GrippeEspagneV1, Main, Exploration, bibRecord, 000271

Community-acquired pneumonia during the first post-pandemic influenza season: a prospective, multicentre cohort study.

Identifieur interne : 000271 ( Main/Exploration ); précédent : 000270; suivant : 000272

Community-acquired pneumonia during the first post-pandemic influenza season: a prospective, multicentre cohort study.

Auteurs : Diego Viasus [Espagne] ; Carmen Marinescu ; Aroa Villoslada ; Elisa Cordero ; Juan Gálvez-Acebal ; María C. Fari As ; Irene Gracia-Ahufinger ; Anabel Fernández-Navarro ; Jordi Niub ; Lucia Ortega ; Elena Mu Ez-Rubio ; María P. Romero-G Mez ; Jordi Carratalà

Source :

The Journal of infection [ 1532-2742 ] ; 2013.

RBID : pubmed:23747416

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse multifactorielle (MeSH), Centres de soins tertiaires (statistiques et données numériques), Courbe ROC (MeSH), Espagne (épidémiologie), Facteurs de risque (MeSH), Femelle (MeSH), Grippe humaine (microbiologie), Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains (MeSH), Infections communautaires (microbiologie), Infections communautaires (virologie), Infections communautaires (épidémiologie), Liquide de lavage bronchoalvéolaire (microbiologie), Liquide de lavage bronchoalvéolaire (virologie), Mâle (MeSH), Partie nasale du pharynx (microbiologie), Partie nasale du pharynx (virologie), Pneumopathie infectieuse (microbiologie), Pneumopathie infectieuse (virologie), Pneumopathie infectieuse (épidémiologie), Résultat thérapeutique (MeSH), Sous-type H1N1 du virus de la grippe A (isolement et purification), Sujet âgé (MeSH), Études prospectives (MeSH).
MESH :
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- microbiologie : Grippe humaine, Infections communautaires, Liquide de lavage bronchoalvéolaire, Partie nasale du pharynx, Pneumopathie infectieuse.
- statistiques et données numériques : Centres de soins tertiaires.
- virologie : Grippe humaine, Infections communautaires, Liquide de lavage bronchoalvéolaire, Partie nasale du pharynx, Pneumopathie infectieuse.
- épidémiologie : Espagne, Grippe humaine, Infections communautaires, Pneumopathie infectieuse.
- Adulte, Adulte d'âge moyen, Analyse multifactorielle, Courbe ROC, Facteurs de risque, Femelle, Humains, Mâle, Résultat thérapeutique, Sujet âgé, Études prospectives.
Wicri :
- geographic : Espagne.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Bronchoalveolar Lavage Fluid (microbiology), Bronchoalveolar Lavage Fluid (virology), Community-Acquired Infections (epidemiology), Community-Acquired Infections (microbiology), Community-Acquired Infections (virology), Female (MeSH), Humans (MeSH), Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza, Human (epidemiology), Influenza, Human (microbiology), Influenza, Human (virology), Male (MeSH), Middle Aged (MeSH), Multivariate Analysis (MeSH), Nasopharynx (microbiology), Nasopharynx (virology), Pneumonia (epidemiology), Pneumonia (microbiology), Pneumonia (virology), Prospective Studies (MeSH), ROC Curve (MeSH), Risk Factors (MeSH), Spain (epidemiology), Tertiary Care Centers (statistics & numerical data), Treatment Outcome (MeSH).
MESH :
- geographic , epidemiology : Spain.
- epidemiology : Community-Acquired Infections, Influenza, Human, Pneumonia.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- microbiology : Bronchoalveolar Lavage Fluid, Community-Acquired Infections, Influenza, Human, Nasopharynx, Pneumonia.
- statistics & numerical data : Tertiary Care Centers.
- virology : Bronchoalveolar Lavage Fluid, Community-Acquired Infections, Influenza, Human, Nasopharynx, Pneumonia.
- Adult, Aged, Female, Humans, Male, Middle Aged, Multivariate Analysis, Prospective Studies, ROC Curve, Risk Factors, Treatment Outcome.

Abstract

OBJECTIVES

To determine the aetiology, clinical features and prognosis of CAP during the first post-pandemic influenza season. We also assessed the factors associated with severe disease and tested the ability of a scoring system for identifying influenza A (H1N1)pdm09-related pneumonia.

METHODS

Prospective cohort study carried out at 10 tertiary hospitals of Spain. All adults hospitalised with CAP from December 01, 2010 to March 31, 2011 were analysed.

