An international perspective on hospitalized patients with viral community-acquired pneumonia (2024)

Abstract

BACKGROUND: Who should be tested for viruses in patients with community acquired pneumonia (CAP), prevalence and risk factors for viral CAP are still debated. We evaluated the frequency of viral testing, virus prevalence, risk factors and treatment coverage with oseltamivir in patients admitted for CAP.

METHODS: Secondary analysis of GLIMP, an international, multicenter, point-prevalence study of hospitalized adults with CAP. Testing frequency, prevalence of viral CAP and treatment with oseltamivir were assessed among patients who underwent a viral swab. Univariate and multivariate analysis was used to evaluate risk factors.

RESULTS: 553 (14.9%) patients with CAP underwent nasal swab. Viral CAP was diagnosed in 157 (28.4%) patients. Influenza virus was isolated in 80.9% of cases. Testing frequency and viral CAP prevalence were inhom*ogeneous across the participating centers. Obesity (OR 1.59, 95%CI: 1.01-2.48; p = 0.043) and need for invasive mechanical ventilation (OR 1.62, 95%CI: 1.02-2.56; p = 0.040) were independently associated with viral CAP. Prevalence of empirical treatment with oseltamivir was 5.1%.

CONCLUSION: In an international scenario, testing frequency for viruses in CAP is very low. The most common cause of viral CAP is Influenza virus. Obesity and need for invasive ventilation represent independent risk factors for viral CAP. Adherence to recommendations for treatment with oseltamivir is poor.

Original languageEnglish
Pages (from-to)54-70
Number of pages17
JournalEuropean Journal of Internal Medicine
Volume60
DOIs
Publication statusPublished - Feb 2019

Keywords

  • Community acquired pneumonia
  • Oseltamivir
  • Viral pneumonia
  • Influenza
  • Viral swab
  • Testing

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    GLIMP Study Group (2019). An international perspective on hospitalized patients with viral community-acquired pneumonia. European Journal of Internal Medicine, 60, 54-70. https://doi.org/10.1016/j.ejim.2018.10.020

    GLIMP Study Group. / An international perspective on hospitalized patients with viral community-acquired pneumonia. In: European Journal of Internal Medicine. 2019 ; Vol. 60. pp. 54-70.

    @article{4802a4b9cca645dd9ee7216f01cd4672,

    title = "An international perspective on hospitalized patients with viral community-acquired pneumonia",

    abstract = "BACKGROUND: Who should be tested for viruses in patients with community acquired pneumonia (CAP), prevalence and risk factors for viral CAP are still debated. We evaluated the frequency of viral testing, virus prevalence, risk factors and treatment coverage with oseltamivir in patients admitted for CAP.METHODS: Secondary analysis of GLIMP, an international, multicenter, point-prevalence study of hospitalized adults with CAP. Testing frequency, prevalence of viral CAP and treatment with oseltamivir were assessed among patients who underwent a viral swab. Univariate and multivariate analysis was used to evaluate risk factors.RESULTS: 553 (14.9%) patients with CAP underwent nasal swab. Viral CAP was diagnosed in 157 (28.4%) patients. Influenza virus was isolated in 80.9% of cases. Testing frequency and viral CAP prevalence were inhom*ogeneous across the participating centers. Obesity (OR 1.59, 95%CI: 1.01-2.48; p = 0.043) and need for invasive mechanical ventilation (OR 1.62, 95%CI: 1.02-2.56; p = 0.040) were independently associated with viral CAP. Prevalence of empirical treatment with oseltamivir was 5.1%.CONCLUSION: In an international scenario, testing frequency for viruses in CAP is very low. The most common cause of viral CAP is Influenza virus. Obesity and need for invasive ventilation represent independent risk factors for viral CAP. Adherence to recommendations for treatment with oseltamivir is poor.",

    keywords = "Community acquired pneumonia, Oseltamivir, Viral pneumonia, Influenza, Viral swab, Testing",

