Co-infection in patients with hypoxemic pneumonia due to COVID-19 in Reunion Island

This study aimed to evaluate the incidence of co-infection with different types of pathogens in patients with hypoxemic pneumonia due to coronavirus disease 2019 (COVID-19) in Reunion Island.This observational study using a prospectively collected database of hypoxemic pneumonia due to COVID-19 case...

Full description

Saved in:
Bibliographic Details
Published in:Medicine (Baltimore) 2021-01, Vol.100 (4), p.e24524-e24524
Main Authors: Allou, Nicolas, Larsen, Kevin, Dubernet, Arthur, Traversier, Nicolas, Masse, Laurie, Foch, Emilie, Bruneau, Léa, Maillot, Adrien, André, Michel, Lagrange-Xelot, Marie, Allyn, Jérôme, Thomas, Vincent, Coolen-Allou, Nathalie
Format: Article
Language:English
Subjects:
Adult
Coinfection - epidemiology
COVID-19 - epidemiology
Female
France - epidemiology
Humans
Hypoxia
Male
Middle Aged
Observational Study
Pneumonia - epidemiology
Pneumonia - microbiology
Retrospective Studies
SARS-CoV-2
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This study aimed to evaluate the incidence of co-infection with different types of pathogens in patients with hypoxemic pneumonia due to coronavirus disease 2019 (COVID-19) in Reunion Island.This observational study using a prospectively collected database of hypoxemic pneumonia due to COVID-19 cases was conducted at Félix Guyon University Hospital in Reunion Island, France.Between 18 March 2020 and 15 April 2020, 156 patients were admitted to our hospital for COVID-19. A total of 36 patients had hypoxemic pneumonia (23.1%) due to COVID-19. Thirty of these cases (83.3%) were imported by travelers returning mainly from metropolitan France and Spain. Patients were screened for co-infection with other pathogens at admission: 31 (86.1%) by multiplex polymerase chain reaction (PCR) and 16 (44.4%) by cytobacteriological examination of sputum culture. Five patients (13.9%) were found to have co-infection: 1 with influenza virus A H1N1 (pdm09) associated with Branhamella catarrhalis, 1 with Streptococcus pneumoniae associated with Haemophilus influenzae, 1 with Human Coronavirus 229E, 1 with Rhinovirus, and 1 with methicillin-susceptible Staphylococcus aureus. Patients with co-infection had higher D-dimer levels than those without co-infection (1.36 [1.34-2.36] μg/mL vs 0.63 [0.51-1.12] μg/mL, P = .05).The incidence of co-infection in our cohort was higher than expected (13.9%). Three co-infections (with influenza virus A(H1N1) pdm09, Streptococcus pneumoniae, and Staphylococcus aureus) required specific treatment. Patients with hypoxemic pneumonia due to COVID-19 should be screened for co-infection using respiratory cultures or multiplex PCR. Whilst our study has a number of limitations, the results from our study suggest that in the absence of screening, patients should be commenced on treatment for co-infection in the presence of an elevated D-dimer.
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000024524