Influenza and tuberculosis co‐infection: A systematic review

Details

• Alternative Title:
  Influenza Other Respir Viruses
• Personal Author:
  Walaza, Sibongile ; Cohen, Cheryl ; Tempia, Stefano ; Moyes, Jocelyn ; Nguweneza, Athermon ; Madhi, Shabir A. ; McMorrow, Meredith ; Cohen, Adam L.
• Description:
  Introduction
  
  There are limited data on risk of severe disease or outcomes in patients with influenza and pulmonary tuberculosis (PTB) co‐infection compared to those with single infection.
  
  Methods
  
  We conducted a systematic review of published literature on the interaction of influenza viruses and PTB. Studies were eligible for inclusion if they presented data on prevalence, disease association, presentation or severity of laboratory‐confirmed influenza among clinically diagnosed or laboratory‐confirmed PTB cases. We searched eight databases from inception until December 2018. Summary characteristics of each study were extracted, and a narrative summary was presented. Cohort or case‐control studies were assessed for potential bias using the Newcastle‐Ottawa scale.
  
  Results
  
  We assessed 5154 abstracts, reviewed 146 manuscripts and included 19 studies fulfilling selection criteria (13 human and six animal). Of seven studies reporting on the possible effect of the underlying PTB disease in patients with influenza, three of four analytical studies reported no association with disease severity of influenza infection in those with PTB, whilst one study reported PTB as a risk factor for influenza‐associated hospitalization.
  
  Conclusion
  
  Human analytical studies of an association between co‐infection and severe influenza‐ or PTB‐associated disease or increased prevalence of influenza co‐infection in individuals' hospitalized for PTB were not conclusive. Data are limited from large, high‐quality, analytical epidemiological studies with laboratory‐confirmed endpoints.
  
  
• Subjects:
  Animals Case-Control Studies Cohort Studies Coinfection Humans Influenza, Human Original Article Tuberculosis
• Source:
  Influenza Other Respir Viruses. 14(1):77-91
• Pubmed ID:
  31568678
• Pubmed Central ID:
  PMC6928059
• Document Type:
  Journal Article
• Volume:
  14
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:70c9a05a4b984338eef9eff8358f9725788cae25c082688459125e4f9e9c564f
• Download URL:
  https://stacks.cdc.gov/view/cdc/89355/cdc_89355_DS1.pdf
• File Type:
  [PDF - 548.10 KB ]