コンドウ ミツコ   KONDOU Mitsuko
  近藤 光子
   所属   医学部 医学科(東京女子医科大学病院)
   職種   客員教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 SARS-CoV-2 co-detection with other respiratory pathogens-descriptive epidemiological study.
掲載誌名 正式名:Respiratory investigation
略  称:Respir Investig
ISSNコード:22125353/22125345
掲載区分国外
巻・号・頁 62(5),pp.884-888
著者・共著者 Arimura Ken†, Kikuchi Ken, Sato Yasuto, Miura Hitomi, Sato Asako, Katsura Hideki, Kondo Mitsuko, Itabashi Michio, Tagaya Etsuko
発行年月 2024/09
概要 BACKGROUND:Co-detection of respiratory pathogens with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is poorly understood. This descriptive epidemiological study aimed to determine the effect of the interaction of different respiratory pathogens on clinical variables.METHODS:We retrospectively reviewed the results of comprehensive multiplex polymerase chain reaction (PCR) testing from November 2020 to March 2023 to estimate respiratory pathogen co-detection rates in Shinjuku, Tokyo. We evaluated the interactions of respiratory pathogens, particularly SARS-CoV-2, between observed and expected co-detection. We estimated the trend of co-detection with SARS-CoV-2 in terms of age and sex and applied a multiple logistic regression model adjusted for age, testing period, and sex to identify influencing factors between co-detection and single detection for each pathogen.RESULTS:Among 57,746 patients who underwent multiplex PCR testing, 10,516 (18.2%) had positive for at least one of the 22 pathogens. Additionally, 881 (1.5%) patients were confirmed to have a co-detection. SARS-CoV-2 exhibited negative interactions with adenovirus, coronavirus, human metapneumovirus, parainfluenza virus, respiratory syncytial virus, and rhino/enterovirus. SARS-CoV-2 co-detection with other pathogens occurred most frequently in patients of the youngest age group (0-4 years). A multiple logistic regression model indicated that younger age was the most influential factor for SARS-CoV-2 co-detection with other respiratory pathogens.CONCLUSION:The study highlights the prevalence of SARS-CoV-2 co-detection with other respiratory pathogens in younger age groups, necessitating further exploration of the clinical implications and severity of SARS-CoV-2 co-detection.
DOI 10.1016/j.resinv.2024.07.016
PMID 39098246