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The nature and consequences of coinfection in humans

Authors: Griffiths, E C; Pedersen, A B; Fenton, A; Petchey, O L;

The nature and consequences of coinfection in humans

Abstract

Objective: Many fundamental patterns of coinfection (multi-species infections) are undescribed, including the relative frequency of coinfection by various pathogens, differences between single-species infections and coinfection, and the burden of coinfection on human health. We aimed to address the paucity of general knowledge on coinfection by systematically collating and analysing data from recent publications to understand the types of coinfection and their effects. Methods: From an electronic search to find all publications from 2009 on coinfection and its synonyms in humans we recorded data on i) coinfecting pathogens and their effect on ii) host health and iii) intensity of infection. Results: The most commonly reported coinfections differ from infections causing highest global mortality, with a notable lack of serious childhood infections in reported coinfections. We found that coinfection is generally reported to worsen human health (76% publications) and exacerbate infections (57% publications). Reported coinfections included all kinds of pathogens, but were most likely to contain bacteria. Conclusions: These results suggest differences between coinfected patients and those with single infections, with coinfection having serious health effects. There is a pressing need to quantify the tendency towards negative effects and to evaluate any sampling biases in the coverage of coinfection research.

Countries
United Kingdom, Switzerland, United Kingdom
Keywords

Microbiology (medical), Helminthiasis, 2726 Microbiology (medical), Article, 10127 Institute of Evolutionary Biology and Environmental Studies, Pathogen–host interactions, Polymicrobial infection, Prevalence, Animals, Humans, Within-host parasite ecology, Protozoan Infections, Coinfection, Parasite infracommunity, Host health, Pathogen diversity, 2725 Infectious Diseases, Pathogen-host interactions, Bacterial Infections, Integrated control, Infectious Diseases, Mycoses, Virus Diseases, Host-Pathogen Interactions, 570 Life sciences; biology, 590 Animals (Zoology), Concomitant disease, Pathogen abundance

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    205
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 1%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
205
Top 1%
Top 10%
Top 10%
Green
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