1125Viral Infections In Outpatients With Medically Attended Acute Respiratory Illness During the 2012-13 Influenza Season
Identifieur interne : 000515 ( Pmc/Corpus ); précédent : 000514; suivant : 0005161125Viral Infections In Outpatients With Medically Attended Acute Respiratory Illness During the 2012-13 Influenza Season
Auteurs : Richard K. Zimmerman ; Charles R. Rinaldo ; Mary Patricia Nowalk ; Balasubramani Goundappa K ; Krissy Moehling ; Arlene Bullotta ; Stephen WisniewskiSource :
- Open Forum Infectious Diseases [ 2328-8957 ] ; 2014.
Url:
DOI: 10.1093/ofid/ofu052.833
PubMed: NONE
PubMed Central: 5781443
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PMC:5781443Le document en format XML
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Viral Infections In Outpatients With Medically Attended Acute Respiratory Illness During the 2012-13 Influenza Season</title>
<author><name sortKey="Zimmerman, Richard K" sort="Zimmerman, Richard K" uniqKey="Zimmerman R" first="Richard K." last="Zimmerman">Richard K. Zimmerman</name>
<affiliation><nlm:aff id="sa833-af1">Family Medicine, University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rinaldo, Charles R" sort="Rinaldo, Charles R" uniqKey="Rinaldo C" first="Charles R." last="Rinaldo">Charles R. Rinaldo</name>
<affiliation><nlm:aff id="sa833-af2">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nowalk, Mary Patricia" sort="Nowalk, Mary Patricia" uniqKey="Nowalk M" first="Mary Patricia" last="Nowalk">Mary Patricia Nowalk</name>
<affiliation><nlm:aff id="sa833-af1">Family Medicine, University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="K, Balasubramani Goundappa" sort="K, Balasubramani Goundappa" uniqKey="K B" first="Balasubramani Goundappa" last="K">Balasubramani Goundappa K</name>
<affiliation><nlm:aff id="sa833-af2">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moehling, Krissy" sort="Moehling, Krissy" uniqKey="Moehling K" first="Krissy" last="Moehling">Krissy Moehling</name>
<affiliation><nlm:aff id="sa833-af1">Family Medicine, University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bullotta, Arlene" sort="Bullotta, Arlene" uniqKey="Bullotta A" first="Arlene" last="Bullotta">Arlene Bullotta</name>
<affiliation><nlm:aff id="sa833-af2">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wisniewski, Stephen" sort="Wisniewski, Stephen" uniqKey="Wisniewski S" first="Stephen" last="Wisniewski">Stephen Wisniewski</name>
<affiliation><nlm:aff id="sa833-af2">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
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Viral Infections In Outpatients With Medically Attended Acute Respiratory Illness During the 2012-13 Influenza Season</title>
<author><name sortKey="Zimmerman, Richard K" sort="Zimmerman, Richard K" uniqKey="Zimmerman R" first="Richard K." last="Zimmerman">Richard K. Zimmerman</name>
<affiliation><nlm:aff id="sa833-af1">Family Medicine, University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Rinaldo, Charles R" sort="Rinaldo, Charles R" uniqKey="Rinaldo C" first="Charles R." last="Rinaldo">Charles R. Rinaldo</name>
<affiliation><nlm:aff id="sa833-af2">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nowalk, Mary Patricia" sort="Nowalk, Mary Patricia" uniqKey="Nowalk M" first="Mary Patricia" last="Nowalk">Mary Patricia Nowalk</name>
<affiliation><nlm:aff id="sa833-af1">Family Medicine, University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="K, Balasubramani Goundappa" sort="K, Balasubramani Goundappa" uniqKey="K B" first="Balasubramani Goundappa" last="K">Balasubramani Goundappa K</name>
<affiliation><nlm:aff id="sa833-af2">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moehling, Krissy" sort="Moehling, Krissy" uniqKey="Moehling K" first="Krissy" last="Moehling">Krissy Moehling</name>
<affiliation><nlm:aff id="sa833-af1">Family Medicine, University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bullotta, Arlene" sort="Bullotta, Arlene" uniqKey="Bullotta A" first="Arlene" last="Bullotta">Arlene Bullotta</name>
<affiliation><nlm:aff id="sa833-af2">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wisniewski, Stephen" sort="Wisniewski, Stephen" uniqKey="Wisniewski S" first="Stephen" last="Wisniewski">Stephen Wisniewski</name>
<affiliation><nlm:aff id="sa833-af2">University of Pittsburgh, Pittsburgh, PA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Open Forum Infectious Diseases</title>
<idno type="eISSN">2328-8957</idno>
<imprint><date when="2014">2014</date>
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<pmc article-type="abstract"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Open Forum Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Open Forum Infect Dis</journal-id>
<journal-id journal-id-type="publisher-id">ofid</journal-id>
<journal-id journal-id-type="hwp">ofids</journal-id>
<journal-title-group><journal-title>Open Forum Infectious Diseases</journal-title>
</journal-title-group>
<issn pub-type="epub">2328-8957</issn>
<publisher><publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmc">5781443</article-id>
<article-id pub-id-type="doi">10.1093/ofid/ofu052.833</article-id>
<article-id pub-id-type="publisher-id">ofu052</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>IDWeek 2014 Abstracts</subject>
