Predictors of viral pneumonia: The need for viral testing in all patients hospitalized for nursing home‐acquired pneumonia
Identifieur interne : 000667 ( Pmc/Curation ); précédent : 000666; suivant : 000668Predictors of viral pneumonia: The need for viral testing in all patients hospitalized for nursing home‐acquired pneumonia
Auteurs : Hon Ming Ma ; Kin Ping Lee ; Jean WooSource :
- Geriatrics & Gerontology International [ 1444-1586 ] ; 2013.
Abstract
Community‐acquired pneumonia (
A prospective cohort study was carried out in a tertiary teaching hospital in a 1‐year period. Older patients (aged ≥65 years) were recruited if they were admitted for
A cohort of 488 patients was analyzed. Infective causes were found in 137 (28.1%) patients. Bacterial, viral and mixed infections were detected in 86 (17.6%), 41 (8.4%) and 10 (2.0%) patients, respectively. Bacteriology was established mostly by sputum culture and virology by nasopharyngeal aspirate (
All nursing home residents hospitalized for
Url:
DOI: 10.1111/ggi.12036
PubMed: 23441872
PubMed Central: 7165925
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000667
Links to Exploration step
PMC:7165925Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Predictors of viral pneumonia: The need for viral testing in all patients hospitalized for nursing home‐acquired pneumonia</title>
<author><name sortKey="Ma, Hon Ming" sort="Ma, Hon Ming" uniqKey="Ma H" first="Hon Ming" last="Ma">Hon Ming Ma</name>
<affiliation><nlm:aff id="ggi12036-aff-0001"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Kin Ping" sort="Lee, Kin Ping" uniqKey="Lee K" first="Kin Ping" last="Lee">Kin Ping Lee</name>
<affiliation><nlm:aff id="ggi12036-aff-0002"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Woo, Jean" sort="Woo, Jean" uniqKey="Woo J" first="Jean" last="Woo">Jean Woo</name>
<affiliation><nlm:aff id="ggi12036-aff-0001"></nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">23441872</idno>
<idno type="pmc">7165925</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165925</idno>
<idno type="RBID">PMC:7165925</idno>
<idno type="doi">10.1111/ggi.12036</idno>
<date when="2013">2013</date>
<idno type="wicri:Area/Pmc/Corpus">000667</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000667</idno>
<idno type="wicri:Area/Pmc/Curation">000667</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000667</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Predictors of viral pneumonia: The need for viral testing in all patients hospitalized for nursing home‐acquired pneumonia</title>
<author><name sortKey="Ma, Hon Ming" sort="Ma, Hon Ming" uniqKey="Ma H" first="Hon Ming" last="Ma">Hon Ming Ma</name>
<affiliation><nlm:aff id="ggi12036-aff-0001"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Kin Ping" sort="Lee, Kin Ping" uniqKey="Lee K" first="Kin Ping" last="Lee">Kin Ping Lee</name>
<affiliation><nlm:aff id="ggi12036-aff-0002"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Woo, Jean" sort="Woo, Jean" uniqKey="Woo J" first="Jean" last="Woo">Jean Woo</name>
<affiliation><nlm:aff id="ggi12036-aff-0001"></nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Geriatrics & Gerontology International</title>
<idno type="ISSN">1444-1586</idno>
<idno type="eISSN">1447-0594</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="ggi12036-sec-0001"><title>Aim</title>
<p>Community‐acquired pneumonia (<styled-content style="fixed-case" toggle="no">CAP</styled-content>
) is presumed to be bacterial in origin and empirical antibiotics are almost always given on admission. However, early detection of viral infection is also very important for hospital infection control and timely use of antiviral agents. The present study aimed to compare patients with viral and bacterial pneumonia, and identify independent predictors of viral pneumonia.</p>
</sec>
<sec id="ggi12036-sec-0002"><title>Methods</title>
<p>A prospective cohort study was carried out in a tertiary teaching hospital in a 1‐year period. Older patients (aged ≥65 years) were recruited if they were admitted for <styled-content style="fixed-case" toggle="no">CAP</styled-content>
confirmed by chest radiographs.</p>
</sec>
<sec id="ggi12036-sec-0003"><title>Results</title>
<p>A cohort of 488 patients was analyzed. Infective causes were found in 137 (28.1%) patients. Bacterial, viral and mixed infections were detected in 86 (17.6%), 41 (8.4%) and 10 (2.0%) patients, respectively. Bacteriology was established mostly by sputum culture and virology by nasopharyngeal aspirate (<styled-content style="fixed-case" toggle="no">NPA</styled-content>
) viral culture. The commonest bacterial isolates were <italic><styled-content style="fixed-case" toggle="no">H</styled-content>
aemophilus influenzae</italic>
(31), <italic><styled-content style="fixed-case" toggle="no">P</styled-content>
