GrippeEspagneV1, Main, Exploration, bibRecord, 000103

Community-Acquired Pneumococcal Pneumonia in Virologically Suppressed HIV-Infected Adult Patients: A Matched Case-Control Study.

Identifieur interne : 000103 ( Main/Exploration ); précédent : 000102; suivant : 000104

Community-Acquired Pneumococcal Pneumonia in Virologically Suppressed HIV-Infected Adult Patients: A Matched Case-Control Study.

Auteurs : Catia Cill Niz [Espagne] ; Antoni Torres [Espagne] ; Christian Manzardo [Espagne] ; Albert Gabarrús [Espagne] ; Juan Ambrosioni [Espagne] ; Adriana Salazar [Mexique] ; Felipe García [Espagne] ; Adrián Ceccato [Argentine] ; Josep Mensa [Espagne] ; Jorge Puig De La Bella Casa [Espagne] ; Asunci N Moreno [Espagne] ; Jose M. Mir [Espagne]

Source :

Chest [ 1931-3543 ] ; 2017.

RBID : pubmed:28302496

Descripteurs français

KwdFr :
- Adulte d'âge moyen (MeSH), Agents antiVIH (usage thérapeutique), Antibactériens (usage thérapeutique), Charge virale (MeSH), Co-infection (complications), Co-infection (mortalité), Co-infection (traitement médicamenteux), Durée du séjour (MeSH), Espagne (épidémiologie), Femelle (MeSH), Humains (MeSH), Infections communautaires (complications), Infections communautaires (mortalité), Infections communautaires (traitement médicamenteux), Infections à VIH (complications), Infections à VIH (mortalité), Infections à VIH (traitement médicamenteux), Lymphocytes T CD4+ (MeSH), Mâle (MeSH), Pneumonie à pneumocoques (complications), Pneumonie à pneumocoques (mortalité), Pneumonie à pneumocoques (traitement médicamenteux), Résistance microbienne aux médicaments (MeSH), Résultat thérapeutique (MeSH), Soins de réanimation (statistiques et données numériques), VIH-1 (Virus de l'Immunodéficience Humaine de type 1) (MeSH), Études cas-témoins (MeSH).
MESH :
- mortalité : Co-infection, Infections communautaires, Infections à VIH, Pneumonie à pneumocoques.
- statistiques et données numériques : Soins de réanimation.
- traitement médicamenteux : Co-infection, Infections communautaires, Infections à VIH, Pneumonie à pneumocoques.
- usage thérapeutique : Agents antiVIH, Antibactériens, Co-infection, Infections communautaires, Infections à VIH, Pneumonie à pneumocoques.
- épidémiologie : Espagne.
- Adulte d'âge moyen, Charge virale, Durée du séjour, Femelle, Humains, Lymphocytes T CD4+, Mâle, Résistance microbienne aux médicaments, Résultat thérapeutique, VIH-1 (Virus de l'Immunodéficience Humaine de type 1), Études cas-témoins.

English descriptors

KwdEn :
- Anti-Bacterial Agents (therapeutic use), Anti-HIV Agents (therapeutic use), CD4-Positive T-Lymphocytes (MeSH), Case-Control Studies (MeSH), Coinfection (complications), Coinfection (drug therapy), Coinfection (mortality), Community-Acquired Infections (complications), Community-Acquired Infections (drug therapy), Community-Acquired Infections (mortality), Critical Care (statistics & numerical data), Drug Resistance, Microbial (MeSH), Female (MeSH), HIV Infections (complications), HIV Infections (drug therapy), HIV Infections (mortality), HIV-1 (MeSH), Humans (MeSH), Length of Stay (MeSH), Male (MeSH), Middle Aged (MeSH), Pneumonia, Pneumococcal (complications), Pneumonia, Pneumococcal (drug therapy), Pneumonia, Pneumococcal (mortality), Spain (epidemiology), Treatment Outcome (MeSH), Viral Load (MeSH).
MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Anti-HIV Agents.
- complications : Coinfection, Community-Acquired Infections, HIV Infections, Pneumonia, Pneumococcal.
- drug therapy : Coinfection, Community-Acquired Infections, HIV Infections, Pneumonia, Pneumococcal.
- epidemiology : Spain.
- mortality : Coinfection, Community-Acquired Infections, HIV Infections, Pneumonia, Pneumococcal.
- statistics & numerical data : Critical Care.
- CD4-Positive T-Lymphocytes, Case-Control Studies, Drug Resistance, Microbial, Female, HIV-1, Humans, Length of Stay, Male, Middle Aged, Treatment Outcome, Viral Load.

