Diabetes and Bacterial Co-infection Are Two Independent Risk Factors for Respiratory Syncytial Virus Disease Severity     
Yazarlar (4)
Doç. Dr. Hakan ŞIVGIN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Şirin Çetin
Türkiye
Ayşe Ülgen
Türkiye
Wentian Li
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Frontiers in Medicine
Dergi ISSN 2296-858X Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q1
Makale Dili İngilizce
Basım Tarihi 11-2023
Cilt No 10
Sayfalar 1 / 11
DOI Numarası 10.3389/fmed.2023.1231641
Makale Linki https://www.frontiersin.org/articles/10.3389/fmed.2023.1231641/abstract
Özet
Diabetes mellitus (DM) is common among older adults hospitalized with lower respiratory tract infection, yet information on the impact of DM on disease severity is limited. This study retrospectively analyzed 46 Turkish patients infected with respiratory syncytial virus (RSV), with information on their comorbidities, co-infection status, and symptoms. Patients are grouped into four severity levels from mild to severe, according to lung parenchymal infiltration status and oxygen level. Similar to previously published studies, we found that comorbidities of diabetes, heart failure, hypertension, co-infection of any type, bacterial co-infection, and age are associated with the disease severity. Cough is the most common symptom (89%) followed by fever (26%) and myalgia, dyspnea, and weakness (around 20%). Using a second-order analysis (two-variable regression), we identified two independent risks for disease severity, the first is represented by diabetes, and the second is represented by bacterial co-infection. We observed two patients whose more severe symptoms were not associated with an older age, but associated with a combination of diabetes and bacterial co-infection. To confirm the true causality from the statistical correlation, further studies are needed.
Anahtar Kelimeler
respiratory syncytial virus (RSV) | diabetes mellitus | chronic medical condition | bacterial coinfection | disease severity