1. Tuberculosis and COVID-19 co-infection: description of the global cohort
- Author
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Casco, N, Jorge, AL, Palmero, DJ, Alffenaar, J-W, Denholm, J, Fox, GJ, Ezz, W, Cho, J-G, Skrahina, A, Solodovnikova, V, Bachez, P, Piubello, A, Arbex, MA, Alves, T, Rabahi, MF, Pereira, GR, Sales, R, Silva, DR, Saffie, MM, Miranda, RC, Cancino, V, Carbonell, M, Cisterna, C, Concha, C, Cruz, A, Salinas, NE, Revillot, ME, Valdes, JF, Fernandez, I, Flores, X, Tapia, PG, Garavagno, A, Vera, CG, Bahamondes, MH, Merino, LM, Munoz, E, Munoz, C, Navarro, I, Subiabre, JN, Ortega, C, Palma, S, Pradenas, AM, Pereira, G, Castillo, PP, Pinto, M, Pizarro, R, Bidegain, FR, Rodriguez, P, Sanchez, C, Salinas, AS, Soto, A, Taiba, C, Venegas, M, Riquelme, MSV, Vilca, E, Villalon, C, Yucra, E, Li, Y, Guelvez, B, Plaza, RV, Hoyos, KYT, Andrejak, C, Blanc, F-X, Dourmane, S, Froissart, A, Izadifar, A, Riviere, F, Schlemmer, F, Manika, K, Diallo, BD, Hassane-Harouna, S, Artiles, N, Mejia, LA, Gupta, N, Ish, P, Mishra, G, Sharma, S, Singla, R, Udwadia, ZF, Alladio, F, Angeli, F, Calcagno, A, Centis, R, Codecasa, LR, D'Ambrosio, L, Lauretis, AD, Esposito, S, Formenti, B, Gaviraghi, A, Giacomet, V, Goletti, D, Gualano, G, Matteelli, A, Migliori, GB, Motta, I, Palmieri, F, Pontali, E, Prestileo, T, Riccardi, N, Saderi, L, Saporiti, M, Sotgiu, G, Stochino, C, Tadolini, M, Torre, A, Villa, S, Visca, D, Danila, E, Diktanas, S, Ridaura, RL, Lopez, FLL, Torrico, MM, Rendon, A, Akkerman, OW, Souleymane, MB, Al-Abri, S, Alyaquobi, F, Althohli, K, Aizpurua, E, Gonzales, R, Jurado, J, Loban, A, Aguirre, S, Teixeira, RC, De Egea, V, Irala, S, Medina, A, Sequera, G, Sosa, N, Vazquez, F, Llanos-Tejada, FK, Manga, S, Villanueva-Villegas, R, Araujo, D, Duarte, R, Marques, TS, Grecu, VI, Socaci, A, Barkanova, O, Bogorodskaya, M, Borisov, S, Mariandyshev, A, Kaluzhenina, A, Vukicevic, TA, Stosic, M, Beh, D, Ng, D, Ong, CWM, Solovic, I, Dheda, K, Gina, P, Caminero, JA, Cardoso-Landivar, J, Galvao, MLDS, Dominguez-Castellano, A, Garcia-Garcia, J-M, Pinargote, IM, Fernandez, SQ, Sanchez-Montalva, A, Huguet, ET, Murguiondo, MZ, Bart, P-A, Mazza-Stalder, J, Bakko, F, Barnacle, J, Brown, A, Chandran, S, Killington, K, Man, K, Papineni, P, Tiberi, S, Utjesanovic, N, Zenner, D, Hearn, JL, Heysell, S, Young, L, Casco, N, Jorge, AL, Palmero, DJ, Alffenaar, J-W, Denholm, J, Fox, GJ, Ezz, W, Cho, J-G, Skrahina, A, Solodovnikova, V, Bachez, P, Piubello, A, Arbex, MA, Alves, T, Rabahi, MF, Pereira, GR, Sales, R, Silva, DR, Saffie, MM, Miranda, RC, Cancino, V, Carbonell, M, Cisterna, C, Concha, C, Cruz, A, Salinas, NE, Revillot, ME, Valdes, JF, Fernandez, I, Flores, X, Tapia, PG, Garavagno, A, Vera, CG, Bahamondes, MH, Merino, LM, Munoz, E, Munoz, C, Navarro, I, Subiabre, JN, Ortega, C, Palma, S, Pradenas, AM, Pereira, G, Castillo, PP, Pinto, M, Pizarro, R, Bidegain, FR, Rodriguez, P, Sanchez, C, Salinas, AS, Soto, A, Taiba, C, Venegas, M, Riquelme, MSV, Vilca, E, Villalon, C, Yucra, E, Li, Y, Guelvez, B, Plaza, RV, Hoyos, KYT, Andrejak, C, Blanc, F-X, Dourmane, S, Froissart, A, Izadifar, A, Riviere, F, Schlemmer, F, Manika, K, Diallo, BD, Hassane-Harouna, S, Artiles, N, Mejia, LA, Gupta, N, Ish, P, Mishra, G, Sharma, S, Singla, R, Udwadia, ZF, Alladio, F, Angeli, F, Calcagno, A, Centis, R, Codecasa, LR, D'Ambrosio, L, Lauretis, AD, Esposito, S, Formenti, B, Gaviraghi, A, Giacomet, V, Goletti, D, Gualano, G, Matteelli, A, Migliori, GB, Motta, I, Palmieri, F, Pontali, E, Prestileo, T, Riccardi, N, Saderi, L, Saporiti, M, Sotgiu, G, Stochino, C, Tadolini, M, Torre, A, Villa, S, Visca, D, Danila, E, Diktanas, S, Ridaura, RL, Lopez, FLL, Torrico, MM, Rendon, A, Akkerman, OW, Souleymane, MB, Al-Abri, S, Alyaquobi, F, Althohli, K, Aizpurua, E, Gonzales, R, Jurado, J, Loban, A, Aguirre, S, Teixeira, RC, De Egea, V, Irala, S, Medina, A, Sequera, G, Sosa, N, Vazquez, F, Llanos-Tejada, FK, Manga, S, Villanueva-Villegas, R, Araujo, D, Duarte, R, Marques, TS, Grecu, VI, Socaci, A, Barkanova, O, Bogorodskaya, M, Borisov, S, Mariandyshev, A, Kaluzhenina, A, Vukicevic, TA, Stosic, M, Beh, D, Ng, D, Ong, CWM, Solovic, I, Dheda, K, Gina, P, Caminero, JA, Cardoso-Landivar, J, Galvao, MLDS, Dominguez-Castellano, A, Garcia-Garcia, J-M, Pinargote, IM, Fernandez, SQ, Sanchez-Montalva, A, Huguet, ET, Murguiondo, MZ, Bart, P-A, Mazza-Stalder, J, Bakko, F, Barnacle, J, Brown, A, Chandran, S, Killington, K, Man, K, Papineni, P, Tiberi, S, Utjesanovic, N, Zenner, D, Hearn, JL, Heysell, S, and Young, L
- Abstract
BACKGROUND: Information on tuberculosis (TB) and coronavirus disease 2019 (COVID-19) is still limited. The aim of this study was to describe the features of the TB/COVID-19 co-infected individuals from a prospective, anonymised, multicountry register-based cohort with special focus on the determinants of mortality and other outcomes. METHODS: We enrolled all patients of any age with either active TB or previous TB and COVID-19. 172 centres from 34 countries provided individual data on 767 TB-COVID-19 co-infected patients, (>50% population-based). RESULTS: Of 767 patients, 553 (74.0%) out of 747 had TB before COVID-19 (including 234 out of 747 with previous TB), 71 (9.5%) out of 747 had COVID-19 first and 123 (16.5%) out of 747 had both diseases diagnosed within the same week (n=35 (4.6%) on the same day). 85 (11.08%) out of 767 patients died (41 (14.2%) out of 289 in Europe and 44 (9.2%) out of 478 outside Europe; p=0.03): 42 (49.4%) from COVID-19, 31 (36.5%) from COVID-19 and TB, one (1.2%) from TB and 11 from other causes. In the univariate analysis on mortality the following variables reached statistical significance: age, male gender, having more than one comorbidity, diabetes mellitus, cardiovascular disease, chronic respiratory disease, chronic renal disease, presence of key symptoms, invasive ventilation and hospitalisation due to COVID-19. The final multivariable logistic regression model included age, male gender and invasive ventilation as independent contributors to mortality. CONCLUSION: The data suggest that TB and COVID-19 are a "cursed duet" and need immediate attention. TB should be considered a risk factor for severe COVID disease and patients with TB should be prioritised for COVID-19 preventative efforts, including vaccination.
- Published
- 2022