Abstract

BACKGROUND

The study aimed to investigate whether the clinical presentations and outcomes (length of stay, ICU admission, and 30-day mortality) of pneumococcal pneumonia in virologically suppressed patients who were HIV-infected on ART with a CD4+ T-cell count > 350 cells/mm

METHODS

A case-control study was carried out in Hospital Clinic, Barcelona, Spain (2001-2016). Control patients were matched by age (±10 years), sex, comorbidities, and pneumonia diagnosis in the same calendar period. Clinical presentation and outcomes of pneumococcal pneumonia in patients who were and were not infected with HIV were compared.

RESULTS

Pneumococcal pneumonia was studied in 50 cases (HIV infection) and 100 control patients (non-HIV infection). Compared with the control patients, case patients had higher rates of influenza (14% vs 2%, P = .007) and pneumococcal vaccination (10% vs 1%, P = .016). The group of cases also presented a higher rate of coinfection with hepatitis B virus (6% vs 0%, P = .036). Both groups presented similar ICU admission (18% vs 27%, P = .22), need for mechanical ventilation (12% vs 8%; P = .43), length of stay (7 days vs 7 days, P = .76), and 0% of 30-day mortality. No evidence was found of a more severe presentation or a worse clinical outcome in cases than in control patients.

CONCLUSIONS

Pneumococcal pneumonia episodes requiring hospitalization in virologically suppressed patients with HIV with > 350 CD4+ T-cell count/mm

TRIAL REGISTRY

ClinicalTrials.gov; No. 2009/5451; URL: www.clinicaltrials.gov.

DOI: 10.1016/j.chest.2017.03.007
PubMed: 28302496

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 00097
to stream Main, to step Curation: 000097

