Publication:20221021113034

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Publication
URL https://pubmed.ncbi.nlm.nih.gov/35891502/
Title Impact of COVID-19 Lockdown on the Nasopharyngeal Microbiota of Children and Adults Self-Confined at Home

Authors Muntsa Rocafort, Desiree Henares, Pedro Brotons, Cristian Launes, Mariona Fernandez de Sevilla, Victoria Fumado, Irene Barrabeig, Sara Arias, Alba Redin, Julia Ponomarenko, Maria Mele, Pere Millat-Martinez, Joana Claverol, Nuria Balanza, Alex Mira, Juan J. Garcia-Garcia, Quique Bassat, Iolanda Jordan, Carmen Muñoz-Almagro
Date 2022-07-12

Publisher Viruses
DOI 10.3390/v14071521
Tag Adult, Bacteria, COVID-19, Child, Communicable Disease Control, Cross-Sectional Studies, Humans, Microbiota, Nasopharynx, RNA, Viral, SARS-CoV-2, Streptococcus, Viruses, COVID-19, SARS-CoV-2, adults, children, nasopharyngeal microbiota



Abstract:
The increased incidence of COVID-19 cases and deaths in Spain in March 2020 led to the declaration by the Spanish government of a state of emergency imposing strict confinement measures on the population. The objective of this study was to characterize the nasopharyngeal microbiota of children and adults and its relation to SARS-CoV-2 infection and COVID-19 severity during the pandemic lockdown in Spain. This cross-sectional study included family households located in metropolitan Barcelona, Spain, with one adult with a previous confirmed COVID-19 episode and one or more exposed co-habiting child contacts. Nasopharyngeal swabs were used to determine SARS-CoV-2 infection status, characterize the nasopharyngeal microbiota and determine common respiratory DNA/RNA viral co-infections. A total of 173 adult cases and 470 exposed children were included. Overall, a predominance of Corynebacterium and Dolosigranulum and a limited abundance of common pathobionts including Haemophilus and Streptococcus were found both among adults and children. Children with current SARS-CoV-2 infection presented higher bacterial richness and increased Fusobacterium, Streptococcus and Prevotella abundance than non-infected children. Among adults, persistent SARS-CoV-2 RNA was associated with an increased abundance of an unclassified member of the Actinomycetales order. COVID-19 severity was associated with increased Staphylococcus and reduced Dolosigranulum abundance. The stringent COVID-19 lockdown in Spain had a significant impact on the nasopharyngeal microbiota of children, reflected in the limited abundance of common respiratory pathobionts and the predominance of Corynebacterium, regardless of SARS-CoV-2 detection. COVID-19 severity in adults was associated with decreased nasopharynx levels of healthy commensal bacteria.


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