Risk factors for community-acquired pneumonia in adults in Europe: a literature review
Identifieur interne : 000206 ( Ncbi/Checkpoint ); précédent : 000205; suivant : 000207Risk factors for community-acquired pneumonia in adults in Europe: a literature review
Auteurs : Antoni Torres [Espagne] ; Willy E. Peetermans [Belgique] ; Giovanni Viegi [Italie] ; Francesco Blasi [Italie]Source :
- Thorax [ 0040-6376 ] ; 2013.
Abstract
Community-acquired pneumonia (CAP) causes considerable morbidity and mortality in adults, particularly in the elderly.
Structured searches of PubMed were conducted to identify up-to-date information on the incidence of CAP in adults in Europe, as well as data on lifestyle and medical risk factors for CAP.
The overall annual incidence of CAP in adults ranged between 1.07 to 1.2 per 1000 person-years and 1.54 to 1.7 per 1000 population and increased with age (14 per 1000 person-years in adults aged ≥65 years). Incidence was also higher in men than in women and in patients with chronic respiratory disease or HIV infection. Lifestyle factors associated with an increased risk of CAP included smoking, alcohol abuse, being underweight, having regular contact with children and poor dental hygiene. The presence of comorbid conditions, including chronic respiratory and cardiovascular diseases, cerebrovascular disease, Parkinson's disease, epilepsy, dementia, dysphagia, HIV or chronic renal or liver disease all increased the risk of CAP by twofold to fourfold.
A range of lifestyle factors and underlying medical conditions are associated with an increased risk of CAP in European adults. Understanding of the types of individual at greatest risk of CAP can help to ensure that interventions to reduce the risk of infection and burden of disease are targeted appropriately.
Url:
DOI: 10.1136/thoraxjnl-2013-204282
PubMed: 24130229
PubMed Central: 3812874
Affiliations:
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Peetermans</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Internal Medicine</addr-line>,<institution>University Hospital, KU Leuven</institution>,<addr-line>Leuven</addr-line>,<country>Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Viegi, Giovanni" sort="Viegi, Giovanni" uniqKey="Viegi G" first="Giovanni" last="Viegi">Giovanni Viegi</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>CNR Institute of Clinical Physiology</institution>,<addr-line>Pisa</addr-line>,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af4"><institution>CNR Institute of Biomedicine and Molecular Immunology</institution>,<addr-line>Palermo</addr-line>,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Blasi, Francesco" sort="Blasi, Francesco" uniqKey="Blasi F" first="Francesco" last="Blasi">Francesco Blasi</name><affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>Department of Pathophysiology and</addr-line> Transplantation,<institution>University of Milan, IRCCS Fondazione Ca` Granda Ospedale Maggiore</institution>,<addr-line>Milan</addr-line>,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24130229</idno><idno type="pmc">3812874</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812874</idno><idno type="RBID">PMC:3812874</idno><idno type="doi">10.1136/thoraxjnl-2013-204282</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000472</idno><idno type="wicri:Area/Pmc/Curation">000472</idno><idno type="wicri:Area/Pmc/Checkpoint">000247</idno><idno type="wicri:Area/Ncbi/Merge">000206</idno><idno type="wicri:Area/Ncbi/Curation">000206</idno><idno type="wicri:Area/Ncbi/Checkpoint">000206</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Risk factors for community-acquired pneumonia in adults in Europe: a literature review</title><author><name sortKey="Torres, Antoni" sort="Torres, Antoni" uniqKey="Torres A" first="Antoni" last="Torres">Antoni Torres</name><affiliation wicri:level="3"><nlm:aff id="af1"><addr-line>Servei de Pneumologia, Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CIBER de Enfermedades Respiratorias (CIBERes), University of Barcelona, Barcelona, Spain</addr-line></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Servei de Pneumologia, Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CIBER de Enfermedades Respiratorias (CIBERes), University of Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Peetermans, Willy E" sort="Peetermans, Willy E" uniqKey="Peetermans W" first="Willy E" last="Peetermans">Willy E. Peetermans</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Internal Medicine</addr-line>,<institution>University Hospital, KU Leuven</institution>,<addr-line>Leuven</addr-line>,<country>Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Viegi, Giovanni" sort="Viegi, Giovanni" uniqKey="Viegi G" first="Giovanni" last="Viegi">Giovanni Viegi</name><affiliation wicri:level="1"><nlm:aff id="af3"><institution>CNR Institute of Clinical Physiology</institution>,<addr-line>Pisa</addr-line>,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af4"><institution>CNR Institute of Biomedicine and Molecular Immunology</institution>,<addr-line>Palermo</addr-line>,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Blasi, Francesco" sort="Blasi, Francesco" uniqKey="Blasi F" first="Francesco" last="Blasi">Francesco Blasi</name><affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>Department of Pathophysiology and</addr-line> Transplantation,<institution>University of Milan, IRCCS Fondazione Ca` Granda Ospedale Maggiore</institution>,<addr-line>Milan</addr-line>,<country>Italy</country></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Thorax</title><idno type="ISSN">0040-6376</idno><idno type="eISSN">1468-3296</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Community-acquired pneumonia (CAP) causes considerable morbidity and mortality in adults, particularly in the elderly.</p></sec><sec><title>Methods</title><p>Structured searches of PubMed were conducted to identify up-to-date information on the incidence of CAP in adults in Europe, as well as data on lifestyle and medical risk factors for CAP.</p></sec><sec><title>Results</title><p>The overall annual incidence of CAP in adults ranged between 1.07 to 1.2 per 1000 person-years and 1.54 to 1.7 per 1000 population and increased with age (14 per 1000 person-years in adults aged ≥65 years). Incidence was also higher in men than in women and in patients with chronic respiratory disease or HIV infection. Lifestyle factors associated with an increased risk of CAP included smoking, alcohol abuse, being underweight, having regular contact with children and poor dental hygiene. The presence of comorbid conditions, including chronic respiratory and cardiovascular diseases, cerebrovascular disease, Parkinson's disease, epilepsy, dementia, dysphagia, HIV or chronic renal or liver disease all increased the risk of CAP by twofold to fourfold.</p></sec><sec><title>Conclusion</title><p>A range of lifestyle factors and underlying medical conditions are associated with an increased risk of CAP in European adults. 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uniqKey="Tatham D">DP Tatham</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hak, E" uniqKey="Hak E">E Hak</name></author><author><name sortKey="Grobbee, De" uniqKey="Grobbee D">DE Grobbee</name></author><author><name sortKey="Sanders, Ea" uniqKey="Sanders E">EA Sanders</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Espagne</li><li>Italie</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement></list><tree><country name="Espagne"><region name="Catalogne"><name sortKey="Torres, Antoni" sort="Torres, Antoni" uniqKey="Torres A" first="Antoni" last="Torres">Antoni Torres</name></region></country><country name="Belgique"><noRegion><name sortKey="Peetermans, Willy E" sort="Peetermans, Willy E" uniqKey="Peetermans W" first="Willy E" last="Peetermans">Willy E. Peetermans</name></noRegion></country><country name="Italie"><noRegion><name sortKey="Viegi, Giovanni" sort="Viegi, Giovanni" uniqKey="Viegi G" first="Giovanni" last="Viegi">Giovanni Viegi</name></noRegion><name sortKey="Blasi, Francesco" sort="Blasi, Francesco" uniqKey="Blasi F" first="Francesco" last="Blasi">Francesco Blasi</name><name sortKey="Viegi, Giovanni" sort="Viegi, Giovanni" uniqKey="Viegi G" first="Giovanni" last="Viegi">Giovanni Viegi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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