Increased Risk of Invasive Aspergillosis in Immunocompromised Patients With Persistent SARS-CoV-2 Viral Shedding >8 Weeks, Retrospective Case-control Study Article Swipe
Cléa Melenotte
,
Nathalie Chavarot
,
Anne-Sophie L’Honneur
,
Sylvain Bodard
,
Morgane Cheminant
,
Adrien Flahault
,
Yann Nguyen
,
Marianne Burgard
,
Éric Dannaoui
,
Marie‐Elisabeth Bougnoux
,
Perrine Parize
,
Claire Rouzaud
,
Anne Scemla
,
Étienne Canouï
,
Emmanuel Lafont
,
Damien Vimpère
,
Julien Zuber
,
Caroline Charlier
,
Felipe Suárez
,
Dany Anglicheau
,
Olivier Hermine
,
Fanny Lanternier
,
Luc Mouthon
,
Olivier Lortholary
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofae012
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofae012
Background Immunocompromised patients now represent the population most at risk for severe coronavirus disease 2019. Persistent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral shedding was reported in these patients ranging from several weeks up to 9 months. We conducted a bicentric retrospective case-control study to identify risk and prognostic factors associated with persistent viral shedding in immunocompromised patients. Material and Methods Symptomatic immunocompromised adults with persistent SARS-CoV-2 viral shedding >8 weeks were retrospectively included between 1 March 2020 and 24 April 2022 at 2 university hospitals in Paris, France, and matched with a control group consisting of symptomatic immunocompromised patients without persistent viral shedding. Results Twenty-nine immunocompromised patients with persistent viral shedding were compared with 40 controls. In multivariate analysis, fever and lymphocytopenia (<0.5 G/L) were associated with an increased risk of persistent viral shedding (odds ratio [OR]: 3.3; 95% confidence interval [CI], 1.01–11.09) P = .048 and OR: 4.3; 95% CI, 1.2–14.7; P = .019, respectively). Unvaccinated patients had a 6-fold increased risk of persistent viral shedding (OR, 6.6; 95% CI, 1.7–25.1; P = .006). Patients with persistent viral shedding were at risk of hospitalization (OR: 4.8; 95 CI, 1.5–15.6; P = .008), invasive aspergillosis (OR: 10.17; 95 CI, 1.15–89.8; P = .037) and death (log-rank test <0.01). Conclusions Vaccine coverage was protective against SARS-CoV-2 persistent viral shedding in immunocompromised patients. This new group of immunocompromised patients with SARS-CoV-2 persistent viral shedding is at risk of developing invasive aspergillosis and death and should therefore be systematically screened for this fungal infection for as long as the viral shedding persists.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ofid/ofae012
- https://academic.oup.com/ofid/advance-article-pdf/doi/10.1093/ofid/ofae012/55275500/ofae012.pdf
- OA Status
- gold
- Cited By
- 5
- References
- 45
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390859898
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4390859898Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/ofid/ofae012Digital Object Identifier
- Title
-
Increased Risk of Invasive Aspergillosis in Immunocompromised Patients With Persistent SARS-CoV-2 Viral Shedding >8 Weeks, Retrospective Case-control StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-09Full publication date if available
- Authors
-
Cléa Melenotte, Nathalie Chavarot, Anne-Sophie L’Honneur, Sylvain Bodard, Morgane Cheminant, Adrien Flahault, Yann Nguyen, Marianne Burgard, Éric Dannaoui, Marie‐Elisabeth Bougnoux, Perrine Parize, Claire Rouzaud, Anne Scemla, Étienne Canouï, Emmanuel Lafont, Damien Vimpère, Julien Zuber, Caroline Charlier, Felipe Suárez, Dany Anglicheau, Olivier Hermine, Fanny Lanternier, Luc Mouthon, Olivier LortholaryList of authors in order
- Landing page
-
https://doi.org/10.1093/ofid/ofae012Publisher landing page
- PDF URL
-
https://academic.oup.com/ofid/advance-article-pdf/doi/10.1093/ofid/ofae012/55275500/ofae012.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/ofid/advance-article-pdf/doi/10.1093/ofid/ofae012/55275500/ofae012.pdfDirect OA link when available
- Concepts
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Viral shedding, Medicine, Lymphocytopenia, Odds ratio, Retrospective cohort study, Internal medicine, Confidence interval, Immunology, Case-control study, Virus, LymphocyteTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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45Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.university | 86 |
| abstract_inverted_index.1.2–14.7; | 154 |
| abstract_inverted_index.1.5–15.6; | 192 |
| abstract_inverted_index.1.7–25.1; | 174 |
| abstract_inverted_index.Conclusions | 211 |
| abstract_inverted_index.Symptomatic | 63 |
| abstract_inverted_index.Twenty-nine | 107 |
| abstract_inverted_index.coronavirus | 13, 21 |
| abstract_inverted_index.respiratory | 19 |
| abstract_inverted_index.symptomatic | 99 |
| abstract_inverted_index.(&lt;0.5 | 125 |
| abstract_inverted_index.(SARS-CoV-2) | 23 |
| abstract_inverted_index.1.15–89.8; | 202 |
| abstract_inverted_index.Unvaccinated | 159 |
| abstract_inverted_index.case-control | 44 |
| abstract_inverted_index.multivariate | 120 |
| abstract_inverted_index.1.01–11.09) | 145 |
| abstract_inverted_index.aspergillosis | 197, 241 |
| abstract_inverted_index.retrospective | 43 |
| abstract_inverted_index.&lt;0.01). | 210 |
| abstract_inverted_index.respectively). | 158 |
| abstract_inverted_index.systematically | 248 |
| abstract_inverted_index.hospitalization | 187 |
| abstract_inverted_index.lymphocytopenia | 124 |
| abstract_inverted_index.retrospectively | 74 |
| abstract_inverted_index.Immunocompromised | 2 |
| abstract_inverted_index.immunocompromised | 58, 64, 100, 108, 222, 228 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5017657842, https://openalex.org/A5061027575 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 24 |
| corresponding_institution_ids | https://openalex.org/I1288880153, https://openalex.org/I157536573, https://openalex.org/I204730241, https://openalex.org/I4210091437 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8199999928474426 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.88034752 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |