Sneezing as a symptom of covid-19
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Prevalence of Sneezing as a Symptom of COVID-19
Several studies have identified sneezing as a symptom experienced by a notable proportion of COVID-19 patients. Systematic reviews and meta-analyses report that sneezing is among the more common otorhinolaryngological (ear, nose, and throat) symptoms, with pooled prevalence rates ranging from approximately 14% to 27% in different patient populations 147. In one large meta-analysis, sneezing was the second most prevalent ENT symptom after olfactory dysfunction, affecting about 27% of patients . Other studies have found similar rates, with sneezing reported in 14.7% to 26.6% of COVID-19 cases 47.
Sneezing in Hospitalized and Non-Hospitalized COVID-19 Patients
Both hospitalized and non-hospitalized individuals with COVID-19 report sneezing as a symptom. In a survey of patients following hospital discharge, 19% reported sneezing within six months after their illness, indicating that sneezing can persist as a residual symptom . Among non-hospitalized, PCR-confirmed COVID-19 patients, sneezing was also one of the most common acute symptoms, alongside fatigue and headache .
Comparison with Other Respiratory Diseases
While sneezing is a recognized symptom of COVID-19, it is more commonly associated with other respiratory illnesses such as the common cold and allergies. COVID-19 shares several symptoms with these conditions, but sneezing is generally less prominent in COVID-19 compared to symptoms like fever, cough, and shortness of breath . However, its presence, especially when combined with other ENT symptoms, should not be overlooked in the clinical assessment of suspected COVID-19 cases .
Sneezing and COVID-19 Transmission
Sneezing, along with coughing, is a key mechanism for the spread of respiratory droplets, which are the primary mode of COVID-19 transmission 369. This highlights the importance of preventive measures such as mask-wearing and covering the mouth and nose when sneezing to reduce the risk of spreading the virus 36.
Conclusion
Sneezing is a relatively common symptom in COVID-19, reported in up to a quarter of patients in some studies. While not as frequent as fever or cough, it is an important ENT manifestation and can persist after the acute phase of illness. Sneezing also plays a role in the transmission of the virus, underscoring the need for continued public health measures. Recognizing sneezing as a possible symptom of COVID-19 can aid in early diagnosis and help limit the spread of infection 124710.
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