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Viral community-acquired pneumonia in nonimmunocompromised adults

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dc.contributor.authorRoux, Andrés de
dc.contributor.authorMarcos, Maria A.
dc.contributor.authorGarcía-Vázquez, Elisa
dc.contributor.authorMensa, Jose
dc.contributor.authorEwig, Santiago
dc.contributor.authorLode, Hartmut
dc.contributor.authorTorres, Antoni
dc.contributor.departmentMedicina
dc.date.accessioned2024-07-08T10:49:23Z
dc.date.available2024-07-08T10:49:23Z
dc.date.issued2004
dc.description© 2004 The American College of Chest Physicians. This document is the Published, version of a Published Work that appeared in final form in Chest Journal. To access the final edited and published work see https://doi.org/10.1378/chest.125.4.1343es
dc.description.abstractIntroduction: Viral community-acquired pneumonia (CAP) has been poorly studied and clinically characterized. Using strict criteria for inclusion, we studied this type of infection in a large series of hospitalized adults with CAP. Materials and methods: All nonimmunocompromised adult patients with a diagnosis of CAP having paired serology for respiratory viruses (RVs) [338 patients] were prospectively included in the study from 1996 to 2001 at our 1,000-bed university teaching hospital, and subsequently were followed up. We compared patients with pure viral (PV), mixed viral (RV + bacteria), and pneumococcal CAP. RVs (ie, influenza, parainfluenza, respiratory syncytial virus, and adenovirus) were diagnosed by means of paired serology. Results: Sixty-one of 338 patients (18%) with paired serology had an RV detected, and in 31 cases (9%) it was the only pathogen identified. Influenza was the most frequent virus detected (39 patients; 64%). Patients with chronic heart failure (CHF) had an increased risk of acquiring PV CAP (8 of 26 patients; 31%) when compared to a mixed viral/bacterial etiology (2 of 26 patients; 8%; p = 0.035) or CAP caused by Streptococcus pneumoniae (1 of 44 patients; 2%; p = 0.001). Multivariate analysis revealed that CHF (odds ratio [OR], 15.3; 95% confidence interval [CI], 1.4 to 163; p = 0.024) and the absence of expectoration (OR, 0.14; 95% CI, 0.04 to 0.6; p = 0.006) were associated with PV pneumonia compared to pneumococcal CAP. Conclusion: RVs are frequent etiologies of CAP (single or in combination with bacteria). Patients with CHF have an increased risk of acquiring a viral CAP.es
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dc.format.extent9es
dc.identifier.citationChest Journal. 2004 125(4):1343-1351
dc.identifier.doihttps://doi.org/10.1378/chest.125.4.1343
dc.identifier.issnPrint: 0012-3692
dc.identifier.issnElectronic: 1931-3543
dc.identifier.urihttp://hdl.handle.net/10201/142921
dc.languageenges
dc.publisherElsevieres
dc.relationDr. de Roux was supported by a research fellowship grant from the European Respiratory Society (2001). This research was supported by Commisionat per a Universitats i Reserca de la Generalitat de Catalunya 1999 228, Fondo de Investigaciones Sanitarias grant 00/0505, Red Grupo Insuficiencia Respiratoria Aguda, and Red RESPIRA.es
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/abs/pii/S001236921532095X?via%3Dihubes
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectChronic heart failurees
dc.subjectCommunity-acquired pneumoniaes
dc.subjectRespiratory viral infectiones
dc.subjectRisk factores
dc.titleViral community-acquired pneumonia in nonimmunocompromised adultses
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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