Burden of respiratory viruses in patients with acute respiratory failure
Identifieur interne : 000389 ( Istex/Curation ); précédent : 000388; suivant : 000390Burden of respiratory viruses in patients with acute respiratory failure
Auteurs : David Schnell [France] ; Maud Gits-Muselli [France] ; Emmanuel Canet [France] ; Virginie Lemiale [France] ; Benoît Schlemmer [France] ; François Simon [France] ; Elie Azoulay [France] ; Jérôme Legoff [France]Source :
- Journal of Medical Virology [ 0146-6615 ] ; 2014-07.
Abstract
Respiratory viruses (RVs) are ubiquitous pathogens that represent a major cause of community‐acquired pneumonia and chronic pulmonary diseases exacerbations. However, their contribution to acute respiratory failure events requiring intensive care unit admission in the era of rapid multiplex molecular assay deserves further evaluation. This study investigated the burden of viral infections in non immunocompromised patients admitted to the intensive care unit for acute respiratory failure using a multiplex molecular assay. Patients were investigated for RVs using immunofluoresence testing and a commercial multiplex molecular assay, and for bacteria using conventional culture. Half the patients (34/70, 49%) had a documented RVs infection. No other pathogen was found in 24 (71%) patients. Viral infection was detected more frequently in patients with obstructive respiratory diseases (64% vs. 29%; P = 0.0075). Multiplex molecular assay should be considered as an usefull diagnostic tool in patients admitted to the intensive care unit with acute respiratory failure, especially those with acute exacerbations of chronic obstructive pulmonary disease and asthma. J. Med. Virol. 86:1198–1202, 2014. © 2013 Wiley Periodicals, Inc.
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DOI: 10.1002/jmv.23760
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uniqKey="Simon F" first="François" last="Simon">François Simon</name><affiliation wicri:level="1"><mods:affiliation>Paris‐Diderot University, UFR de Médecine, Sorbone Paris Cité, Microbiology laboratory, Hôpital Saint‐Louis, APHP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris‐Diderot University, UFR de Médecine, Sorbone Paris Cité, Microbiology laboratory, Hôpital Saint‐Louis, APHP, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name><affiliation wicri:level="1"><mods:affiliation>Medical ICU, AP‐HP, Hôpital Saint‐Louis, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Medical ICU, AP‐HP, Hôpital Saint‐Louis, Paris</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Paris‐Diderot University, UFR de Médecine, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris‐Diderot University, UFR de Médecine, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Legoff, Jerome" sort="Legoff, Jerome" uniqKey="Legoff J" first="Jérôme" last="Legoff">Jérôme Legoff</name><affiliation wicri:level="1"><mods:affiliation>Paris‐Diderot University, UFR de Médecine, Sorbone Paris Cité, Microbiology laboratory, Hôpital Saint‐Louis, APHP, Paris, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Paris‐Diderot University, UFR de Médecine, Sorbone Paris Cité, Microbiology laboratory, Hôpital Saint‐Louis, APHP, Paris</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Medical Virology</title><title level="j" type="alt">JOURNAL OF MEDICAL VIROLOGY</title><idno type="ISSN">0146-6615</idno><idno type="eISSN">1096-9071</idno><imprint><biblScope unit="vol">86</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="1198">1198</biblScope><biblScope unit="page" to="1202">1202</biblScope><biblScope unit="page-count">5</biblScope><date type="published" when="2014-07">2014-07</date></imprint><idno type="ISSN">0146-6615</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0146-6615</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Respiratory viruses (RVs) are ubiquitous pathogens that represent a major cause of community‐acquired pneumonia and chronic pulmonary diseases exacerbations. However, their contribution to acute respiratory failure events requiring intensive care unit admission in the era of rapid multiplex molecular assay deserves further evaluation. This study investigated the burden of viral infections in non immunocompromised patients admitted to the intensive care unit for acute respiratory failure using a multiplex molecular assay. Patients were investigated for RVs using immunofluoresence testing and a commercial multiplex molecular assay, and for bacteria using conventional culture. Half the patients (34/70, 49%) had a documented RVs infection. No other pathogen was found in 24 (71%) patients. Viral infection was detected more frequently in patients with obstructive respiratory diseases (64% vs. 29%; P = 0.0075). Multiplex molecular assay should be considered as an usefull diagnostic tool in patients admitted to the intensive care unit with acute respiratory failure, especially those with acute exacerbations of chronic obstructive pulmonary disease and asthma. J. Med. Virol. 86:1198–1202, 2014. © 2013 Wiley Periodicals, Inc.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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