Le document en format XML

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<author><name sortKey="Salazar, Adriana" sort="Salazar, Adriana" uniqKey="Salazar A" first="Adriana" last="Salazar">Adriana Salazar</name>
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<author><name sortKey="Garcia, Felipe" sort="Garcia, Felipe" uniqKey="Garcia F" first="Felipe" last="García">Felipe García</name>
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<country xml:lang="fr">Espagne</country>
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<author><name sortKey="Ceccato, Adrian" sort="Ceccato, Adrian" uniqKey="Ceccato A" first="Adrián" last="Ceccato">Adrián Ceccato</name>
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<author><name sortKey="Mensa, Josep" sort="Mensa, Josep" uniqKey="Mensa J" first="Josep" last="Mensa">Josep Mensa</name>
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<author><name sortKey="De La Bella Casa, Jorge Puig" sort="De La Bella Casa, Jorge Puig" uniqKey="De La Bella Casa J" first="Jorge Puig" last="De La Bella Casa">Jorge Puig De La Bella Casa</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anti-Bacterial Agents (therapeutic use)</term>
<term>Anti-HIV Agents (therapeutic use)</term>
<term>CD4-Positive T-Lymphocytes (MeSH)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Coinfection (complications)</term>
<term>Coinfection (drug therapy)</term>
<term>Coinfection (mortality)</term>
<term>Community-Acquired Infections (complications)</term>
<term>Community-Acquired Infections (drug therapy)</term>
<term>Community-Acquired Infections (mortality)</term>
<term>Critical Care (statistics & numerical data)</term>
<term>Drug Resistance, Microbial (MeSH)</term>
<term>Female (MeSH)</term>
<term>HIV Infections (complications)</term>
<term>HIV Infections (drug therapy)</term>
<term>HIV Infections (mortality)</term>
<term>HIV-1 (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Length of Stay (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pneumonia, Pneumococcal (complications)</term>
<term>Pneumonia, Pneumococcal (drug therapy)</term>
<term>Pneumonia, Pneumococcal (mortality)</term>
<term>Spain (epidemiology)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Viral Load (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Agents antiVIH (usage thérapeutique)</term>
<term>Antibactériens (usage thérapeutique)</term>
<term>Charge virale (MeSH)</term>
<term>Co-infection (complications)</term>
<term>Co-infection (mortalité)</term>
<term>Co-infection (traitement médicamenteux)</term>
<term>Durée du séjour (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections communautaires (complications)</term>
<term>Infections communautaires (mortalité)</term>
<term>Infections communautaires (traitement médicamenteux)</term>
<term>Infections à VIH (complications)</term>
<term>Infections à VIH (mortalité)</term>
<term>Infections à VIH (traitement médicamenteux)</term>
<term>Lymphocytes T CD4+ (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pneumonie à pneumocoques (complications)</term>
<term>Pneumonie à pneumocoques (mortalité)</term>
<term>Pneumonie à pneumocoques (traitement médicamenteux)</term>
<term>Résistance microbienne aux médicaments (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Soins de réanimation (statistiques et données numériques)</term>
<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1) (MeSH)</term>
<term>Études cas-témoins (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term>
<term>Anti-HIV Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coinfection</term>
<term>Community-Acquired Infections</term>
<term>HIV Infections</term>
<term>Pneumonia, Pneumococcal</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Coinfection</term>
<term>Community-Acquired Infections</term>
<term>HIV Infections</term>
<term>Pneumonia, Pneumococcal</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Spain</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coinfection</term>
<term>Community-Acquired Infections</term>
<term>HIV Infections</term>
<term>Pneumonia, Pneumococcal</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Co-infection</term>
<term>Infections communautaires</term>
<term>Infections à VIH</term>
<term>Pneumonie à pneumocoques</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Critical Care</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Soins de réanimation</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Co-infection</term>
<term>Infections communautaires</term>
<term>Infections à VIH</term>
<term>Pneumonie à pneumocoques</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Agents antiVIH</term>
<term>Antibactériens</term>
<term>Co-infection</term>
<term>Infections communautaires</term>
<term>Infections à VIH</term>
<term>Pneumonie à pneumocoques</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>CD4-Positive T-Lymphocytes</term>
<term>Case-Control Studies</term>
<term>Drug Resistance, Microbial</term>
<term>Female</term>
<term>HIV-1</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
<term>Viral Load</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Charge virale</term>
<term>Durée du séjour</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphocytes T CD4+</term>
<term>Mâle</term>
<term>Résistance microbienne aux médicaments</term>
<term>Résultat thérapeutique</term>
<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term>