    author = "{GLIMP Study Group} and Dejan Radovanovic and Giovanni Sotgiu and Mateja Jankovic and Mahesh, {Padukudru Anand} and Marcos, {Pedro Jorge} and Abdalla, {Mohamed I} and {Di Pasquale}, {Marta Francesca} and Andrea Gramegna and Silvia Terraneo and Francesco Blasi and Pierachille Santus and Stefano Aliberti and Reyes, {Luis F} and Restrepo, {Marcos I} and Aruj, {Patricia Karina} and Silvia Attorri and Enrique Barimboim and Caeiro, {Juan Pablo} and Garz{\'o}n, {Mar{\'i}a I} and Cambursano, {Victor Hugo} and Adrian Ceccato and Julio Chertcoff and {Cordon D{\'i}az}, Ariel and {de Vedia}, Lautaro and Ganaha, {Maria Cristina} and Sandra Lambert and Gustavo Lopardo and Luna, {Carlos M} and Malberti, {Alessio Gerardo} and Nora Morcillo and Silvina Tartara and Claudia Pensotti and Betiana Pereyra and Scapellato, {Pablo Gustavo} and Stagnaro, {Juan Pablo} and Sonali Shah and Felix L{\"o}tsch and Florian Thalhammer and Kurt Anseeuw and Francois, {Camille A} and {Van Braeckel}, Eva and Vincent, {Jean Louis} and Djimon, {Marcel Zannou} and {Aranha Nou{\'e}r}, Simone and Peter Chipev and Milena Encheva and Darina Miteva and Diana Petkova and Balkissou, {Adamou Dodo} and {van de Garde}, {E M W}",

    note = "Copyright {\textcopyright} 2018 European Federation of Internal Medicine. All rights reserved.",

    year = "2019",

    month = feb,

    doi = "10.1016/j.ejim.2018.10.020",

    language = "English",

    volume = "60",

    pages = "54--70",

    journal = "European Journal of Internal Medicine",

    issn = "0953-6205",

    publisher = "Elsevier",

    }

    GLIMP Study Group 2019, 'An international perspective on hospitalized patients with viral community-acquired pneumonia', European Journal of Internal Medicine, vol. 60, pp. 54-70. https://doi.org/10.1016/j.ejim.2018.10.020

    An international perspective on hospitalized patients with viral community-acquired pneumonia. / GLIMP Study Group.
    In: European Journal of Internal Medicine, Vol. 60, 02.2019, p. 54-70.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - An international perspective on hospitalized patients with viral community-acquired pneumonia

    AU - GLIMP Study Group

    AU - Radovanovic, Dejan

    AU - Sotgiu, Giovanni

    AU - Jankovic, Mateja

    AU - Mahesh, Padukudru Anand

    AU - Marcos, Pedro Jorge

    AU - Abdalla, Mohamed I

    AU - Di Pasquale, Marta Francesca

    AU - Gramegna, Andrea

    AU - Terraneo, Silvia

    AU - Blasi, Francesco

    AU - Santus, Pierachille

    AU - Aliberti, Stefano

    AU - Reyes, Luis F

    AU - Restrepo, Marcos I

    AU - Aruj, Patricia Karina

    AU - Attorri, Silvia

    AU - Barimboim, Enrique

    AU - Caeiro, Juan Pablo

    AU - Garzón, María I

    AU - Cambursano, Victor Hugo

    AU - Ceccato, Adrian

    AU - Chertcoff, Julio

    AU - Cordon Díaz, Ariel

    AU - de Vedia, Lautaro

    AU - Ganaha, Maria Cristina

    AU - Lambert, Sandra

    AU - Lopardo, Gustavo

    AU - Luna, Carlos M

    AU - Malberti, Alessio Gerardo

    AU - Morcillo, Nora

    AU - Tartara, Silvina

    AU - Pensotti, Claudia

    AU - Pereyra, Betiana

    AU - Scapellato, Pablo Gustavo

    AU - Stagnaro, Juan Pablo

    AU - Shah, Sonali

    AU - Lötsch, Felix

    AU - Thalhammer, Florian

    AU - Anseeuw, Kurt

    AU - Francois, Camille A

    AU - Van Braeckel, Eva

    AU - Vincent, Jean Louis

    AU - Djimon, Marcel Zannou

    AU - Aranha Nouér, Simone

    AU - Chipev, Peter

    AU - Encheva, Milena

    AU - Miteva, Darina

    AU - Petkova, Diana

    AU - Balkissou, Adamou Dodo

    AU - van de Garde, E M W

    N1 - Copyright © 2018 European Federation of Internal Medicine. All rights reserved.