RESULTS

A total of 747 adults with CAP required hospitalisation. The aetiology was determined in 315 (42.2%) patients, in whom 154 (21.9%) were due to bacteria, 125 (16.7%) were due to viruses and 36 (4.8%) were mixed (due to viruses and bacteria). The most frequently isolated bacteria were Streptococccus pneumoniae. Among patients with viral pneumonia, the most common organism identified were influenza A (H1N1)pdm09. Independent factors associated with severe disease were impaired consciousness, septic shock, tachypnea, hyponatremia, hypoxemia, influenza B, and influenza A (H1N1)pdm09. The scoring system evaluated did not differentiate reliably between patients with influenza A (H1N1)pdm09-related pneumonia and those with other aetiologies.

CONCLUSIONS

The frequency of bacterial and viral pneumonia during the first post-pandemic influenza season was similar. The main identified virus was influenza A (H1N1)pdm09, which was associated with severe disease. Although certain presenting clinical features may allow recognition of influenza A (H1N1)pdm09-related pneumonia, it is difficult to express them in a reliable scoring system.

DOI: 10.1016/j.jinf.2013.05.006
PubMed: 23747416
PubMed Central: PMC7112525

Affiliations:

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

to stream Main, to step Corpus: 00240
to stream Main, to step Curation: 000240

Le document en format XML

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<term>Aged (MeSH)</term>
<term>Bronchoalveolar Lavage Fluid (microbiology)</term>
<term>Bronchoalveolar Lavage Fluid (virology)</term>
<term>Community-Acquired Infections (epidemiology)</term>
<term>Community-Acquired Infections (microbiology)</term>
<term>Community-Acquired Infections (virology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (microbiology)</term>
<term>Influenza, Human (virology)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Multivariate Analysis (MeSH)</term>
<term>Nasopharynx (microbiology)</term>
<term>Nasopharynx (virology)</term>
<term>Pneumonia (epidemiology)</term>
<term>Pneumonia (microbiology)</term>
<term>Pneumonia (virology)</term>
<term>Prospective Studies (MeSH)</term>
<term>ROC Curve (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Tertiary Care Centers (statistics & numerical data)</term>
<term>Treatment Outcome (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Analyse multifactorielle (MeSH)</term>
<term>Centres de soins tertiaires (statistiques et données numériques)</term>
<term>Courbe ROC (MeSH)</term>
<term>Espagne (épidémiologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (microbiologie)</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Infections communautaires (microbiologie)</term>
<term>Infections communautaires (virologie)</term>
<term>Infections communautaires (épidémiologie)</term>
<term>Liquide de lavage bronchoalvéolaire (microbiologie)</term>
<term>Liquide de lavage bronchoalvéolaire (virologie)</term>
<term>Mâle (MeSH)</term>
<term>Partie nasale du pharynx (microbiologie)</term>
<term>Partie nasale du pharynx (virologie)</term>
<term>Pneumopathie infectieuse (microbiologie)</term>
<term>Pneumopathie infectieuse (virologie)</term>
<term>Pneumopathie infectieuse (épidémiologie)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term>
<term>Sujet âgé (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Community-Acquired Infections</term>
<term>Influenza, Human</term>
<term>Pneumonia</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
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<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Grippe humaine</term>
<term>Infections communautaires</term>
<term>Liquide de lavage bronchoalvéolaire</term>
<term>Partie nasale du pharynx</term>
<term>Pneumopathie infectieuse</term>
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<keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Bronchoalveolar Lavage Fluid</term>
<term>Community-Acquired Infections</term>
<term>Influenza, Human</term>
<term>Nasopharynx</term>
<term>Pneumonia</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Centres de soins tertiaires</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term>
<term>Infections communautaires</term>
<term>Liquide de lavage bronchoalvéolaire</term>
<term>Partie nasale du pharynx</term>
<term>Pneumopathie infectieuse</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Bronchoalveolar Lavage Fluid</term>
<term>Community-Acquired Infections</term>
<term>Influenza, Human</term>
<term>Nasopharynx</term>
<term>Pneumonia</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term>
<term>Grippe humaine</term>
<term>Infections communautaires</term>
<term>Pneumopathie infectieuse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Prospective Studies</term>
<term>ROC Curve</term>
<term>Risk Factors</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse multifactorielle</term>