<term>Études cas-témoins</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>The study aimed to investigate whether the clinical presentations and outcomes (length of stay, ICU admission, and 30-day mortality) of pneumococcal pneumonia in virologically suppressed patients who were HIV-infected on ART with a CD4+ T-cell count > 350 cells/mm</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A case-control study was carried out in Hospital Clinic, Barcelona, Spain (2001-2016). Control patients were matched by age (±10 years), sex, comorbidities, and pneumonia diagnosis in the same calendar period. Clinical presentation and outcomes of pneumococcal pneumonia in patients who were and were not infected with HIV were compared.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Pneumococcal pneumonia was studied in 50 cases (HIV infection) and 100 control patients (non-HIV infection). Compared with the control patients, case patients had higher rates of influenza (14% vs 2%, P = .007) and pneumococcal vaccination (10% vs 1%, P = .016). The group of cases also presented a higher rate of coinfection with hepatitis B virus (6% vs 0%, P = .036). Both groups presented similar ICU admission (18% vs 27%, P = .22), need for mechanical ventilation (12% vs 8%; P = .43), length of stay (7 days vs 7 days, P = .76), and 0% of 30-day mortality. No evidence was found of a more severe presentation or a worse clinical outcome in cases than in control patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Pneumococcal pneumonia episodes requiring hospitalization in virologically suppressed patients with HIV with > 350 CD4+ T-cell count/mm</p>
</div>
<div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRY</b>
</p>
<p>ClinicalTrials.gov; No. 2009/5451; URL: www.clinicaltrials.gov.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28302496</PMID>
<DateCompleted><Year>2017</Year>
<Month>09</Month>
<Day>11</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>03</Month>
<Day>05</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1931-3543</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>152</Volume>
<Issue>2</Issue>
<PubDate><Year>2017</Year>
<Month>08</Month>
</PubDate>
</JournalIssue>
<Title>Chest</Title>
<ISOAbbreviation>Chest</ISOAbbreviation>
</Journal>
<ArticleTitle>Community-Acquired Pneumococcal Pneumonia in Virologically Suppressed HIV-Infected Adult Patients: A Matched Case-Control Study.</ArticleTitle>
<Pagination><MedlinePgn>295-303</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0012-3692(17)30368-9</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.chest.2017.03.007</ELocationID>
<Abstract><AbstractText Label="BACKGROUND">The study aimed to investigate whether the clinical presentations and outcomes (length of stay, ICU admission, and 30-day mortality) of pneumococcal pneumonia in virologically suppressed patients who were HIV-infected on ART with a CD4+ T-cell count > 350 cells/mm<sup>3</sup>
 are comparable to those seen in patients with HIV, using a case-control design.</AbstractText>
<AbstractText Label="METHODS">A case-control study was carried out in Hospital Clinic, Barcelona, Spain (2001-2016). Control patients were matched by age (±10 years), sex, comorbidities, and pneumonia diagnosis in the same calendar period. Clinical presentation and outcomes of pneumococcal pneumonia in patients who were and were not infected with HIV were compared.</AbstractText>
<AbstractText Label="RESULTS">Pneumococcal pneumonia was studied in 50 cases (HIV infection) and 100 control patients (non-HIV infection). Compared with the control patients, case patients had higher rates of influenza (14% vs 2%, P = .007) and pneumococcal vaccination (10% vs 1%, P = .016). The group of cases also presented a higher rate of coinfection with hepatitis B virus (6% vs 0%, P = .036). Both groups presented similar ICU admission (18% vs 27%, P = .22), need for mechanical ventilation (12% vs 8%; P = .43), length of stay (7 days vs 7 days, P = .76), and 0% of 30-day mortality. No evidence was found of a more severe presentation or a worse clinical outcome in cases than in control patients.</AbstractText>
<AbstractText Label="CONCLUSIONS">Pneumococcal pneumonia episodes requiring hospitalization in virologically suppressed patients with HIV with > 350 CD4+ T-cell count/mm<sup>3</sup>
 were neither more severe nor had worse prognosis compared with uninfected patients. These results support the fact that such patients do not need treatment, admission, or care sites different to the general population.</AbstractText>
<AbstractText Label="TRIAL REGISTRY">ClinicalTrials.gov; No. 2009/5451; URL: www.clinicaltrials.gov.</AbstractText>
<CopyrightInformation>Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cillóniz</LastName>
<ForeName>Catia</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Pneumology, Institut Clinic del Tórax, Hospital Clinic of Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Ciber de Enfermedades Respiratorias (Ciberes) Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Torres</LastName>
<ForeName>Antoni</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Pneumology, Institut Clinic del Tórax, Hospital Clinic of Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Ciber de Enfermedades Respiratorias (Ciberes) Barcelona, Spain. Electronic address: atorres@clinic.ub.es.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Manzardo</LastName>
<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Infectious Diseases Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gabarrús</LastName>
<ForeName>Albert</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Pneumology, Institut Clinic del Tórax, Hospital Clinic of Barcelona - Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Ciber de Enfermedades Respiratorias (Ciberes) Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ambrosioni</LastName>
<ForeName>Juan</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Infectious Diseases Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Salazar</LastName>
