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COVID-19 阳性患者的相关细菌合并感染。

Associated Bacterial Coinfections in COVID-19-Positive Patients.

机构信息

Department of Ear, Nose and Throat, Faculty of Medicine, "Victor Babeș" University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.

PhD Researcher, "Victor Babeș" University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Sq., 300041 Timisoara, Romania.

出版信息

Medicina (Kaunas). 2023 Oct 19;59(10):1858. doi: 10.3390/medicina59101858.

Abstract

: The aim of this study was to identify specific rhino- and oropharyngeal microbiological pathogens as well as associated comorbidities that favor SARS-CoV-2 infection and corelate them. : This prospective clinical study enrolled 61 patients (28 COVID-19-positive and 33 controls) who were tested for other comorbidities and co-existence of associated oral pathogenic microbiota. : A total of 247 bacterial isolates were identified in the bacterial cultures in both groups. Viral hepatitis type A was more prevalent in the COVID-19-positive group ( = 0.026), as was the presence of oral candidiasis ( = 0.006). In the control group, a moderate direct relationship was observed between the group G and dermatitis, and strong direct relationships were observed between the group G and external otitis, and dental alveolitis, and and chronic lymphocytic leukemia. In the test group, strong direct relationships were observed between and pulmonary thromboembolism; and autoimmune thyroiditis; post-viral immunosuppression, chronic coronary syndrome, and hypernatremia; group C and rheumatoid polyneuropathy; group G and hyperkalemia, hypothyroidism, secondary anemia, and splenomegaly; and active oral candidiasis and SARS-CoV-2 viral pneumonia. The following relationships were strong, but inverse: group G and acute respiratory failure, and active oral candidiasis and SARS-CoV-2 viral bronchopneumonia. : Briefly, COVID-19-positive patients have the predisposition to build up associated comorbidities and coinfections, which can be the expression of the immune burden that this virus generates to the host.

摘要

: 本研究旨在确定有利于 SARS-CoV-2 感染的特定鼻-口咽微生物病原体以及相关合并症,并对其进行相关性分析。: 这项前瞻性临床研究纳入了 61 名患者(28 名 COVID-19 阳性和 33 名对照组),对他们进行了其他合并症和相关口腔病原微生物共存的检测。: 在两组的细菌培养物中共鉴定出 247 株细菌分离株。COVID-19 阳性组甲型病毒性肝炎更为常见(=0.026),口腔念珠菌病的存在也更为常见(=0.006)。在对照组中,组 G 与皮炎之间存在中度直接关系,组 G 与外耳炎、 和牙牙槽炎、 和慢性淋巴细胞白血病之间存在强直接关系。在试验组中,与肺血栓栓塞症之间存在强直接关系;与自身免疫性甲状腺炎;病毒后免疫抑制、慢性冠状动脉综合征和高钠血症;组 C 与类风湿性多发性神经病;组 G 与高钾血症、甲状腺功能减退症、继发性贫血和脾肿大;以及活动性口腔念珠菌病和 SARS-CoV-2 病毒性肺炎之间存在强直接关系。以下关系是强但相反的:组 G 与急性呼吸衰竭、活动性口腔念珠菌病与 SARS-CoV-2 病毒性支气管肺炎之间存在强但相反的关系。: 简而言之,COVID-19 阳性患者有发生相关合并症和合并感染的倾向,这可能是该病毒对宿主产生免疫负担的表现。

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