GrippeEspagneV1, Main, Exploration, bibRecord, 000342

Aetiology of community-acquired pneumonia among adults in an H1N1 pandemic year: the role of respiratory viruses.

Identifieur interne : 000342 ( Main/Exploration ); précédent : 000341; suivant : 000343

Aetiology of community-acquired pneumonia among adults in an H1N1 pandemic year: the role of respiratory viruses.

Auteurs : A. Sangil [Espagne] ; E. Calbo ; A. Robles ; S. Benet ; M E Viladot ; V. Pascual ; E. Cuchí ; J. Pérez ; B. Barreiro ; B. Sánchez ; J. Torres ; L. Canales ; J A De Marcos ; J. Garau

Source :

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology [ 1435-4373 ] ; 2012.

RBID : pubmed:22549730

Descripteurs français

English descriptors

Abstract

This study aimed to determine the aetiology of community-acquired pneumonia (CAP) by adding polymerase chain reaction (PCR) to conventional methods and to describe the clinical and laboratory features between patients with bacterial pneumonia (BP) and viral pneumonia (VP). Adults with CAP admitted from November 2009 to October 2010 were included. Demographics, comorbidities, severity and clinical features were recorded. Conventional microbiological methods included blood and sputum cultures, acute and convalescent serologic samples, and antigen urinary detection. New methods included multiplex PCR for Mycoplasma pneumoniae, Legionella pneumophila, Chlamydophila pneumoniae, Bordetella pertussis and 15 respiratory viruses. A total of 169 patients were included. Using conventional methods, we identified a pathogen in 51 % of cases. With PCR, up to 70 % of cases had an aetiological diagnosis. Forty-five patients had BP (34 %), 22 had VP (17 %) and 25 (19 %) had co-infection (BP and VP). Pneumococci and respiratory syncytial virus (RSV) were the most frequently identified pathogens. Procalcitonin (PCT) and C-reactive protein (CRP) median values were significantly higher in BP than in VP patients. Shaking chills, higher CURB score and shock were significantly more frequent in BP. A viral infection was identified in more than one-third of patients with CAP. Clinical and laboratory features could help to differentiate between VP and BP and to guide empirical therapy.

DOI: 10.1007/s10096-012-1626-6
PubMed: 22549730
PubMed Central: PMC7088264

Affiliations:

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Le document en format XML

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<term>Aged, 80 and over (MeSH)</term>
<term>Bacterial Typing Techniques (MeSH)</term>
<term>Bordetella pertussis (genetics)</term>
<term>Bordetella pertussis (isolation & purification)</term>
<term>Chlamydophila pneumoniae (genetics)</term>
<term>Chlamydophila pneumoniae (isolation & purification)</term>
<term>Coinfection (epidemiology)</term>
<term>Coinfection (microbiology)</term>
<term>Coinfection (virology)</term>
<term>Community-Acquired Infections (diagnosis)</term>
<term>Community-Acquired Infections (epidemiology)</term>
<term>Community-Acquired Infections (microbiology)</term>
<term>Community-Acquired Infections (virology)</term>
<term>Female (MeSH)</term>
<term>Gram-Negative Bacterial Infections (epidemiology)</term>
<term>Gram-Negative Bacterial Infections (microbiology)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (MeSH)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (virology)</term>
<term>Legionella pneumophila (genetics)</term>
<term>Legionella pneumophila (isolation & purification)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Multiplex Polymerase Chain Reaction (MeSH)</term>
<term>Mycoplasma pneumoniae (genetics)</term>
<term>Mycoplasma pneumoniae (isolation & purification)</term>
<term>Pandemics (MeSH)</term>
<term>Pneumonia, Bacterial (diagnosis)</term>
<term>Pneumonia, Bacterial (epidemiology)</term>
<term>Pneumonia, Bacterial (microbiology)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Prospective Studies (MeSH)</term>
<term>Respiratory Syncytial Virus Infections (diagnosis)</term>
<term>Respiratory Syncytial Virus Infections (epidemiology)</term>
<term>Respiratory Syncytial Virus Infections (virology)</term>
<term>Respiratory Syncytial Virus, Human (isolation & purification)</term>
<term>Respiratory Syncytial Virus, Human (pathogenicity)</term>
<term>Seasons (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Spain (epidemiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Bordetella pertussis (génétique)</term>
<term>Bordetella pertussis (isolement et purification)</term>
<term>Chlamydophila pneumoniae (génétique)</term>
<term>Chlamydophila pneumoniae (isolement et purification)</term>
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<term>Co-infection (virologie)</term>
<term>Co-infection (épidémiologie)</term>
<term>Espagne (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Infections bactériennes à Gram négatif (microbiologie)</term>
<term>Infections bactériennes à Gram négatif (épidémiologie)</term>
<term>Infections communautaires (diagnostic)</term>
<term>Infections communautaires (microbiologie)</term>
<term>Infections communautaires (virologie)</term>
<term>Infections communautaires (épidémiologie)</term>
<term>Infections à virus respiratoire syncytial (diagnostic)</term>
<term>Infections à virus respiratoire syncytial (virologie)</term>
<term>Infections à virus respiratoire syncytial (épidémiologie)</term>
<term>Legionella pneumophila (génétique)</term>
<term>Legionella pneumophila (isolement et purification)</term>
<term>Mycoplasma pneumoniae (génétique)</term>
<term>Mycoplasma pneumoniae (isolement et purification)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Pneumopathie bactérienne (diagnostic)</term>
<term>Pneumopathie bactérienne (microbiologie)</term>
<term>Pneumopathie bactérienne (épidémiologie)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Réaction de polymérisation en chaine multiplex (MeSH)</term>
<term>Saisons (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Techniques de typage bactérien (MeSH)</term>
<term>Virus respiratoire syncytial humain (isolement et purification)</term>
<term>Virus respiratoire syncytial humain (pathogénicité)</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="diagnosis" xml:lang="en"><term>Community-Acquired Infections</term>
<term>Pneumonia, Bacterial</term>
<term>Pneumonia, Viral</term>
<term>Respiratory Syncytial Virus Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections communautaires</term>
<term>Infections à virus respiratoire syncytial</term>
<term>Pneumopathie bactérienne</term>
<term>Pneumopathie virale</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coinfection</term>
<term>Community-Acquired Infections</term>
<term>Gram-Negative Bacterial Infections</term>
<term>Influenza, Human</term>
<term>Pneumonia, Bacterial</term>
<term>Pneumonia, Viral</term>
<term>Respiratory Syncytial Virus Infections</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Bordetella pertussis</term>
<term>Chlamydophila pneumoniae</term>
<term>Legionella pneumophila</term>
<term>Mycoplasma pneumoniae</term>
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<keywords scheme="MESH" qualifier="génétique" xml:lang="fr"><term>Bordetella pertussis</term>
<term>Chlamydophila pneumoniae</term>
<term>Legionella pneumophila</term>
<term>Mycoplasma pneumoniae</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Bordetella pertussis</term>
<term>Chlamydophila pneumoniae</term>
<term>Legionella pneumophila</term>
<term>Mycoplasma pneumoniae</term>
<term>Respiratory Syncytial Virus, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Bordetella pertussis</term>
<term>Chlamydophila pneumoniae</term>
<term>Legionella pneumophila</term>
