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Viral Coinfection Among Covid-19 Patient Groups: An Update Systematic Review and Meta-Analysis Publisher Pubmed



Malekifar P1 ; Pakzad R2, 3 ; Shahbahrami R4 ; Zandi M4 ; Jafarpour A6 ; Rezayat SA7 ; Akbarpour S8 ; Shabestari AN9 ; Pakzad I10 ; Hesari E1 ; Farahani A11 ; Soltani S4, 5
Authors
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Authors Affiliations
  1. 1. Department of Epidemiology, School of Public Health, Tehran University Medical Sciences, Tehran, Iran
  2. 2. Department of Epidemiology, Faculty of Health, Ilam University Medical Sciences, Ilam, Iran
  3. 3. Student Research Committee, Ilam University Medical Sciences, Ilam, Iran
  4. 4. Research Center for Clinical Virology, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Gerash Amir-Al-Momenin Medical and Educational Center, Gerash University of Medical Sciences, Gerash, Iran
  7. 7. Department of Management and Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran
  9. 9. Department of Geriatric Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  10. 10. Department of Microbiology, School of Medicine, Ilam University Medical Sciences, Ilam, Iran
  11. 11. Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

Source: BioMed Research International Published:2021


Abstract

Background. Coinfections have a potential role in increased morbidity and mortality rates during pandemics. Our investigation is aimed at evaluating the viral coinfection prevalence in COVID-19 patients. Methods. We systematically searched scientific databases, including Medline, Scopus, WOS, and Embase, from December 1, 2019, to December 30, 2020. Preprint servers such as medRxiv were also scanned to find other related preprint papers. All types of studies evaluating the viral coinfection prevalence in COVID-19 patients were considered. We applied the random effects model to pool all of the related studies. Results. Thirty-Three studies including 10484 patients were identified. The viral coinfection estimated pooled prevalence was 12.58%; 95% CI: 7.31 to 18.96). Blood viruses (pooled prevalence: 12.48%; 95% CI: 8.57 to 16.93) had the most frequent viral coinfection, and respiratory viruses (pooled prevalence: 4.32%; 95% CI: 2.78 to 6.15) had less frequent viral coinfection. The herpesvirus pooled prevalence was 11.71% (95% CI: 3.02 to 24.80). Also, the maximum and minimum of viral coinfection pooled prevalence were in AMRO and EMRO with 15.63% (95% CI: 3.78 to 33.31) and 7.05% (95% CI: 3.84 to 11.07), respectively. Conclusion. The lowest rate of coinfection belonged to respiratory viruses. Blood-borne viruses had the highest coinfection rate. Our results provide important data about the prevalence of blood-borne viruses among COVID-19 patients which can be critical when it comes to their treatment procedure. © 2021 Pooneh Malekifar et al.
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