Please use this identifier to cite or link to this item:
Title: An international perspective on hospitalized patients with viral community-acquired pneumonia
Author: Cillóniz, Catia
Torres Martí, Antoni
Díaz Brito, Vicens
Casas, Xavier
GLIMP Study Group
Keywords: Pneumònia adquirida a la comunitat
Community-acquired pneumonia
Influenza viruses
Issue Date: 4-Nov-2018
Publisher: Elsevier B. V.
Abstract: Background: Who should be tested for viruses in patients with community acquired pneumonia (CAP), prevalence and risk factors for viral CAP are still debated. We evaluated the frequency of viral testing, virus prevalence, risk factors and treatment coverage with oseltamivir in patients admitted for CAP. Methods: Secondary analysis of GLIMP, an international, multicenter, point-prevalence study of hospitalized adults with CAP. Testing frequency, prevalence of viral CAP and treatment with oseltamivir were assessed among patients who underwent a viral swab. Univariate and multivariate analysis was used to evaluate risk factors. Results: 553 (14.9%) patients with CAP underwent nasal swab. Viral CAP was diagnosed in 157 (28.4%) patients. Influenza virus was isolated in 80.9% of cases. Testing frequency and viral CAP prevalence were inhomogeneous across the participating centers. Obesity (OR 1.59, 95%CI: 1.01–2.48; p = 0.043) and need for invasive mechanical ventilation (OR 1.62, 95%CI: 1.02–2.56; p = 0.040) were independently associated with viral CAP. Prevalence of empirical treatment with oseltamivir was 5.1%. Conclusion: In an international scenario, testing frequency for viruses in CAP is very low. The most common cause of viral CAP is Influenza virus. Obesity and need for invasive ventilation represent independent risk factors for viral CAP. Adherence to recommendations for treatment with oseltamivir is poor.
Note: Reproducció del document publicat a: https://dx.doi/10.1016/j.ejim.2018.10.020
It is part of: European Journal of Internal Medicine, 2019, vol. 60, p. 54-70
Related resource:
ISSN: 0953-6205
Appears in Collections:Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Files in This Item:
File Description SizeFormat 
12474_4089686_radovanovic20181.pdf1.13 MBAdobe PDFView/Open

This item is licensed under a Creative Commons License Creative Commons