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Impact of Respiratory Bacterial Infections on Mortality in Japanese Patients with COVID-19: a Retrospective Cohort Study.

BMC pulmonary medicine(2023)SCI 3区

Keio University School of Medicine | Tokyo Medical and Dental University Hospital of Medicine | Fukuoka University Hospital | Fukuoka University | Juntendo University | Fukujuji Hospital | Tosei General Hospital | JCHO (Japan Community Health Care Organization | Kumamoto Medical Center | Tokyo Women’s Medical University Adachi Medical Center | Social Welfare Organization Saiseikai Imperial Gift Foundation | National Hospital Organization Tokyo Medical Center | Uji-Tokushukai Medical Center | National Hospital Organization Kyushu Medical Center | National Hospital Organization Hokkaido Medical Center | Ishikawa Prefectural Central Hospital | Osaka University Graduate School of Medicine | Nagoya University Graduate School of Medicine | Gifu University Graduate School of Medicine | National Hospital Organization Kanazawa Medical Center | Saiseikai Yokohamashi Nanbu Hospital | St. Marianna University School of Medicine Kawasaki | St. Marianna University School of Medicine | Tohoku University Graduate School of Medicine | Fukushima Medical University | Toyohashi Municipal Hospital | National Hospital Organization Saitama National Hospital | Osaka Saiseikai Nakatsu Hospital | Saitama Cardiovascular and Respiratory Center | Showa University Koto Toyosu Hospital | Kanagawa Cardiovascular and Respiratory Center | Kansai Medical University General Medical Center | Tokyo Medical University Hospital | Tokyo Medical University Ibaraki Medical Center | Ome Municipal General Hospital | Tsukuba Kinen General Hospital | Fujisawa City Hospital | National Defense Medical College | Kyoto Prefectural University of Medicine | Kitasato University | Genome Medical Science Project (Toyama) | the Institute of Medical Science | Tokyo Medical and Dental University | Kyoto University

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Abstract
Although cases of respiratory bacterial infections associated with coronavirus disease 2019 (COVID-19) have often been reported, their impact on the clinical course remains unclear. Herein, we evaluated and analyzed the complication rates of bacterial infections, causative organisms, patient backgrounds, and clinical outcome in Japanese patients with COVID-19. We performed a retrospective cohort study that included inpatients with COVID-19 from multiple centers participating in the Japan COVID-19 Taskforce (April 2020 to May 2021) and obtained demographic, epidemiological, and microbiological results and the clinical course and analyzed the cases of COVID-19 complicated by respiratory bacterial infections. Of the 1,863 patients with COVID-19 included in the analysis, 140 (7.5
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SARS-CoV-2 infection,Neutrophil–lymphocyte ratio,Mortality,Invasive mechanical ventilation,Intensive care unit
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