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Table 2 Summary of detection criteria for each infection category

From: Viral reactivations and co-infections in COVID-19 patients: a systematic review

Virus

Reactivation detection criteria

Co-infection detection criteria

Not distinguished

Parvovirus B19

Not applicable

Not applicable

All studies describing an infection interchangeably with the terms “reactivation” and “coinfection” and the detection criteria are the following:

Seropositive for B19 IgM [54]

EBV

All studies describing an infection as “reactivation” and the detection criteria are the following:

Undetectable viremia from an initial molecular testing followed by the detection of EBV DNA in a subsequent testing [17], or detection of EBV DNA [16, 22, 73, 75, 76, 79, 81] and seropositivity for VCA-IgG and NA-IgG [76, 81], VCA IgG and EA-IgG [73], EA-D IgG and/or with NA IgG [76], VCA-IgG only [81], or VCA-IgG, NA-IgG, EA IgG/IgM [16, 22]

All studies describing an infection as “coinfection” and the detection criteria are the following:

Detection of VCA-IgM [67], and/or with VCA-IgG, EA IgG, NA IgG, positive detection of EBV DNA [55]

All studies describing an infection interchangeably with the terms “reactivation” and “coinfection” and the detection criteria are the following:

Detection of EBV DNA [80]or seropositive for the VCA-IgM, VCA-IgG, NA IgG and/or with EA IgM [54]

CMV

All studies describing an infection as “reactivation” and the detection criteria are the following:

Undetectable viremia from an initial molecular testing followed by the detection of CMV DNA in a subsequent testing [17, 63, 66, 70, 82], or CMV DNA detection and seropositive for either IgG or IgM [41, 51] or both [41], or detection of CMV DNA alone when prior testing for the absence of viremia is not available [15, 23, 42, 44, 60, 62, 81]

All studies describing an infection as “coinfection” and the detection criteria are the following:

Detection of CMV DNA, histological evidence of CMV nuclear inclusion bodies in bone marrow [64]

All studies describing an infection interchangeably with the terms “reactivation” and “coinfection” and the detection criteria are the following:

Detection of CMV DNA [43, 48] or seropositive for CMV IgG and IgM [54]

HBV

All studies describing an infection as “reactivation” and the detection criteria are the following:

Sudden rise in the level of HBV DNA in the subsequent testing [35, 46, 50, 58, 83]or seropositive for HB surface antigen, HB core antigen IgM, HB envelope antibody (not specified) [36]

Not applicable

Not applicable

IAV

Not applicable

All studies describing an infection as “coinfection” and the detection criteria are the following:

Seropositive for IAV IgM [33, 72] or positive detection of IAV RNA [61]

Not applicable

IBV

Not applicable

All studies describing an infection as “coinfection” and the detection criteria are the following:

Seropositive for IBV IgM [33]

Not applicable

VZV

All studies describing an infection as “reactivation” and the detection criteria are the following:

Undetectable viremia from an initial molecular testing followed by the detection of VZV DNA in a subsequent testing [20]

All studies describing an infection as “coinfection” and the detection criteria are the following:

Initial detection of VZV prior to confirmed diagnosis of COVID-19 [59]

All studies describing an infection interchangeably with the terms “reactivation” and “coinfection” and the detection criteria are the following:

Seropositive for VZV IgM [45]

HHV-1

All studies describing an infection as “reactivation” and the detection criteria are the following:

Undetectable viremia from an initial molecular testing followed by the detection of HHV-1 DNA in a subsequent testing [20, 57, 71], detection of HHV-1 DNA [56, 68, 74] and/or seropositive for HHV-1 IgG [60, 69, 77], history of COVID-19 (recovered) prior to HSV-1 detection, or history of COVID-19 [65] and corneal ulcer prior to detection of HSV-1 [19]

Not applicable

Not applicable

HHV-2

All studies describing an infection as “reactivation” and the detection criteria are the following:

Detection of HSV-2 DNA and HSV-2 IgG [49]

Not applicable

Not applicable

HHV-6

All studies describing an infection as “reactivation” and the detection criteria are the following:

Detection of HHV-6 DNA [16, 17, 79] and/or seropositive for HHV-6 IgG [16]

All studies describing an infection as “coinfection” and the detection criteria are the following:

Concomitant detection of HHV-6 DNA with COVID-19 diagnosis [34]

Not applicable

HHV-7

All studies describing an infection as “reactivation” and the detection criteria are the following:

Detection of HHV-7 IgG [16]

Not applicable

Not applicable

HHV-8

All studies describing an infection as “reactivation” and the detection criteria are the following:

Undetectable viremia from an initial molecular testing followed by the detection of HHV-8 DNA in a subsequent testing [71] or seropositive for HHV-8 antibodies (not specified) following a complete recovery from COVID-19 [52]

Not applicable

Not applicable

  1. CMV cytomegalovirus, EBV Epstein Barr virus, HSV-1, HSV-2 human herpes simplex type 1,2, HHV-6, HHV-7 human herpes virus type 6, 7, IAV influenza A virus, IBV influenza B virus, VZV varicella zoster virus, B19 parvovirus B19, Ag antigen, Ab antibody, VCA viral capsid antigen, IgM immunoglobulin M, IgG immunoglobulin G, EA early antibody, NA nuclear antigen, HBsAg hepatitis B surface antigen, HBeAg hepatitis B e antigen