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https://doi.org/10.1378/chest.125.4.1343
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Título: | Viral community-acquired pneumonia in nonimmunocompromised adults |
Fecha de publicación: | 2004 |
Editorial: | Elsevier |
Cita bibliográfica: | Chest Journal. 2004; 125(4):1343-1351 |
ISSN: | Print: 0012-3692 Electronic: 1931-3543 |
Palabras clave: | Chronic heart failure Community-acquired pneumonia Respiratory viral infection Risk factor |
Resumen: | 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. |
Autor/es principal/es: | Roux, Andrés de Marcos, Maria A. García-Vázquez, Elisa Mensa, Jose Ewig, Santiago Lode, Hartmut Torres, Antoni |
Facultad/Departamentos/Servicios: | Facultades, Departamentos, Servicios y Escuelas::Departamentos de la UMU::Medicina Interna |
Versión del editor: | https://www.sciencedirect.com/science/article/abs/pii/S001236921532095X?via%3Dihub |
URI: | http://hdl.handle.net/10201/142921 |
DOI: | https://doi.org/10.1378/chest.125.4.1343 |
Tipo de documento: | info:eu-repo/semantics/article |
Número páginas / Extensión: | 9 |
Derechos: | info:eu-repo/semantics/embargoedAccess |
Descripción: | © 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 |
Aparece en las colecciones: | Artículos: Medicina |
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