<subj-group subj-group-type="category-toc-heading"><subject>Poster Abstracts</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>1125<break></break>
Viral Infections In Outpatients With Medically Attended Acute Respiratory Illness During the 2012-13 Influenza Season</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Zimmerman</surname>
<given-names>Richard K.</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="sa833-af1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rinaldo</surname>
<given-names>Charles R.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="sa833-af2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nowalk</surname>
<given-names>Mary Patricia</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="sa833-af1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>K</surname>
<given-names>Balasubramani Goundappa</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="sa833-af2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moehling</surname>
<given-names>Krissy</given-names>
</name>
<degrees>MPH</degrees>
<xref ref-type="aff" rid="sa833-af1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bullotta</surname>
<given-names>Arlene</given-names>
</name>
<xref ref-type="aff" rid="sa833-af2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wisniewski</surname>
<given-names>Stephen</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="sa833-af2">2</xref>
</contrib>
</contrib-group>
<aff id="sa833-af1"><label>1</label>
Family Medicine, University of Pittsburgh, Pittsburgh, PA</aff>
<aff id="sa833-af2"><label>2</label>
University of Pittsburgh, Pittsburgh, PA</aff>
<author-notes><fn id="TN184" fn-type="con"><p><bold>Session:</bold>
133. Viral Infections: Epidemiology</p>
</fn>
<fn id="TN185" fn-type="con"><p>Friday, October 10, 2014: 12:30 PM</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub" iso-8601-date="2014-12-01"><month>12</month>
<year>2014</year>
</pub-date>
<volume>1</volume>
<issue>Suppl 1</issue>
<issue-title>IDWeek 2014 Abstracts</issue-title>
<fpage>S334</fpage>
<lpage>S334</lpage>
<permissions><copyright-statement>© The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<self-uri xlink:href="ofu052.833.pdf"></self-uri>
</article-meta>
</front>
<body><p><bold><italic>Background.</italic>
</bold>
Respiratory tract infections are a major cause of primary care visits, yet only a portion is tested to determine the causative organism. This study examined the distribution and characteristics of viruses responsible for outpatient visits during the 2012-2013 influenza season.</p>
<p><bold><italic>Methods.</italic>
</bold>
Individuals presenting for outpatient visits with acute (<7 days) respiratory illness were swabbed and assayed for presence 18 viruses using a multiplex reverse transcriptase polymerase chain reaction method. Surveys provided clinical and demographic characteristics.</p>
<p><bold><italic>Results.</italic>
</bold>
Among 935 patients, 563 (60.2%) tested positive for single virus infections, 85 (9.1%) tested positive for ≥1 virus and 287 (30.7%) were negative for all tested viruses. Fever and fatigue were significantly more frequently associated with solo influenza detection while wheezing was significantly less frequently reported among those with only CoV (<italic>P</italic>
= 0.01). Most frequently co-detected viruses were influenza A (38 times), respiratory syncytial virus (25 times), influenza B (9 times); corona virus, human rhinovirus, adenovirus, human metapneumovirus, and parainfluenza virus also co-occurred. The percentages of single, multiple and no viruses detected varied by age. For children <18 years, the percentages of single virus, multiple viruses, and no virus detected were 63%, 14%, and 23%, respectively; whereas for younger adults 18-49 years, the percentages were 58%, 8%, and 34% and for older adults the percentages were 61%, 5%, and 32%, respectively (<italic>P</italic>
<0.001). Co-detections were more common than single infections in children than older adults ( ≥65 years; <italic>P</italic>
= 0.01) and less frequent in households without children than in households with children (<italic>P</italic>
= 0.003). Co-detections were less common if sore throat was present (<italic>P</italic>
= 0.01) but did not vary by other symptoms. Compared with individuals with single viral infections, those with co-detections missed fewer days of school (1.1 vs 2 days; <italic>P</italic>
= 0.04) or work (2 vs 3 days; <italic>P</italic>
= 0.03). These groups did not vary on other measures of illness severity.</p>
<p><bold><italic>Conclusion.</italic>
</bold>
In this study of outpatient medically attended acute respiratory illnesses, co-infections were infrequent but varied by demographic and household characteristics.</p>
<p><bold><italic>Disclosures.</italic>
</bold>
<bold>R. K. Zimmerman</bold>
, Sanofi: Grant Investigator, Research grant; Pfizer: Grant Investigator, Research grant <bold>M. P. Nowalk</bold>
, Sanofi: Grant Investigator, Research support; Pfizer: Grant Investigator, Research support; Merck: Grant Investigator, Research support; MedImmune: Consultant, Consulting fee</p>
</body>
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