford et al.

CLINICAL MICROBIOLOGY AND INFECTION (2020)

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Editorial Material Public, Environmental & Occupational Health

Coinfections with SARS-CoV-2 and other respiratory pathogens

Aniruddhas Hazra et al.

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY (2020)

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Letter Mycology

Critically ill patients with COVID-19 and candidaemia: We must keep this in mind

A. Agrifoglio et al.

JOURNAL DE MYCOLOGIE MEDICALE (2020)

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Editorial Material Mycology

Invasive fungal diseases during COVID-19: We should be prepared

J. -P. Gangneux et al.

JOURNAL DE MYCOLOGIE MEDICALE (2020)

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Article Materials Science, Multidisciplinary

Traditional Herbal Remedies with a Multifunctional Therapeutic Approach as an Implication in COVID-19 Associated Co-Infections

Aprajita Tiwari Pandey et al.

COATINGS (2020)

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Article Virology

Analysis of Covid-19 and non-Covid-19 viruses, including influenza viruses, to determine the influence of intensive preventive measures in Japan

Yosuke Hirotsu et al.

JOURNAL OF CLINICAL VIROLOGY (2020)

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Article Microbiology

Increased Risk of Acquisition of New Delhi Metallo-Beta-Lactamase-Producing Carbapenem-Resistant Enterobacterales (NDM-CRE) among a Cohort of COVID-19 Patients in a Teaching Hospital in Tuscany, Italy

Andrea Davide Porretta et al.

PATHOGENS (2020)

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Article Immunology

Epidemiology of Severe Acute Respiratory Syndrome Coronavirus 2 Emergence Amidst Community-Acquired Respiratory Viruses

Karoline Leuzinger et al.

JOURNAL OF INFECTIOUS DISEASES (2020)

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Article Virology

The epidemiology and clinical characteristics of co-infection of SARS-CoV-2 and influenza viruses in patients during COVID-19 outbreak

Huihui Yue et al.

JOURNAL OF MEDICAL VIROLOGY (2020)

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Article Infectious Diseases

Evaluation of bacterial co-infections of the respiratory tract in COVID-19 patients admitted to ICU

Ehsan Sharifipour et al.

BMC INFECTIOUS DISEASES (2020)

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Letter Respiratory System

A profile of a retrospective cohort of 22 patients with COVID-19 and active/treated tuberculosis

Nitesh Gupta et al.

EUROPEAN RESPIRATORY JOURNAL (2020)

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Article Virology

Co-infection with respiratory pathogens among COVID-2019 cases

Xiaojuan Zhu et al.

VIRUS RESEARCH (2020)

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Article Infectious Diseases

Tuberculosis and COVID-19: An overlapping situation during pandemic

Rabia Can Sarinoglu et al.

JOURNAL OF INFECTION IN DEVELOPING COUNTRIES (2020)

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Letter Infectious Diseases

Clinical features and outcomes of adult COVID-19 patients co-infected with Mycoplasma pneumoniae

Lei Zha et al.

JOURNAL OF INFECTION (2020)

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Letter Infectious Diseases

Improving antibiotic stewardship in COVID-19: Bacterial co-infection is less common than with influenza

Jonathan Youngs et al.

JOURNAL OF INFECTION (2020)

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Article Microbiology

Respiratory Microbial Co-infection With SARS-CoV-2

Bill W. Massey et al.

FRONTIERS IN MICROBIOLOGY (2020)

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Article Critical Care Medicine

Bacterial and viral co-infections in patients with severe SARS-CoV-2 pneumonia admitted to a French ICU

Damien Contou et al.

ANNALS OF INTENSIVE CARE (2020)

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Article Infectious Diseases

Previous and active tuberculosis increases risk of death and prolongs recovery in patients with COVID-19

Karla Therese L. Sy et al.

INFECTIOUS DISEASES (2020)

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Article Public, Environmental & Occupational Health

SARS-CoV-2-related pneumonia cases in pneumonia picture in Russia in March-May 2020: Secondary bacterial pneumonia and viral co-infections

Konstantin S. Sharov

JOURNAL OF GLOBAL HEALTH (2020)

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Article Infectious Diseases

Coinfection of SARS-CoV-2 and Other Respiratory Pathogens

Ling Ma et al.

INFECTION AND DRUG RESISTANCE (2020)

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Letter Virology

Clinical Characteristics of Hospitalized Patients with SARS-CoV-2 and Hepatitis B Virus Co-infection

Xiaoping Chen et al.

