Evidence map›Paper›PMID 27276986›Full record

ReviewIntensive care medicine2016

Community-acquired pneumonia related to intracellular pathogens.

Catia Cillóniz, Antoni Torres, Michael Niederman, Menno van der Eerden, James Chalmers, Tobias Welte, Francesco Blasi

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 2 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Global molecular epidemiology ofEmerging microbes & infections · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trends and outcomes ofMicrobiology spectrum · 2026
    Article
  6. Upsurge of Chlamydia pneumoniae respiratory tract infections in 2024/2025 in Southern Germany.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  7. Clinical characterization ofFrontiers in medicine · 2026
    Article
  8. Article
  9. Article
  10. Host inflammatory markers and MLVA profiling for risk assessment of severe pediatricFrontiers in cellular and infection microbiology · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Rapid detection ofFrontiers in cellular and infection microbiology · 2025
    Article
  18. Macrolide resistance inFrontiers in cellular and infection microbiology · 2025
    Article
  19. Article
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 6 countries.

Catia CillónizDepartment of Pneumology, Institut Clinic del Tórax, Hospital Clinic of Barcelona Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona (UB)-SGR 911-Ciber de Enfermedades Respiratorias (Ciberes), Barcelona, Spain.
Antoni TorresDepartment of Pneumology, Institut Clinic del Tórax, Hospital Clinic of Barcelona Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona (UB)-SGR 911-Ciber de Enfermedades Respiratorias (Ciberes), Barcelona, Spain. atorres@clinic.ub.es.
Michael NiedermanDivision of Pulmonary and Critical Care Medicine, Weill Cornell Medicine, New York, NY, USA.
Menno van der EerdenDepartment of Pulmonary diseases, Erasmus Medical Centre, Rotterdam, The Netherlands.
James ChalmersScottish Centre for Respiratory Research, University of Dundee, Dundee, DD1 9SY, UK.
Tobias WelteDepartment of Pulmonary Medicine, Hannover Medical School and Member of the German Center of Lung Research (DZL), Hannover, Germany.
Francesco BlasiDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, IRCCS Fondazione Ospedale Maggiore Policlinico Cà Granda, Milan, Italy.
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESCornell University · USErasmus University Rotterdam · NLFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITMedizinische Hochschule Hannover · DEUniversitat de Barcelona · ESUniversity of Dundee · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Community-acquired pneumonia (CAP) is associated with high rates of morbidity and mortality worldwide; the annual incidence of CAP among adults in Europe has ranged from 1.5 to 1.7 per 1000 population. Intracellular bacteria are common causes of CAP. However, there is considerable variation in the reported incidence between countries and change over time. The intracellular pathogens that are well established as causes of pneumonia are Legionella pneumophila, Mycoplasma pneumoniae, Chlamydophila pneumoniae, Chlamydophila psittaci, and Coxiella burnetii. Since it is known that antibiotic treatment for severe CAP is empiric and includes coverage of typical and atypical pathogens, microbiological diagnosis bears an important relationship to prognosis of pneumonia. Factors such as adequacy of initial antibiotic or early de-escalation of therapy are important variables associated with outcomes, especially in severe cases. Intracellular pathogens sometimes appear to cause more severe disease with respiratory failure and multisystem dysfunction associated with fatal outcomes. The clinical relevance of intracellular pathogens in severe CAP has not been specifically investigated. We review the prevalence, general characteristics, and outcomes of severe CAP cases caused by intracellular pathogens.

Indexed as

Anti-Bacterial AgentsChlamydophila pneumoniaeCommunity-Acquired InfectionsCoxiella burnetiiEuropeGram-Negative Bacterial InfectionsHumansLegionella pneumophilaMycoplasma pneumoniaePneumonia, BacterialAnti-Bacterial AgentsCommunity-acquired pneumoniaEtiologyIntracellular pathogensPneumonia

Identifiers

PMID27276986
OpenAlexW2412512112

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.