<ForeName>Adriana</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Infectología de Adultos, Hospital General Regional nº1, Instituto Mexicano del Seguro Social, Tijuana, BC, Mexico.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>García</LastName>
<ForeName>Felipe</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Infectious Diseases Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ceccato</LastName>
<ForeName>Adrián</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Seccion Neumología, Hospital Nacional Alejandro Posadas, Palomar, Argentina.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mensa</LastName>
<ForeName>Josep</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Infectious Diseases Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>de la Bella Casa</LastName>
<ForeName>Jorge Puig</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>Department of Microbiology, Hospital Clinic of Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Moreno</LastName>
<ForeName>Asunción</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Infectious Diseases Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Miró</LastName>
<ForeName>Jose M</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>Infectious Diseases Service, Hospital Clinic-IDIBAPS, University of Barcelona, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D064888">Observational Study</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>03</Month>
<Day>14</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Chest</MedlineTA>
<NlmUniqueID>0231335</NlmUniqueID>
<ISSNLinking>0012-3692</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019380" MajorTopicYN="N">Anti-HIV Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015496" MajorTopicYN="N">CD4-Positive T-Lymphocytes</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D060085" MajorTopicYN="N">Coinfection</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017714" MajorTopicYN="N">Community-Acquired Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004352" MajorTopicYN="N">Drug Resistance, Microbial</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015497" MajorTopicYN="Y">HIV-1</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011018" MajorTopicYN="N">Pneumonia, Pneumococcal</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019562" MajorTopicYN="N">Viral Load</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">HIV-infected patients</Keyword>
<Keyword MajorTopicYN="Y">community-acquired pneumonia</Keyword>
<Keyword MajorTopicYN="Y">pneumonia</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year>
<Month>09</Month>
<Day>16</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2017</Year>
<Month>01</Month>
<Day>17</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2017</Year>
<Month>03</Month>
<Day>01</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2017</Year>
<Month>3</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>9</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2017</Year>
<Month>3</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
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<ArticleIdList><ArticleId IdType="pubmed">28302496</ArticleId>
<ArticleId IdType="pii">S0012-3692(17)30368-9</ArticleId>
<ArticleId IdType="doi">10.1016/j.chest.2017.03.007</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Argentine</li>
<li>Espagne</li>
<li>Mexique</li>
</country>
<region><li>Catalogne</li>
</region>
<settlement><li>Barcelone</li>
</settlement>
</list>
<tree><country name="Espagne"><noRegion><name sortKey="Cill Niz, Catia" sort="Cill Niz, Catia" uniqKey="Cill Niz C" first="Catia" last="Cill Niz">Catia Cill Niz</name>
</noRegion>
<name sortKey="Ambrosioni, Juan" sort="Ambrosioni, Juan" uniqKey="Ambrosioni J" first="Juan" last="Ambrosioni">Juan Ambrosioni</name>
<name sortKey="De La Bella Casa, Jorge Puig" sort="De La Bella Casa, Jorge Puig" uniqKey="De La Bella Casa J" first="Jorge Puig" last="De La Bella Casa">Jorge Puig De La Bella Casa</name>
<name sortKey="Gabarrus, Albert" sort="Gabarrus, Albert" uniqKey="Gabarrus A" first="Albert" last="Gabarrús">Albert Gabarrús</name>
<name sortKey="Garcia, Felipe" sort="Garcia, Felipe" uniqKey="Garcia F" first="Felipe" last="García">Felipe García</name>
<name sortKey="Manzardo, Christian" sort="Manzardo, Christian" uniqKey="Manzardo C" first="Christian" last="Manzardo">Christian Manzardo</name>
<name sortKey="Mensa, Josep" sort="Mensa, Josep" uniqKey="Mensa J" first="Josep" last="Mensa">Josep Mensa</name>
<name sortKey="Mir, Jose M" sort="Mir, Jose M" uniqKey="Mir J" first="Jose M" last="Mir">Jose M. Mir</name>
<name sortKey="Moreno, Asunci N" sort="Moreno, Asunci N" uniqKey="Moreno A" first="Asunci N" last="Moreno">Asunci N Moreno</name>
<name sortKey="Torres, Antoni" sort="Torres, Antoni" uniqKey="Torres A" first="Antoni" last="Torres">Antoni Torres</name>
</country>
<country name="Mexique"><noRegion><name sortKey="Salazar, Adriana" sort="Salazar, Adriana" uniqKey="Salazar A" first="Adriana" last="Salazar">Adriana Salazar</name>
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</country>
<country name="Argentine"><noRegion><name sortKey="Ceccato, Adrian" sort="Ceccato, Adrian" uniqKey="Ceccato A" first="Adrián" last="Ceccato">Adrián Ceccato</name>
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Community-Acquired Pneumococcal Pneumonia in Virologically Suppressed HIV-Infected Adult Patients: A Matched Case-Control Study.

Community-Acquired Pneumococcal Pneumonia in Virologically Suppressed HIV-Infected Adult Patients: A Matched Case-Control Study.

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