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Respiratory Viruses in Adults With Community-Acquired Pneumonia

Identifieur interne : 000015 ( PascalFrancis/Checkpoint ); précédent : 000014; suivant : 000016

Respiratory Viruses in Adults With Community-Acquired Pneumonia

Auteurs : David Lieberman [Israël] ; Avi Shimoni [Israël] ; Yonat Shemer-Avni [Israël] ; Ayelet Keren-Naos [Israël] ; Rachel Shtainberg [Israël] ; Devora Lieberman [Israël]

Source :

RBID : Pascal:10-0485663

Descripteurs français

English descriptors

Abstract

Background: Use of nucleic acid amplification techniques has increased the identification of respiratory viruses (RVs) in adult patients with community-acquired pneumonia (CAP). The objectives of the present study were to identify RV in patients with CAP using three different sampling methods and to compare CAP virus proportions and types with two comparison groups. Methods: The study population included 183 adult patients with CAP, 450 control subjects, and 201 patients with nonpneumonic lower respiratory tract infection (NPLRTI). Each participant was sampled by oropharyngeal swab, nasopharyngeal swab, and nasopharyngeal washing, and the samples were tested for detection of 12 RVs by multiplex TaqMan Hydrolysis probe-based real-time polymerase chain reaction (Integrated DNA Technology; Coralville, IA). Results: At least one RV was identified in 58 patients with CAP (31.7%) compared with 32 (7.1%) in control subjects and 104 (51.7%) in patients with NPLRTI (P < .01 and P < .01, respectively). Corona-viruses were identified in 24 (13.1%) patients with CAP, compared with 17 (3.8%) in control subjects, and 21 (10.4%) patients with NPLRTI. Respiratory syncytial virus was identified in 13 (7.1%), four (0.9%), and seven (3.5%); rhinovirus in nine (4.9%), nine (2.0%), and 15 (7.5%); and influenza virus in eight (4.4%), two (0.4%), and 63 (31.3%) patients with CAP, control subjects, and patients with NPLRTI, respectively. Conclusions: The proportion of RV involvement in CAP is higher than previously reported. The proportion of RV identified in healthy subjects is significantly lower than in CAP, but it is not zero and should be weighed when interpreting corresponding proportions among patients.


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Pascal:10-0485663

Le document en format XML

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<div type="abstract" xml:lang="en">Background: Use of nucleic acid amplification techniques has increased the identification of respiratory viruses (RVs) in adult patients with community-acquired pneumonia (CAP). The objectives of the present study were to identify RV in patients with CAP using three different sampling methods and to compare CAP virus proportions and types with two comparison groups. Methods: The study population included 183 adult patients with CAP, 450 control subjects, and 201 patients with nonpneumonic lower respiratory tract infection (NPLRTI). Each participant was sampled by oropharyngeal swab, nasopharyngeal swab, and nasopharyngeal washing, and the samples were tested for detection of 12 RVs by multiplex TaqMan Hydrolysis probe-based real-time polymerase chain reaction (Integrated DNA Technology; Coralville, IA). Results: At least one RV was identified in 58 patients with CAP (31.7%) compared with 32 (7.1%) in control subjects and 104 (51.7%) in patients with NPLRTI (P < .01 and P < .01, respectively). Corona-viruses were identified in 24 (13.1%) patients with CAP, compared with 17 (3.8%) in control subjects, and 21 (10.4%) patients with NPLRTI. Respiratory syncytial virus was identified in 13 (7.1%), four (0.9%), and seven (3.5%); rhinovirus in nine (4.9%), nine (2.0%), and 15 (7.5%); and influenza virus in eight (4.4%), two (0.4%), and 63 (31.3%) patients with CAP, control subjects, and patients with NPLRTI, respectively. Conclusions: The proportion of RV involvement in CAP is higher than previously reported. The proportion of RV identified in healthy subjects is significantly lower than in CAP, but it is not zero and should be weighed when interpreting corresponding proportions among patients.</div>
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</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Adulto</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Anesthésie</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Anesthesia</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Anestesia</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Appareil circulatoire</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Circulatory system</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Aparato circulatorio</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Cardiologie</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Cardiology</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Cardiología</s0>
<s5>13</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Pathologie de l'appareil respiratoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie des poumons</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Lung disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Pulmón patología</s0>
<s5>38</s5>
</fC07>
<fN21>
<s1>319</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>Israël</li>
</country>
</list>
<tree>
<country name="Israël">
<noRegion>
<name sortKey="Lieberman, David" sort="Lieberman, David" uniqKey="Lieberman D" first="David" last="Lieberman">David Lieberman</name>
</noRegion>
<name sortKey="Keren Naos, Ayelet" sort="Keren Naos, Ayelet" uniqKey="Keren Naos A" first="Ayelet" last="Keren-Naos">Ayelet Keren-Naos</name>
<name sortKey="Lieberman, David" sort="Lieberman, David" uniqKey="Lieberman D" first="David" last="Lieberman">David Lieberman</name>
<name sortKey="Lieberman, Devora" sort="Lieberman, Devora" uniqKey="Lieberman D" first="Devora" last="Lieberman">Devora Lieberman</name>
<name sortKey="Lieberman, Devora" sort="Lieberman, Devora" uniqKey="Lieberman D" first="Devora" last="Lieberman">Devora Lieberman</name>
<name sortKey="Shemer Avni, Yonat" sort="Shemer Avni, Yonat" uniqKey="Shemer Avni Y" first="Yonat" last="Shemer-Avni">Yonat Shemer-Avni</name>
<name sortKey="Shimoni, Avi" sort="Shimoni, Avi" uniqKey="Shimoni A" first="Avi" last="Shimoni">Avi Shimoni</name>
<name sortKey="Shimoni, Avi" sort="Shimoni, Avi" uniqKey="Shimoni A" first="Avi" last="Shimoni">Avi Shimoni</name>
<name sortKey="Shtainberg, Rachel" sort="Shtainberg, Rachel" uniqKey="Shtainberg R" first="Rachel" last="Shtainberg">Rachel Shtainberg</name>
</country>
</tree>
</affiliations>
</record>

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