<term>Mycoplasma pneumoniae</term>
<term>Virus respiratoire syncytial humain</term>
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<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Co-infection</term>
<term>Infections bactériennes à Gram négatif</term>
<term>Infections communautaires</term>
<term>Pneumopathie bactérienne</term>
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<keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Coinfection</term>
<term>Community-Acquired Infections</term>
<term>Gram-Negative Bacterial Infections</term>
<term>Pneumonia, Bacterial</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>Respiratory Syncytial Virus, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogénicité" xml:lang="fr"><term>Virus respiratoire syncytial humain</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Co-infection</term>
<term>Grippe humaine</term>
<term>Infections communautaires</term>
<term>Infections à virus respiratoire syncytial</term>
<term>Pneumopathie virale</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coinfection</term>
<term>Community-Acquired Infections</term>
<term>Influenza, Human</term>
<term>Pneumonia, Viral</term>
<term>Respiratory Syncytial Virus Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Co-infection</term>
<term>Espagne</term>
<term>Grippe humaine</term>
<term>Infections bactériennes à Gram négatif</term>
<term>Infections communautaires</term>
<term>Infections à virus respiratoire syncytial</term>
<term>Pneumopathie bactérienne</term>
<term>Pneumopathie virale</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bacterial Typing Techniques</term>
<term>Female</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Male</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Mâle</term>
<term>Pandémies</term>
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<term>Techniques de typage bactérien</term>
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<front><div type="abstract" xml:lang="en">This study aimed to determine the aetiology of community-acquired pneumonia (CAP) by adding polymerase chain reaction (PCR) to conventional methods and to describe the clinical and laboratory features between patients with bacterial pneumonia (BP) and viral pneumonia (VP). Adults with CAP admitted from November 2009 to October 2010 were included. Demographics, comorbidities, severity and clinical features were recorded. Conventional microbiological methods included blood and sputum cultures, acute and convalescent serologic samples, and antigen urinary detection. New methods included multiplex PCR for Mycoplasma pneumoniae, Legionella pneumophila, Chlamydophila pneumoniae, Bordetella pertussis and 15 respiratory viruses. A total of 169 patients were included. Using conventional methods, we identified a pathogen in 51 % of cases. With PCR, up to 70 % of cases had an aetiological diagnosis. Forty-five patients had BP (34 %), 22 had VP (17 %) and 25 (19 %) had co-infection (BP and VP). Pneumococci and respiratory syncytial virus (RSV) were the most frequently identified pathogens. Procalcitonin (PCT) and C-reactive protein (CRP) median values were significantly higher in BP than in VP patients. Shaking chills, higher CURB score and shock were significantly more frequent in BP. A viral infection was identified in more than one-third of patients with CAP. Clinical and laboratory features could help to differentiate between VP and BP and to guide empirical therapy.</div>
</front>
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<Abstract><AbstractText>This study aimed to determine the aetiology of community-acquired pneumonia (CAP) by adding polymerase chain reaction (PCR) to conventional methods and to describe the clinical and laboratory features between patients with bacterial pneumonia (BP) and viral pneumonia (VP). Adults with CAP admitted from November 2009 to October 2010 were included. Demographics, comorbidities, severity and clinical features were recorded. Conventional microbiological methods included blood and sputum cultures, acute and convalescent serologic samples, and antigen urinary detection. New methods included multiplex PCR for Mycoplasma pneumoniae, Legionella pneumophila, Chlamydophila pneumoniae, Bordetella pertussis and 15 respiratory viruses. A total of 169 patients were included. Using conventional methods, we identified a pathogen in 51 % of cases. With PCR, up to 70 % of cases had an aetiological diagnosis. Forty-five patients had BP (34 %), 22 had VP (17 %) and 25 (19 %) had co-infection (BP and VP). Pneumococci and respiratory syncytial virus (RSV) were the most frequently identified pathogens. Procalcitonin (PCT) and C-reactive protein (CRP) median values were significantly higher in BP than in VP patients. Shaking chills, higher CURB score and shock were significantly more frequent in BP. A viral infection was identified in more than one-third of patients with CAP. Clinical and laboratory features could help to differentiate between VP and BP and to guide empirical therapy.</AbstractText>
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Aetiology of community-acquired pneumonia among adults in an H1N1 pandemic year: the role of respiratory viruses.

Aetiology of community-acquired pneumonia among adults in an H1N1 pandemic year: the role of respiratory viruses.

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