    PY - 2019/2

    Y1 - 2019/2

    N2 - BACKGROUND: Who should be tested for viruses in patients with community acquired pneumonia (CAP), prevalence and risk factors for viral CAP are still debated. We evaluated the frequency of viral testing, virus prevalence, risk factors and treatment coverage with oseltamivir in patients admitted for CAP.METHODS: Secondary analysis of GLIMP, an international, multicenter, point-prevalence study of hospitalized adults with CAP. Testing frequency, prevalence of viral CAP and treatment with oseltamivir were assessed among patients who underwent a viral swab. Univariate and multivariate analysis was used to evaluate risk factors.RESULTS: 553 (14.9%) patients with CAP underwent nasal swab. Viral CAP was diagnosed in 157 (28.4%) patients. Influenza virus was isolated in 80.9% of cases. Testing frequency and viral CAP prevalence were inhom*ogeneous across the participating centers. Obesity (OR 1.59, 95%CI: 1.01-2.48; p = 0.043) and need for invasive mechanical ventilation (OR 1.62, 95%CI: 1.02-2.56; p = 0.040) were independently associated with viral CAP. Prevalence of empirical treatment with oseltamivir was 5.1%.CONCLUSION: In an international scenario, testing frequency for viruses in CAP is very low. The most common cause of viral CAP is Influenza virus. Obesity and need for invasive ventilation represent independent risk factors for viral CAP. Adherence to recommendations for treatment with oseltamivir is poor.

    AB - BACKGROUND: Who should be tested for viruses in patients with community acquired pneumonia (CAP), prevalence and risk factors for viral CAP are still debated. We evaluated the frequency of viral testing, virus prevalence, risk factors and treatment coverage with oseltamivir in patients admitted for CAP.METHODS: Secondary analysis of GLIMP, an international, multicenter, point-prevalence study of hospitalized adults with CAP. Testing frequency, prevalence of viral CAP and treatment with oseltamivir were assessed among patients who underwent a viral swab. Univariate and multivariate analysis was used to evaluate risk factors.RESULTS: 553 (14.9%) patients with CAP underwent nasal swab. Viral CAP was diagnosed in 157 (28.4%) patients. Influenza virus was isolated in 80.9% of cases. Testing frequency and viral CAP prevalence were inhom*ogeneous across the participating centers. Obesity (OR 1.59, 95%CI: 1.01-2.48; p = 0.043) and need for invasive mechanical ventilation (OR 1.62, 95%CI: 1.02-2.56; p = 0.040) were independently associated with viral CAP. Prevalence of empirical treatment with oseltamivir was 5.1%.CONCLUSION: In an international scenario, testing frequency for viruses in CAP is very low. The most common cause of viral CAP is Influenza virus. Obesity and need for invasive ventilation represent independent risk factors for viral CAP. Adherence to recommendations for treatment with oseltamivir is poor.

    KW - Community acquired pneumonia

    KW - Oseltamivir

    KW - Viral pneumonia

    KW - Influenza

    KW - Viral swab

    KW - Testing

    U2 - 10.1016/j.ejim.2018.10.020

    DO - 10.1016/j.ejim.2018.10.020

    M3 - Article

    C2 - 30401576

    SN - 0953-6205

    VL - 60

    SP - 54

    EP - 70

    JO - European Journal of Internal Medicine

    JF - European Journal of Internal Medicine

    ER -

    GLIMP Study Group. An international perspective on hospitalized patients with viral community-acquired pneumonia. European Journal of Internal Medicine. 2019 Feb;60:54-70. doi: 10.1016/j.ejim.2018.10.020

    An international perspective on hospitalized patients with viral community-acquired pneumonia (2024)
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