Risk of ruling out severe acute respiratory syndrome by ruling in another diagnosis: variable incidence of atypical bacteria coinfection based on diagnostic assays.
Identifieur interne : 002348 ( PubMed/Corpus ); précédent : 002347; suivant : 002349Risk of ruling out severe acute respiratory syndrome by ruling in another diagnosis: variable incidence of atypical bacteria coinfection based on diagnostic assays.
Auteurs : George Zahariadis ; Ted A. Gooley ; Phyllis Ryall ; Christine Hutchinson ; Mary I. Latchford ; Margaret A. Fearon ; Frances B. Jamieson ; Susan Richardson ; Theodore Kuschak ; Barbara MederskiSource :
- Canadian respiratory journal [ 1198-2241 ]
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Chlamydophila Infections (complications), Chlamydophila Infections (diagnosis), Chlamydophila pneumoniae (isolation & purification), Female, Humans, Male, Middle Aged, Mycoplasma pneumoniae (isolation & purification), Pneumonia, Bacterial (complications), Pneumonia, Bacterial (diagnosis), Pneumonia, Bacterial (epidemiology), Pneumonia, Mycoplasma (complications), Pneumonia, Mycoplasma (diagnosis), Retrospective Studies, SARS Virus (isolation & purification), Severe Acute Respiratory Syndrome (complications), Severe Acute Respiratory Syndrome (diagnosis), Severe Acute Respiratory Syndrome (epidemiology).
- MESH :
- complications : Chlamydophila Infections, Pneumonia, Bacterial, Pneumonia, Mycoplasma, Severe Acute Respiratory Syndrome.
- diagnosis : Chlamydophila Infections, Pneumonia, Bacterial, Pneumonia, Mycoplasma, Severe Acute Respiratory Syndrome.
- epidemiology : Pneumonia, Bacterial, Severe Acute Respiratory Syndrome.
- isolation & purification : Chlamydophila pneumoniae, Mycoplasma pneumoniae, SARS Virus.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
Severe acute respiratory syndrome (SARS) caused the first epidemic of the 21st century and continues to threaten the global community.
DOI: 10.1155/2006/862797
PubMed: 16470249
Links to Exploration step
pubmed:16470249Le document en format XML
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Gooley</name></author><author><name sortKey="Ryall, Phyllis" sort="Ryall, Phyllis" uniqKey="Ryall P" first="Phyllis" last="Ryall">Phyllis Ryall</name></author><author><name sortKey="Hutchinson, Christine" sort="Hutchinson, Christine" uniqKey="Hutchinson C" first="Christine" last="Hutchinson">Christine Hutchinson</name></author><author><name sortKey="Latchford, Mary I" sort="Latchford, Mary I" uniqKey="Latchford M" first="Mary I" last="Latchford">Mary I. Latchford</name></author><author><name sortKey="Fearon, Margaret A" sort="Fearon, Margaret A" uniqKey="Fearon M" first="Margaret A" last="Fearon">Margaret A. Fearon</name></author><author><name sortKey="Jamieson, Frances B" sort="Jamieson, Frances B" uniqKey="Jamieson F" first="Frances B" last="Jamieson">Frances B. Jamieson</name></author><author><name sortKey="Richardson, Susan" sort="Richardson, Susan" uniqKey="Richardson S" first="Susan" last="Richardson">Susan Richardson</name></author><author><name sortKey="Kuschak, Theodore" sort="Kuschak, Theodore" uniqKey="Kuschak T" first="Theodore" last="Kuschak">Theodore Kuschak</name></author><author><name sortKey="Mederski, Barbara" sort="Mederski, Barbara" uniqKey="Mederski B" first="Barbara" last="Mederski">Barbara Mederski</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2006 Jan-Feb</MedlineDate></PubDate></date><idno type="RBID">pubmed:16470249</idno><idno type="pmid">16470249</idno><idno type="doi">10.1155/2006/862797</idno><idno type="wicri:Area/PubMed/Corpus">002348</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002348</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Risk of ruling out severe acute respiratory syndrome by ruling in another diagnosis: variable incidence of atypical bacteria coinfection based on diagnostic assays.</title><author><name sortKey="Zahariadis, George" sort="Zahariadis, George" uniqKey="Zahariadis G" first="George" last="Zahariadis">George Zahariadis</name><affiliation><nlm:affiliation>University of Alberta, Edmonton, Canada. georgez@ualberta.ca</nlm:affiliation></affiliation></author><author><name sortKey="Gooley, Ted A" sort="Gooley, Ted A" uniqKey="Gooley T" first="Ted A" last="Gooley">Ted A. Gooley</name></author><author><name sortKey="Ryall, Phyllis" sort="Ryall, Phyllis" uniqKey="Ryall P" first="Phyllis" last="Ryall">Phyllis Ryall</name></author><author><name sortKey="Hutchinson, Christine" sort="Hutchinson, Christine" uniqKey="Hutchinson C" first="Christine" last="Hutchinson">Christine Hutchinson</name></author><author><name sortKey="Latchford, Mary I" sort="Latchford, Mary I" uniqKey="Latchford M" first="Mary I" last="Latchford">Mary I. Latchford</name></author><author><name sortKey="Fearon, Margaret A" sort="Fearon, Margaret A" uniqKey="Fearon M" first="Margaret A" last="Fearon">Margaret A. Fearon</name></author><author><name sortKey="Jamieson, Frances B" sort="Jamieson, Frances B" uniqKey="Jamieson F" first="Frances B" last="Jamieson">Frances B. Jamieson</name></author><author><name sortKey="Richardson, Susan" sort="Richardson, Susan" uniqKey="Richardson S" first="Susan" last="Richardson">Susan Richardson</name></author><author><name sortKey="Kuschak, Theodore" sort="Kuschak, Theodore" uniqKey="Kuschak T" first="Theodore" last="Kuschak">Theodore Kuschak</name></author><author><name sortKey="Mederski, Barbara" sort="Mederski, Barbara" uniqKey="Mederski B" first="Barbara" last="Mederski">Barbara Mederski</name></author></analytic><series><title level="j">Canadian respiratory journal</title><idno type="ISSN">1198-2241</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chlamydophila Infections (complications)</term><term>Chlamydophila Infections (diagnosis)</term><term>Chlamydophila pneumoniae (isolation & purification)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Mycoplasma pneumoniae (isolation & purification)</term><term>Pneumonia, Bacterial (complications)</term><term>Pneumonia, Bacterial (diagnosis)</term><term>Pneumonia, Bacterial (epidemiology)</term><term>Pneumonia, Mycoplasma (complications)</term><term>Pneumonia, Mycoplasma (diagnosis)</term><term>Retrospective Studies</term><term>SARS Virus (isolation & purification)</term><term>Severe Acute Respiratory Syndrome (complications)</term><term>Severe Acute Respiratory Syndrome (diagnosis)</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Chlamydophila Infections</term><term>Pneumonia, Bacterial</term><term>Pneumonia, Mycoplasma</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Chlamydophila Infections</term><term>Pneumonia, Bacterial</term><term>Pneumonia, Mycoplasma</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Pneumonia, Bacterial</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Chlamydophila pneumoniae</term><term>Mycoplasma pneumoniae</term><term>SARS Virus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Severe acute respiratory syndrome (SARS) caused the first epidemic of the 21st century and continues to threaten the global community.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16470249</PMID><DateCompleted><Year>2006</Year><Month>08</Month><Day>29</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1198-2241</ISSN><JournalIssue CitedMedium="Print"><Volume>13</Volume><Issue>1</Issue><PubDate><MedlineDate>2006 Jan-Feb</MedlineDate></PubDate></JournalIssue><Title>Canadian respiratory journal</Title><ISOAbbreviation>Can. Respir. J.</ISOAbbreviation></Journal><ArticleTitle>Risk of ruling out severe acute respiratory syndrome by ruling in another diagnosis: variable incidence of atypical bacteria coinfection based on diagnostic assays.</ArticleTitle><Pagination><MedlinePgn>17-22</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Severe acute respiratory syndrome (SARS) caused the first epidemic of the 21st century and continues to threaten the global community.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the incidence of coinfection in patients confirmed to have SARS-associated coronavirus (SARS-CoV) infection, and thus, to determine the risk of ruling out SARS by ruling in another diagnosis.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The present report is a retrospective study evaluating the incidence and impact of laboratory-confirmed SARS-CoV and other pulmonary pathogens in 117 patients. These patients were evaluated in a Toronto, Ontario, community hospital identified as the epicentre for the second SARS outbreak.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Coinfection with other pulmonary pathogens occurred in patients with SARS. Seventy-three per cent of the patient population evaluated had laboratory-confirmed SARS-CoV infection. Serology showing acute or recent Chlamydophila pneumoniae or Mycoplasma pneumoniae infection revealed an incidence of 30% and 9%, respectively, in those with SARS. These rates are similar to previously published studies on coinfection in pneumonia. All nucleic acid diagnostic assays were negative for C pneumoniae and M pneumoniae in respiratory samples from patients with SARS having serological evidence for these atypical pathogens.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Diagnostic assays for well-recognized pulmonary pathogens have limitations, and ruling out SARS-CoV by ruling in another pulmonary pathogen carries significant risk. Despite positive serology for atypical pathogens, in a setting where clinical suspicion for SARS is high, specific tests for SARS should be performed to confirm or exclude a diagnosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zahariadis</LastName><ForeName>George</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>University of Alberta, Edmonton, Canada. georgez@ualberta.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gooley</LastName><ForeName>Ted A</ForeName><Initials>TA</Initials></Author><Author ValidYN="Y"><LastName>Ryall</LastName><ForeName>Phyllis</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Hutchinson</LastName><ForeName>Christine</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Latchford</LastName><ForeName>Mary I</ForeName><Initials>MI</Initials></Author><Author ValidYN="Y"><LastName>Fearon</LastName><ForeName>Margaret A</ForeName><Initials>MA</Initials></Author><Author ValidYN="Y"><LastName>Jamieson</LastName><ForeName>Frances B</ForeName><Initials>FB</Initials></Author><Author ValidYN="Y"><LastName>Richardson</LastName><ForeName>Susan</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Kuschak</LastName><ForeName>Theodore</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Mederski</LastName><ForeName>Barbara</ForeName><Initials>B</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P30 CA015704</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30CA 15704</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Egypt</Country><MedlineTA>Can Respir J</MedlineTA><NlmUniqueID>9433332</NlmUniqueID><ISSNLinking>1198-2241</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D023521" MajorTopicYN="N">Chlamydophila Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016993" MajorTopicYN="N">Chlamydophila pneumoniae</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009177" MajorTopicYN="N">Mycoplasma pneumoniae</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018410" MajorTopicYN="N">Pneumonia, Bacterial</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011019" MajorTopicYN="N">Pneumonia, Mycoplasma</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045473" MajorTopicYN="N">SARS Virus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" 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