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Campo DC | Valor | Lengua/Idioma |
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dc.contributor.author | Roux, Andrés de | - |
dc.contributor.author | Marcos, Maria A. | - |
dc.contributor.author | García-Vázquez, Elisa | - |
dc.contributor.author | Mensa, Jose | - |
dc.contributor.author | Ewig, Santiago | - |
dc.contributor.author | Lode, Hartmut | - |
dc.contributor.author | Torres, Antoni | - |
dc.contributor.other | Facultades, Departamentos, Servicios y Escuelas::Departamentos de la UMU::Medicina Interna | es |
dc.date.accessioned | 2024-07-08T10:49:23Z | - |
dc.date.available | 2024-07-08T10:49:23Z | - |
dc.date.issued | 2004 | - |
dc.identifier.citation | Chest Journal. 2004; 125(4):1343-1351 | es |
dc.identifier.issn | Print: 0012-3692 | - |
dc.identifier.issn | Electronic: 1931-3543 | - |
dc.identifier.uri | http://hdl.handle.net/10201/142921 | - |
dc.description | © 2004 The American College of Chest Physicians. Published by Elsevier Inc. All rights reserved. This document is the Published, version of a Published Work that appeared in final form in Chest Journal. To access the final edited and published work see https://doi.org/10.1378/chest.125.4.1343 | es |
dc.description.abstract | Introduction: Viral community-acquired pneumonia (CAP) has been poorly studied and clinically characterized. Using strict criteria for inclusion, we studied this type of infection in a large series of hospitalized adults with CAP. Materials and methods: All nonimmunocompromised adult patients with a diagnosis of CAP having paired serology for respiratory viruses (RVs) [338 patients] were prospectively included in the study from 1996 to 2001 at our 1,000-bed university teaching hospital, and subsequently were followed up. We compared patients with pure viral (PV), mixed viral (RV + bacteria), and pneumococcal CAP. RVs (ie, influenza, parainfluenza, respiratory syncytial virus, and adenovirus) were diagnosed by means of paired serology. Results: Sixty-one of 338 patients (18%) with paired serology had an RV detected, and in 31 cases (9%) it was the only pathogen identified. Influenza was the most frequent virus detected (39 patients; 64%). Patients with chronic heart failure (CHF) had an increased risk of acquiring PV CAP (8 of 26 patients; 31%) when compared to a mixed viral/bacterial etiology (2 of 26 patients; 8%; p = 0.035) or CAP caused by Streptococcus pneumoniae (1 of 44 patients; 2%; p = 0.001). Multivariate analysis revealed that CHF (odds ratio [OR], 15.3; 95% confidence interval [CI], 1.4 to 163; p = 0.024) and the absence of expectoration (OR, 0.14; 95% CI, 0.04 to 0.6; p = 0.006) were associated with PV pneumonia compared to pneumococcal CAP. Conclusion: RVs are frequent etiologies of CAP (single or in combination with bacteria). Patients with CHF have an increased risk of acquiring a viral CAP. | es |
dc.format | application/pdf | es |
dc.format.extent | 9 | es |
dc.language | eng | es |
dc.publisher | Elsevier | es |
dc.relation | Dr. de Roux was supported by a research fellowship grant from the European Respiratory Society (2001). This research was supported by Commisionat per a Universitats i Reserca de la Generalitat de Catalunya 1999 228, Fondo de Investigaciones Sanitarias grant 00/0505, Red Grupo Insuficiencia Respiratoria Aguda, and Red RESPIRA. | es |
dc.rights | info:eu-repo/semantics/embargoedAccess | es |
dc.subject | Chronic heart failure | es |
dc.subject | Community-acquired pneumonia | es |
dc.subject | Respiratory viral infection | es |
dc.subject | Risk factor | es |
dc.title | Viral community-acquired pneumonia in nonimmunocompromised adults | es |
dc.type | info:eu-repo/semantics/article | es |
dc.relation.publisherversion | https://www.sciencedirect.com/science/article/abs/pii/S001236921532095X?via%3Dihub | es |
dc.embargo.terms | Si | - |
dc.identifier.doi | https://doi.org/10.1378/chest.125.4.1343 | - |
Aparece en las colecciones: | Artículos: Medicina |
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Viral Community-Acquired Pneumonia....pdf | 429,26 kB | Adobe PDF | Visualizar/Abrir Solicitar una copia |
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