Is COVID-19 Associated With an Increased Risk of Subsequent Upper Respiratory Tract Infections in Adults? A Prospective Cohort Study.

Is COVID-19 Associated With an Increased Risk of Subsequent Upper Respiratory Tract Infections in Adults? A Prospective Cohort Study.

Publication date: Sep 01, 2025

In Autumn 2022, a surge in upper respiratory tract infections (URTIs) was observed worldwide. Individuals anecdotally reported increased URTIs in the months following their coronavirus disease 2019 (COVID-19). The objective was to assess if COVID-19 is associated with a higher incidence of URTI in adults in the following months. “RECOVER” is a prospective cohort of health care workers (HCWs) from Montreal, Canada. HCWs completed biweekly surveys to report incident COVID-like symptoms. We included HCWs actively followed up for ≥90 days, between December 1, 2021, and December 31, 2022. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections were confirmed via reverse transcriptase polymerase chain reaction/antigenic testing. Non-COVID-19 URTI cases were defined as new onset of fever/sensation of fever, rhinitis, nasal congestion, sore throat/pharyngitis, sneezing, coughing, wheezing, difficulty breathing, increased respiratory secretions, or change in characteristics of chronic secretions, excluding symptoms within 48 hours of vaccination. Time-dependent Cox regression was used to assess the association between recent COVID-19 and URTI, adjusting for sex, age, workplace, household children

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Concepts Keywords
Canada COVID-19
Coronavirus epidemiology
Sneezing
Workplace

Semantics

Type Source Name
disease MESH COVID-19
disease MESH Upper Respiratory Tract Infections
disease MESH infections
disease MESH rhinitis
disease MESH sore throat
disease MESH Infectious Diseases
disease MESH Immune Diseases
disease IDO infection
disease MESH asthma
pathway KEGG Asthma
pathway REACTOME Reproduction
disease MESH morbidity
disease MESH influenza
disease MESH syndrome
pathway REACTOME Immune System
disease MESH RSV infection
disease MESH recurrence
disease MESH reinfection
disease IDO history
disease IDO blood
disease MESH Nosocomial Infection
disease IDO symptom
disease MESH allergies
drug DRUGBANK Sodium lauryl sulfate
disease MESH graft vs host disease
disease IDO cell
disease MESH otitis media
drug DRUGBANK Coenzyme M
disease MESH long COVID
drug DRUGBANK Sulfasalazine
disease MESH viral load
drug DRUGBANK Elm
drug DRUGBANK Diethylstilbestrol
drug DRUGBANK Carboxyamidotriazole
disease IDO process
disease MESH complications

Original Article

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