VIROLOGICA SINICA (2020)

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Review Microbiology

COVID-19-Associated Candidiasis (CAC): An Underestimated Complication in the Absence of Immunological Predispositions?

Amir Arastehfar et al.

JOURNAL OF FUNGI (2020)

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Article Multidisciplinary Sciences

Low prevalence of bloodstream infection and high blood culture contamination rates in patients with COVID-19

David Yu et al.

PLOS ONE (2020)

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Review Environmental Sciences

Initial COVID-19 Outbreak: An Epidemiological and Socioeconomic Case Review of Iran

Elise Blandenier et al.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2020)

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Article Public, Environmental & Occupational Health

Does respiratory co-infection facilitate dispersal of SARS-CoV-2? investigation of a super-spreading event in an open-space office

Dana Weissberg et al.

ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL (2020)

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Article Infectious Diseases

Effect of a previous history of antiretroviral treatment on the clinical picture of patients with co-infection of SARS-CoV-2 and HIV: A preliminary study

Jia Liu et al.

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES (2020)

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Article Immunology

Multidrug-Resistant Candida auris Infections in Critically III Coronavirus Disease Patients, India, April-July 2020

Anuradha Chowdhary et al.

EMERGING INFECTIOUS DISEASES (2020)

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Article Medicine, General & Internal

IL-6 Inhibition in Critically Ill COVID-19 Patients Is Associated With Increased Secondary Infections

Lucas M. Kimmig et al.

FRONTIERS IN MEDICINE (2020)

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Letter Immunology

Fatal Invasive Aspergillosis and Coronavirus Disease in an Immunocompetent Patient

Marion Blaize et al.

EMERGING INFECTIOUS DISEASES (2020)

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Review Emergency Medicine

Viral and atypical respiratory co-infections in COVID-19: a systematic review and meta-analysis

Bennett Davis et al.

JOURNAL OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OPEN (2020)

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Letter Critical Care Medicine

Co-infections in COVID-19 critically ill and antibiotic management: a prospective cohort analysis

Alexia Verroken et al.

CRITICAL CARE (2020)

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Review Medicine, General & Internal

COVID-19: Prevention and control measures in community

Rahmet Guner et al.

TURKISH JOURNAL OF MEDICAL SCIENCES (2020)

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Article Immunology

Risks and features of secondary infections in severe and critical ill COVID-19 patients

Haocheng Zhang et al.

EMERGING MICROBES & INFECTIONS (2020)

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Review Ophthalmology

Global and regional prevalence of strabismus: a comprehensive systematic review and meta-analysis

Hassan Hashemi et al.

STRABISMUS (2019)

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Review Rheumatology

The association between metabolic syndrome and its components with systemic lupus erythematosus: a comprehensive systematic review and meta-analysis of observational studies

J. Hallajzadeh et al.

LUPUS (2018)

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Article

Spatial Analysis of Stomach Cancer Incidence in Iran

Reza Pakzad et al.

Asian Pacific Journal of Cancer Prevention (2017)

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Article

Spatial Analysis of Colorectal Cancer in Iran

Reza Pakzad et al.

Asian Pacific Journal of Cancer Prevention (2017)

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Article

Spatial Analysis of Breast Cancer Incidence in Iran

Neda Mahdavifar et al.

Asian Pacific Journal of Cancer Prevention (2017)

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Article

Spatial Analysis of Skin Cancer Incidence in Iran

Reza Pakzad et al.

Asian Pacific Journal of Cancer Prevention (2017)

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Review Infectious Diseases

Bacterial and viral infections associated with influenza

Carol Joseph et al.

INFLUENZA AND OTHER RESPIRATORY VIRUSES (2013)

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Article Critical Care Medicine

Critical illness from 2009 pandemic influenza A virus and bacterial coinfection in the United States

Todd W. Rice et al.

CRITICAL CARE MEDICINE (2012)

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Article Medicine, General & Internal

International Study of the Prevalence and Outcomes of Infection in Intensive Care Units

Jean-Louis Vincent et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2009)

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Review Medicine, General & Internal

Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement

David Moher et al.

PLOS MEDICINE (2009)

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Article Medicine, General & Internal

Measuring inconsistency in meta-analyses

JPT Higgins et al.

BMJ-BRITISH MEDICAL JOURNAL (2003)

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Worldwide prevalence of microbial agents' coinfection among COVID-19 patients: A comprehensive updated systematic review and meta-analysis

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