<term>Courbe ROC</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>To determine the aetiology, clinical features and prognosis of CAP during the first post-pandemic influenza season. We also assessed the factors associated with severe disease and tested the ability of a scoring system for identifying influenza A (H1N1)pdm09-related pneumonia.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Prospective cohort study carried out at 10 tertiary hospitals of Spain. All adults hospitalised with CAP from December 01, 2010 to March 31, 2011 were analysed.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>A total of 747 adults with CAP required hospitalisation. The aetiology was determined in 315 (42.2%) patients, in whom 154 (21.9%) were due to bacteria, 125 (16.7%) were due to viruses and 36 (4.8%) were mixed (due to viruses and bacteria). The most frequently isolated bacteria were Streptococccus pneumoniae. Among patients with viral pneumonia, the most common organism identified were influenza A (H1N1)pdm09. Independent factors associated with severe disease were impaired consciousness, septic shock, tachypnea, hyponatremia, hypoxemia, influenza B, and influenza A (H1N1)pdm09. The scoring system evaluated did not differentiate reliably between patients with influenza A (H1N1)pdm09-related pneumonia and those with other aetiologies.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The frequency of bacterial and viral pneumonia during the first post-pandemic influenza season was similar. The main identified virus was influenza A (H1N1)pdm09, which was associated with severe disease. Although certain presenting clinical features may allow recognition of influenza A (H1N1)pdm09-related pneumonia, it is difficult to express them in a reliable scoring system.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2014</Year>
<Month>05</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>04</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2742</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>67</Volume>
<Issue>3</Issue>
<PubDate><Year>2013</Year>
<Month>Sep</Month>
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</JournalIssue>
<Title>The Journal of infection</Title>
<ISOAbbreviation>J. Infect.</ISOAbbreviation>
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<ArticleTitle>Community-acquired pneumonia during the first post-pandemic influenza season: a prospective, multicentre cohort study.</ArticleTitle>
<Pagination><MedlinePgn>185-93</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jinf.2013.05.006</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0163-4453(13)00131-X</ELocationID>
<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To determine the aetiology, clinical features and prognosis of CAP during the first post-pandemic influenza season. We also assessed the factors associated with severe disease and tested the ability of a scoring system for identifying influenza A (H1N1)pdm09-related pneumonia.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Prospective cohort study carried out at 10 tertiary hospitals of Spain. All adults hospitalised with CAP from December 01, 2010 to March 31, 2011 were analysed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 747 adults with CAP required hospitalisation. The aetiology was determined in 315 (42.2%) patients, in whom 154 (21.9%) were due to bacteria, 125 (16.7%) were due to viruses and 36 (4.8%) were mixed (due to viruses and bacteria). The most frequently isolated bacteria were Streptococccus pneumoniae. Among patients with viral pneumonia, the most common organism identified were influenza A (H1N1)pdm09. Independent factors associated with severe disease were impaired consciousness, septic shock, tachypnea, hyponatremia, hypoxemia, influenza B, and influenza A (H1N1)pdm09. The scoring system evaluated did not differentiate reliably between patients with influenza A (H1N1)pdm09-related pneumonia and those with other aetiologies.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The frequency of bacterial and viral pneumonia during the first post-pandemic influenza season was similar. The main identified virus was influenza A (H1N1)pdm09, which was associated with severe disease. Although certain presenting clinical features may allow recognition of influenza A (H1N1)pdm09-related pneumonia, it is difficult to express them in a reliable scoring system.</AbstractText>
<CopyrightInformation>Copyright © 2013 The British Infection Association. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Viasus</LastName>
<ForeName>Diego</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Hospital Universitari de Bellvitge - IDIBELL, University of Barcelona, Feixa Llarga s/n, 08907 Barcelona, Spain. dfviasusp@gmail.com</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Marinescu</LastName>
<ForeName>Carmen</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Villoslada</LastName>
<ForeName>Aroa</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cordero</LastName>
<ForeName>Elisa</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y"><LastName>Gálvez-Acebal</LastName>
<ForeName>Juan</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Fariñas</LastName>
<ForeName>María C</ForeName>
<Initials>MC</Initials>
</Author>
<Author ValidYN="Y"><LastName>Gracia-Ahufinger</LastName>
<ForeName>Irene</ForeName>
<Initials>I</Initials>
</Author>
<Author ValidYN="Y"><LastName>Fernández-Navarro</LastName>
<ForeName>Anabel</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Niubó</LastName>
<ForeName>Jordi</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Ortega</LastName>
<ForeName>Lucia</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Muñez-Rubio</LastName>
<ForeName>Elena</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y"><LastName>Romero-Gómez</LastName>
<ForeName>María P</ForeName>
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   |texte=   Community-acquired pneumonia during the first post-pandemic influenza season: a prospective, multicentre cohort study.
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Community-acquired pneumonia during the first post-pandemic influenza season: a prospective, multicentre cohort study.

Community-acquired pneumonia during the first post-pandemic influenza season: a prospective, multicentre cohort study.

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