Ahmed Naveed, Habib Saman, Muzzammil Moazza, Rabaan Ali A, Turkistani Safaa A, Garout Mohammed, Halwani Muhammad A, Aljeldah Mohammed, Al Shammari Basim R, Sabour Amal A, Alshiekheid Maha A, Abdalla Areeg N K, Alestad Jeehan H, Alhumaid Saad, Lopes Bruno Silvester, Yean Chan Yean
Department of Medical Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.
Department of Microbiology, Faculty of Science and Technology, University of Central Punjab, Lahore 54000, Punjab, Pakistan.
Microorganisms. 2022 Oct 6;10(10):1978. doi: 10.3390/microorganisms10101978.
The epidemiological and clinical aspects of coronavirus disease-2019 (COVID-19) have been subjected to several investigations, but little is known about symptomatic patients with negative SARS-CoV-2 PCR results. The current study investigated patients who presented to the hospital with respiratory symptoms (but negative SARS-CoV-2 RT-PCR results) to determine the prevalence of bacterial pathogens among these patients. A total of 1246 different samples were collected and 453 species of bacterial pathogens were identified by culture. Antibiotic susceptibility testing was performed via the Kirby Bauer disc diffusion test. Patients showed symptoms, such as fever (100%), cough (83%), tiredness (77%), loss of taste and smell (23%), rigors (93%), sweating (62%), and nausea (81%), but all tested negative for COVID-19 by PCR tests. Further examinations revealed additional and severe symptoms, such as sore throats (27%), body aches and pain (83%), diarrhea (11%), skin rashes (5%), eye irritation (21%), vomiting (42%), difficulty breathing (32%), and chest pain (67%). The sum of = 1246 included the following: males, 289 were between 5 and 14 years, 183 (15-24 years), 157 (25-34 years), 113 (35-49 years), and 43 were 50+ years. Females: 138 were between 5 and 14 years, 93 (15-24 years), 72 (25-34 years), 89 (35-49 years), and 68 were 50+ years. The Gram-positive organisms isolated were ( = 111, 80.43%, MRSA 16.6%), ( = 20, 14.49%, VRE: 9.4%), and ( = 7, 5.07%), while, Gram-negative organisms, such as ( = 135, 42.85%, CRE: 3.49%), ( = 93, 29.52%, CRE: 1.58%), ( = 43, 13.65%), ( = 21, 6.66%), spp. ( = 8, 2.53%), and spp. ( = 15, 4.76%) were identified.
2019冠状病毒病(COVID-19)的流行病学和临床方面已受到多项调查,但对于严重急性呼吸综合征冠状病毒2(SARS-CoV-2)聚合酶链反应(PCR)结果为阴性的有症状患者知之甚少。本研究调查了因呼吸道症状入院(但SARS-CoV-2逆转录PCR结果为阴性)的患者,以确定这些患者中细菌病原体的流行情况。共收集了1246份不同样本,通过培养鉴定出453种细菌病原体。通过 Kirby Bauer 纸片扩散法进行抗生素敏感性测试。患者表现出发热(100%)、咳嗽(83%)、疲倦(77%)、味觉和嗅觉丧失(23%)、寒战(93%)、出汗(62%)和恶心(81%)等症状,但所有患者的PCR检测COVID-19均为阴性。进一步检查发现了其他严重症状,如喉咙痛(27%)、身体疼痛(83%)、腹泻(11%)、皮疹(5%)、眼睛刺激(21%)、呕吐(42%)、呼吸困难(32%)和胸痛(67%)。总数 = 1246包括以下情况:男性,5至14岁有289人,15至24岁有183人,25至34岁有157人,35至49岁有113人,50岁及以上有43人。女性:5至14岁有138人,15至24岁有93人,25至34岁有72人,35至49岁有89人,50岁及以上有68人。分离出的革兰氏阳性菌有金黄色葡萄球菌(n = 111,80.43%,耐甲氧西林金黄色葡萄球菌16.6%)、肠球菌(n = 20,14.49%,耐万古霉素肠球菌:9.4%)和肺炎链球菌(n = 7,5.07%),而革兰氏阴性菌,如大肠埃希菌(n = 135,42.85%,耐碳青霉烯类大肠埃希菌:3.49%)、肺炎克雷伯菌(n = 93,29.52%,耐碳青霉烯类肺炎克雷伯菌:1.58%)、鲍曼不动杆菌(n = 43,13.65%)、铜绿假单胞菌(n = 21,6.66%)、柠檬酸杆菌属(n = 8,2.53%)和肠杆菌属(n = 15,4.76%)也被鉴定出来。