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Rates of Co-infection Between SARS-CoV-2 and Other Respiratory Pathogens

Educational Objective
To understand the relationship between SARS-CoV-2 and other respiratory pathogens
1 Credit CME

As of April 3, 2020, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had caused 972 303 cases of coronavirus disease 2019 (COVID-19) and 50 322 deaths worldwide.1 Early reports from China suggested that co-infection with other respiratory pathogens was rare.2 If this were the case, patients positive for other pathogens might be assumed unlikely to have SARS-CoV-2. The Centers for Disease Control and Prevention endorsed testing for other respiratory pathogens, suggesting that evidence of another infection could aid the evaluation of patients with potential COVID-19 in the absence of widely available rapid testing for SARS-CoV-2.3 Here we report on co-infection rates between SARS-CoV-2 and other respiratory pathogens in Northern California.

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Article Information

Published Online: April 15, 2020. doi:10.1001/jama.2020.6266

Correction: This Research Letter was corrected on May 1, 2020, for incorrect age and sex data in Table 1.

Corresponding Author: James Quinn, MD, MS, Department of Emergency Medicine, Stanford University School of Medicine, 300 Pasteur Dr, Alway Bldg M023, Stanford, CA 94305 (quinnj@stanford.edu).

Author Contributions: Drs Kim and Brown had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Kim, Quinn, Brown.

Acquisition, analysis, or interpretation of data: Kim, Quinn, Pinsky, Shah, Brown.

Drafting of the manuscript: Kim, Quinn.

Critical revision of the manuscript for important intellectual content: Kim, Quinn, Pinsky, Shah, Brown.

Statistical analysis: Kim, Shah.

Administrative, technical, or material support: Quinn, Pinsky, Brown.

Supervision: Quinn, Brown.

Conflict of Interest Disclosures: None reported.

References
1.
Coronavirus Disease 2019 (COVID-19) Situation Report–74. World Health Organization. Published April 3, 2020. Accessed April 5, 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200403-sitrep-74-covid-19-mp.pdf
2.
Chen  N , Zhou  M , Dong  X ,  et al.  Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study.   Lancet. 2020;395(10223):507-513. doi:10.1016/S0140-6736(20)30211-7PubMedGoogle ScholarCrossref
3.
Evaluating and Testing Persons for Coronavirus Disease. 2019 (COVID-19). Centers for Disease Control and Prevention. Published March 14, 2020. Accessed March 20, 2020. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-criteria.html
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