Co-infection and clinical characteristics of SARS-CoV-2 and influenza
among COVID-19 cases: A-meta analysis
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that
causes coronavirus disease 2019 (COVID-19) is a public health problem
and may have co-infection with other pathogens such as influenza
virus.This study aims to assess the co-infection of SARS-CoV-2 with
influenza among COVID-19 cases.The all relevant studies were collected
from international databases. For improving the quality of the present
literature, the all studies were evaluated by two reviewers in order to
confirm all of the studies have inclusion criteria. Finally, all
articles with sufficient quality scores were included in meta-analysis.
Assessment of heterogeneity among the studies of primary studies was
performed using the statistic chi‐squared test (Cochran’s Q) and I2
index. In this results, random or fixed effect model were used for
determination of heterogeneity test. All statistical analyses were
performed using Comprehensive Meta-Analysis (CMA), V.2 software.This
meta- analysis included 9 primary studies investigating the co-infection
of SARS-CoV-2 with influenza among COVID-19 cases. Pooled prevalence
(95% confidence interval) of co-infection is shown that the prevalence
of influenza A is higher than influenza B. 2.3(0.5-9.3) vs 0.1
(0.4-3.3). Using the fixed effect model the frequency of fever was
(80.6% [95% CI 76.1–84.40, p < 0.153]) and it is shown
that fever is the most prevalent symptom in patients.Patients admitted
to hospital with COVID-19 also infected with influenza virus. Thus, the
current research provides a better understanding about the control and
treatment of co-infection with SARS-CoV-2 and the influenza virus.