seudomonas aeruginosa</italic>
(15), <italic><styled-content style="fixed-case" toggle="no">M</styled-content>
ycobacterium tuberculosis</italic>
(14), <italic>Klebsiella</italic>
spp. (9) and <italic><styled-content style="fixed-case" toggle="no">S</styled-content>
treptococcus pneumoniae</italic>
(6). Influenza <styled-content style="fixed-case" toggle="no">A</styled-content>
virus (28, 8 were pandemic 2009 <styled-content style="fixed-case" toggle="no">A/H1N1</styled-content>
subtype) and respiratory syncytial virus (16) were the most frequent viral causes. Independent predictors of viral pneumonia included nursing home residence (<styled-content style="fixed-case" toggle="no">RR</styled-content>
3.056, <italic>P</italic>
= 0.009) and absence of leukocytosis (<styled-content style="fixed-case" toggle="no">RR</styled-content>
0.425, <italic>P</italic>
= 0.026).</p>
</sec>
<sec id="ggi12036-sec-0004"><title>Conclusions</title>
<p>All nursing home residents hospitalized for <styled-content style="fixed-case" toggle="no">CAP</styled-content>
should undergo <styled-content style="fixed-case" toggle="no">NPA</styled-content>
viral testing because of infection control, early antiviral treatment and discharge planning. We suggest that empirical antiviral agents might be considered for nursing home residents hospitalized for <styled-content style="fixed-case" toggle="no">CAP</styled-content>
if outbreaks of influenza‐like illness are reported in nursing homes. <bold>Geriatr Gerontol Int 2013; 13: 949–957.</bold>
</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Geriatr Gerontol Int</journal-id>
<journal-id journal-id-type="iso-abbrev">Geriatr Gerontol Int</journal-id>
<journal-id journal-id-type="doi">10.1111/(ISSN)1447-0594</journal-id>
<journal-id journal-id-type="publisher-id">GGI</journal-id>
<journal-title-group><journal-title>Geriatrics & Gerontology International</journal-title>
</journal-title-group>
<issn pub-type="ppub">1444-1586</issn>
<issn pub-type="epub">1447-0594</issn>
<publisher><publisher-name>John Wiley and Sons Inc.</publisher-name>
<publisher-loc>Hoboken</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23441872</article-id>
<article-id pub-id-type="pmc">7165925</article-id>
<article-id pub-id-type="doi">10.1111/ggi.12036</article-id>
<article-id pub-id-type="publisher-id">GGI12036</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Articles: Epidemiology, Clinical Practice and Health</subject>
</subj-group>
<subj-group subj-group-type="overline"><subject>Original Article: Epidemiology, Clinical Practice and Health</subject>
</subj-group>
</article-categories>
<title-group><article-title>Predictors of viral pneumonia: The need for viral testing in all patients hospitalized for nursing home‐acquired pneumonia</article-title>
<alt-title alt-title-type="right-running-head">Viral infection in NHAP</alt-title>
<alt-title alt-title-type="left-running-head">HM Ma <italic>et al</italic>
.</alt-title>
</title-group>
<contrib-group><contrib id="ggi12036-cr-0001" contrib-type="author" corresp="yes"><name><surname>Ma</surname>
<given-names>Hon Ming</given-names>
</name>
<xref ref-type="aff" rid="ggi12036-aff-0001"><sup>1</sup>
</xref>
</contrib>
<contrib id="ggi12036-cr-0002" contrib-type="author"><name><surname>Lee</surname>
<given-names>Kin Ping</given-names>
</name>
<xref ref-type="aff" rid="ggi12036-aff-0002"><sup>2</sup>
</xref>
</contrib>
<contrib id="ggi12036-cr-0003" contrib-type="author"><name><surname>Woo</surname>
<given-names>Jean</given-names>
</name>
<xref ref-type="aff" rid="ggi12036-aff-0001"><sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="ggi12036-aff-0001"><label><sup>1</sup>
</label>
<named-content content-type="organisation-division">Department of Medicine and Therapeutics</named-content>
<institution>Prince of Wales Hospital</institution>
<institution>The Chinese University of Hong Kong</institution>
<city>Hong Kong SAR</city>
<country country="CN">China</country>
</aff>
<aff id="ggi12036-aff-0002"><label><sup>2</sup>
</label>
<named-content content-type="organisation-division">Department of Microbiology</named-content>
<institution>Prince of Wales Hospital</institution>
<institution>The Chinese University of Hong Kong</institution>
<city>Hong Kong SAR</city>
<country country="CN">China</country>
</aff>
<author-notes><corresp id="correspondenceTo"><label>*</label>
Correspondence: Dr Ma Hon Ming MBChB MRCP MSc MPH, Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China. Email: <email>hmma@cuhk.edu.hk</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>26</day>
<month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>10</month>
<year>2013</year>
</pub-date>
<volume>13</volume>
<issue>4</issue>
<issue-id pub-id-type="doi">10.1111/ggi.2013.13.issue-4</issue-id>
<fpage>949</fpage>
<lpage>957</lpage>
