Reactivation of Herpes Simplex Virus Type 1 (HSV-1) Detected on Bronchoalveolar Lavage Fluid (BALF) Samples in Critically Ill COVID-19 Patients Undergoing Invasive Mechanical Ventilation : Preliminary Results from Two Italian Centers

Reactivation of herpes simplex virus type 1 (HSV-1) has been described in critically ill patients with coronavirus disease 2019 (COVID-19) pneumonia. In the present two-center retrospective experience, we primarily aimed to assess the cumulative risk of HSV-1 reactivation detected on bronchoalveolar fluid (BALF) samples in invasively ventilated COVID-19 patients with worsening respiratory function. The secondary objectives were the identification of predictors for HSV-1 reactivation and the assessment of its possible prognostic impact. Overall, 41 patients met the study inclusion criteria, and 12/41 patients developed HSV-1 reactivation (29%). No independent predictors of HSV-1 reactivation were identified in the present study. No association was found between HSV-1 reactivation and mortality. Eleven out of 12 patients with HSV-1 reactivation received antiviral therapy with intravenous acyclovir. In conclusion, HSV-1 reactivation is frequently detected in intubated patients with COVID-19. An antiviral treatment in COVID-19 patients with HSV-1 reactivation and worsening respiratory function might be considered.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Microorganisms - 10(2022), 2 vom: 04. Feb.

Sprache:

Englisch

Beteiligte Personen:

Giacobbe, Daniele Roberto [VerfasserIn]
Di Bella, Stefano [VerfasserIn]
Dettori, Silvia [VerfasserIn]
Brucci, Giorgia [VerfasserIn]
Zerbato, Verena [VerfasserIn]
Pol, Riccardo [VerfasserIn]
Segat, Ludovica [VerfasserIn]
D'Agaro, Pierlanfranco [VerfasserIn]
Roman-Pognuz, Erik [VerfasserIn]
Friso, Federica [VerfasserIn]
Principe, Luigi [VerfasserIn]
Lucangelo, Umberto [VerfasserIn]
Ball, Lorenzo [VerfasserIn]
Robba, Chiara [VerfasserIn]
Battaglini, Denise [VerfasserIn]
De Maria, Andrea [VerfasserIn]
Brunetti, Iole [VerfasserIn]
Patroniti, Nicolò [VerfasserIn]
Briano, Federica [VerfasserIn]
Bruzzone, Bianca [VerfasserIn]
Guarona, Giulia [VerfasserIn]
Magnasco, Laura [VerfasserIn]
Dentone, Chiara [VerfasserIn]
Icardi, Giancarlo [VerfasserIn]
Pelosi, Paolo [VerfasserIn]
Luzzati, Roberto [VerfasserIn]
Bassetti, Matteo [VerfasserIn]

Links:

Volltext

Themen:

BALF
COVID-19
HSV-1
Herpes simplex virus
Intensive care
Journal Article
Reactivation
SARS-CoV-2

Anmerkungen:

Date Revised 01.03.2022

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/microorganisms10020362

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM337403686