PMID- 36880642 OWN - NLM STAT- MEDLINE DCOM- 20230508 LR - 20230508 IS - 1099-1654 (Electronic) IS - 1052-9276 (Linking) VI - 33 IP - 3 DP - 2023 May TI - Reactivation of herpesviruses during COVID-19: A systematic review and meta-analysis. PG - e2437 LID - 10.1002/rmv.2437 [doi] AB - To provide a comprehensive systematic review and meta-analysis regarding the cumulative incidence (incidence proportion) of human herpesvirus (HHV) reactivation among patients with coronavirus disease 2019 (COVID-19), we searched PubMed/MEDLINE, Web of Science, and EMBASE up to 25 September 2022, with no language restrictions. All interventional and observational studies enrolling patients with confirmed COVID-19 and providing data regarding HHV reactivation were included. The random-effects model was used in the meta-analyses. We included information from 32 studies. HHV reactivation was considered a positive polymerase chain reaction result taken at the time of COVID-19 infection. Most of the included patients were severe COVID-19 cases. The pooled cumulative incidence estimate was 38% (95% Confidence Intervals [CI], 28%-50%, I(2) = 86%) for herpes simplex virus (HSV), 19% (95% CI, 13%-28%, I(2) = 87%) for cytomegalovirus (CMV), 45% (95% CI, 28%-63%, I(2) = 96%) for Epstein-Barr virus (EBV), 18% (95% CI, 8%-35%) for human herpesvirus 6 (HHV-6), 44% (95% CI, 32%-56%) for human herpesvirus 7 (HHV-7), and 19% (95% CI, 14%-26%) for human herpesvirus 8 (HHV-8). There was no evidence of funnel plot asymmetry based on visual inspection and Egger's regression test for the results of HSV (p = 0.84), CMV (p = 0.82), and EBV (p = 0.27) reactivation. In conclusion, the identification of HHV reactivation in severe COVID-19 patients is helpful in the management of patients as well as the prevention of complications. Further research is required to elucidate the interaction between HHVs and COVID-19. Systematic review registration: PROSPERO CRD42022321973. CI - (c) 2023 John Wiley & Sons Ltd. FAU - Shafiee, Arman AU - Shafiee A AD - Clinical Research Development Unit, Alborz University of Medical Sciences, Karaj, Iran. AD - Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. FAU - Teymouri Athar, Mohammad Mobin AU - Teymouri Athar MM AUID- ORCID: 0000-0002-1933-9659 AD - School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Amini, Mohammad Javad AU - Amini MJ AD - Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. FAU - Hajishah, Hamed AU - Hajishah H AD - Student Research Committee, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran. FAU - Siahvoshi, Sepehr AU - Siahvoshi S AD - Dental Materials Research Center, Dental School, Islamic Azad University of Medical Sciences, Tehran, Iran. FAU - Jalali, Mehrsa AU - Jalali M AD - Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. FAU - Jahanbakhshi, Bahar AU - Jahanbakhshi B AD - Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. FAU - Mozhgani, Sayed-Hamidreza AU - Mozhgani SH AUID- ORCID: 0000-0003-4570-2252 AD - Department of Microbiology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran. AD - Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20230307 PL - England TA - Rev Med Virol JT - Reviews in medical virology JID - 9112448 SB - IM MH - Humans MH - *Herpesviridae Infections/complications/epidemiology MH - *Epstein-Barr Virus Infections/complications MH - Herpesvirus 4, Human/physiology MH - *COVID-19/complications MH - *Herpesviridae MH - Simplexvirus MH - Cytomegalovirus/physiology MH - *Herpesvirus 6, Human/genetics MH - *Cytomegalovirus Infections OTO - NOTNLM OT - COVID-19 OT - SARS-CoV-2 OT - human herpesviruses EDAT- 2023/03/08 06:00 MHDA- 2023/05/08 10:17 CRDT- 2023/03/07 07:53 PHST- 2023/02/10 00:00 [revised] PHST- 2022/12/29 00:00 [received] PHST- 2023/02/15 00:00 [accepted] PHST- 2023/05/08 10:17 [medline] PHST- 2023/03/08 06:00 [pubmed] PHST- 2023/03/07 07:53 [entrez] AID - 10.1002/rmv.2437 [doi] PST - ppublish SO - Rev Med Virol. 2023 May;33(3):e2437. doi: 10.1002/rmv.2437. Epub 2023 Mar 7.