Rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 (COVID‐19)

Abstract Objectives The purpose of this study was to assess coinfection rates of coronavirus disease 2019 (COVID‐19) with other respiratory infections on presentation. Methods This is a retrospective analysis of data from a 2 hospital academic medical centers and 2 urgent care centers during the ini...

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Main Authors: Edward M. Castillo, Christopher J. Coyne, Jesse J. Brennan, Christian A. Tomaszewski
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Journal of the American College of Emergency Physicians Open
Subjects:
Online Access:https://doi.org/10.1002/emp2.12172
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author Edward M. Castillo
Christopher J. Coyne
Jesse J. Brennan
Christian A. Tomaszewski
author_facet Edward M. Castillo
Christopher J. Coyne
Jesse J. Brennan
Christian A. Tomaszewski
author_sort Edward M. Castillo
collection DOAJ
description Abstract Objectives The purpose of this study was to assess coinfection rates of coronavirus disease 2019 (COVID‐19) with other respiratory infections on presentation. Methods This is a retrospective analysis of data from a 2 hospital academic medical centers and 2 urgent care centers during the initial 2 weeks of testing for severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), March 10, 2020 to March 23, 2020. Testing was targeted toward high‐risk patients following US Centers for Disease Control and Prevention guidelines. Demographics include age group and sex. Laboratory test results included SARS‐CoV‐2, rapid influenza A/B, and upper respiratory pathogen nucleic acid detection. Patient demographics and coinfections are presented overall and by test results with descriptive statistics. Results Complete laboratory results from the first 2 weeks of testing were available for 471 emergency department patients and 117 urgent care center patients who were tested for SARS‐CoV. A total of 51 (8.7%) patients tested positive for COVID‐19 with only 1 of these patients also testing positive for another respiratory infection. One of the patients positive for COVID‐19 also tested positive for influenza A. Among the 537 patients who were screened and tested negative for COVID‐19, there were 33 (6.1%) patients who tested positive in the upper respiratory pathogen nucleic acid detection test. Conclusion In our study investigating coinfections among 51 patients testing positive for COVID‐19, 1 patient also tested positive for influenza A. Although we found limited coinfections in our emergency department and urgent care center patient populations, further research is needed to assess potential coinfection in patients with COVID‐19.
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spelling doaj-art-50ab464f5d0740db80d48e9f4139d34c2025-08-20T03:52:06ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522020-08-011459259610.1002/emp2.12172Rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 (COVID‐19)Edward M. Castillo0Christopher J. Coyne1Jesse J. Brennan2Christian A. Tomaszewski3Department of Emergency Medicine University of California San Diego California USADepartment of Emergency Medicine University of California San Diego California USADepartment of Emergency Medicine University of California San Diego California USADepartment of Emergency Medicine University of California San Diego California USAAbstract Objectives The purpose of this study was to assess coinfection rates of coronavirus disease 2019 (COVID‐19) with other respiratory infections on presentation. Methods This is a retrospective analysis of data from a 2 hospital academic medical centers and 2 urgent care centers during the initial 2 weeks of testing for severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), March 10, 2020 to March 23, 2020. Testing was targeted toward high‐risk patients following US Centers for Disease Control and Prevention guidelines. Demographics include age group and sex. Laboratory test results included SARS‐CoV‐2, rapid influenza A/B, and upper respiratory pathogen nucleic acid detection. Patient demographics and coinfections are presented overall and by test results with descriptive statistics. Results Complete laboratory results from the first 2 weeks of testing were available for 471 emergency department patients and 117 urgent care center patients who were tested for SARS‐CoV. A total of 51 (8.7%) patients tested positive for COVID‐19 with only 1 of these patients also testing positive for another respiratory infection. One of the patients positive for COVID‐19 also tested positive for influenza A. Among the 537 patients who were screened and tested negative for COVID‐19, there were 33 (6.1%) patients who tested positive in the upper respiratory pathogen nucleic acid detection test. Conclusion In our study investigating coinfections among 51 patients testing positive for COVID‐19, 1 patient also tested positive for influenza A. Although we found limited coinfections in our emergency department and urgent care center patient populations, further research is needed to assess potential coinfection in patients with COVID‐19.https://doi.org/10.1002/emp2.12172coinfectionCOVID‐19emergency departmentepidemicpandemicvirus
spellingShingle Edward M. Castillo
Christopher J. Coyne
Jesse J. Brennan
Christian A. Tomaszewski
Rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 (COVID‐19)
Journal of the American College of Emergency Physicians Open
coinfection
COVID‐19
emergency department
epidemic
pandemic
virus
title Rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 (COVID‐19)
title_full Rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 (COVID‐19)
title_fullStr Rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 (COVID‐19)
title_full_unstemmed Rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 (COVID‐19)
title_short Rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 (COVID‐19)
title_sort rates of coinfection with other respiratory pathogens in patients positive for coronavirus disease 2019 covid 19
topic coinfection
COVID‐19
emergency department
epidemic
pandemic
virus
url https://doi.org/10.1002/emp2.12172
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AT christopherjcoyne ratesofcoinfectionwithotherrespiratorypathogensinpatientspositiveforcoronavirusdisease2019covid19
AT jessejbrennan ratesofcoinfectionwithotherrespiratorypathogensinpatientspositiveforcoronavirusdisease2019covid19
AT christianatomaszewski ratesofcoinfectionwithotherrespiratorypathogensinpatientspositiveforcoronavirusdisease2019covid19