<history><date date-type="accepted"><day>13</day>
<month>12</month>
<year>2012</year>
</date>
</history>
<permissions><pmc-comment> Copyright © 2013 Japan Geriatrics Society </pmc-comment>
<copyright-statement content-type="article-copyright">© 2013 Japan Geriatrics Society</copyright-statement>
<license><license-p>This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="file://GGI-13-949.pdf"></self-uri>
<abstract><sec id="ggi12036-sec-0001"><title>Aim</title>
<p>Community‐acquired pneumonia (<styled-content style="fixed-case" toggle="no">CAP</styled-content>
) is presumed to be bacterial in origin and empirical antibiotics are almost always given on admission. However, early detection of viral infection is also very important for hospital infection control and timely use of antiviral agents. The present study aimed to compare patients with viral and bacterial pneumonia, and identify independent predictors of viral pneumonia.</p>
</sec>
<sec id="ggi12036-sec-0002"><title>Methods</title>
<p>A prospective cohort study was carried out in a tertiary teaching hospital in a 1‐year period. Older patients (aged ≥65 years) were recruited if they were admitted for <styled-content style="fixed-case" toggle="no">CAP</styled-content>
confirmed by chest radiographs.</p>
</sec>
<sec id="ggi12036-sec-0003"><title>Results</title>
<p>A cohort of 488 patients was analyzed. Infective causes were found in 137 (28.1%) patients. Bacterial, viral and mixed infections were detected in 86 (17.6%), 41 (8.4%) and 10 (2.0%) patients, respectively. Bacteriology was established mostly by sputum culture and virology by nasopharyngeal aspirate (<styled-content style="fixed-case" toggle="no">NPA</styled-content>
) viral culture. The commonest bacterial isolates were <italic><styled-content style="fixed-case" toggle="no">H</styled-content>
aemophilus influenzae</italic>
(31), <italic><styled-content style="fixed-case" toggle="no">P</styled-content>
seudomonas aeruginosa</italic>
(15), <italic><styled-content style="fixed-case" toggle="no">M</styled-content>
ycobacterium tuberculosis</italic>
(14), <italic>Klebsiella</italic>
spp. (9) and <italic><styled-content style="fixed-case" toggle="no">S</styled-content>
treptococcus pneumoniae</italic>
(6). Influenza <styled-content style="fixed-case" toggle="no">A</styled-content>
virus (28, 8 were pandemic 2009 <styled-content style="fixed-case" toggle="no">A/H1N1</styled-content>
subtype) and respiratory syncytial virus (16) were the most frequent viral causes. Independent predictors of viral pneumonia included nursing home residence (<styled-content style="fixed-case" toggle="no">RR</styled-content>
3.056, <italic>P</italic>
= 0.009) and absence of leukocytosis (<styled-content style="fixed-case" toggle="no">RR</styled-content>
0.425, <italic>P</italic>
= 0.026).</p>
</sec>
<sec id="ggi12036-sec-0004"><title>Conclusions</title>
<p>All nursing home residents hospitalized for <styled-content style="fixed-case" toggle="no">CAP</styled-content>
should undergo <styled-content style="fixed-case" toggle="no">NPA</styled-content>
viral testing because of infection control, early antiviral treatment and discharge planning. We suggest that empirical antiviral agents might be considered for nursing home residents hospitalized for <styled-content style="fixed-case" toggle="no">CAP</styled-content>
if outbreaks of influenza‐like illness are reported in nursing homes. <bold>Geriatr Gerontol Int 2013; 13: 949–957.</bold>
</p>
</sec>
</abstract>
<kwd-group kwd-group-type="author-generated"><kwd id="ggi12036-kwd-0001">community‐acquired pneumonia</kwd>
<kwd id="ggi12036-kwd-0002">nursing home residence</kwd>
<kwd id="ggi12036-kwd-0003">viral pneumonia</kwd>
</kwd-group>
<counts><page-count count="9"></page-count>
</counts>
<custom-meta-group><custom-meta><meta-name>source-schema-version-number</meta-name>
<meta-value>2.0</meta-value>
</custom-meta>
<custom-meta><meta-name>cover-date</meta-name>
<meta-value>October 2013</meta-value>
</custom-meta>
<custom-meta><meta-name>details-of-publishers-convertor</meta-name>
<meta-value>Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.0 mode:remove_FC converted:15.04.2020</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/StressCovidV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000667 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000667 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= StressCovidV1 |flux= Pmc |étape= Curation |type= RBID |clé= PMC:7165925 |texte= Predictors of viral pneumonia: The need for viral testing in all patients hospitalized for nursing home‐acquired pneumonia }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i -Sk "pubmed:23441872" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd \ | NlmPubMed2Wicri -a StressCovidV1
![]() | This area was generated with Dilib version V0.6.33. | ![]() |