Respiratory failure & ventilation

Lower airway microbiota compositions differ between influenza, COVID-19 and bacteria-related acute respiratory distress syndromes

Crit CarePublished Prospective cohort study

Authors' conclusion

Composition of lower airway microbiota (both microbiota and mycobiota) differs between influenza, COVID-19 and bacterial CAP-related ARDS.

Study context

Population
Consecutive acute respiratory distress syndrome (ARDS) patients (Berlin classification) requiring invasive ventilation, with influenza, SARS-CoV-2 or bacterial infection
Participants
53 patients
Exposure
COVID-19 vs Influenza vs Bacterial CAP
  • COVID-19n = 24reference
  • Influenzan = 18
  • Bacterial CAPn = 11
Outcome
Lower airway microbiota composition (endotracheal aspirate, V3-V4 and ITS2 sequencing)
Follow-up
Admission
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

Bacteriobiota and mycobiota composition (β-diversity) across the three groups
Bacteriobiota β-diversity dissimilar between the three groups
p = 0.05
Mycobiota β-diversity dissimilar between the three groups
p = 0.01

Observational data: associations, not effects.

Further findings

OutcomeP value
Bacterial α-diversityBacterial CAP vs COVID-19 · significantly lower in bacterial CAP-related ARDSP = 0.04
Lung mycobiota α-diversityInfluenza vs COVID-19 · higher in influenza-related ARDSP = 0 < 01

Original publication

Lower airway microbiota compositions differ between influenza, COVID-19 and bacteria-related acute respiratory distress syndromes. Crit Care. Published 22 April 2024. doi:10.1186/s13054-024-04922-2

Composed by AI from the published abstract and checked against it. How Briefs are made →

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