Observational studyJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2016
Clinical practice of respiratory virus diagnostics in critically ill patients with a suspected pneumonia: A prospective observational study.
Observational study in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Practical Guidance for Clinical Microbiology Laboratories: Viruses Causing Acute Respiratory Tract Infections.Clinical microbiology reviews · 2019Guideline
- The impact of 13-valent pneumococcal conjugate vaccination on virus-associated community-acquired pneumonia in elderly: Exploratory analysis of the CAPiTA trial.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2018Trial
- Epidemiologic Characteristics and Clinical Significance of Respiratory Viral Infections Among Adult Patients Admitted to the Intensive Care Unit.Frontiers in medicine · 2022Article
- Experience of establishing severe acute respiratory surveillance in the Netherlands: Evaluation and challenges.Public health in practice (Oxford, England) · 2020Article
- The association between influenza infections in primary care and intensive care admissions for severe acute respiratory infection (SARI): A modelling approach.Influenza and other respiratory viruses · 2020Article
- Media Reports as a Source for Monitoring Impact of Influenza on Hospital Care: Qualitative Content Analysis.JMIR public health and surveillance · 2020Article
- Estimating severity of influenza epidemics from severe acute respiratory infections (SARI) in intensive care units.Critical care (London, England) · 2018Article
- Duration of Stay of Patients with Community-Acquired Pneumonia in Influenza Season.Turkish thoracic journal · 2018Article
- Impact of microbial Aetiology on mortality in severe community-acquired pneumonia.BMC infectious diseases · 2018Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinical guidelines suggest testing for respiratory viruses during the influenza season, but are unclear which categories of patients on the intensive care unit (ICU) should be tested.
objectiveWe described the clinical practice of diagnostic testing for respiratory virus infections in patients presenting to ICU with suspected community-acquired pneumonia (CAP) or hospital-acquired pneumonia (HAP). STUDY
designProspective observational study in consecutive CAP and HAP patients with an ICU stay of more than 24h in two tertiary care hospitals in The Netherlands, from 2011 to December 2013. The proportion of patients receiving diagnostic testing with PCR for the presence of respiratory viruses in respiratory tract specimens was determined.
resultsIn total, 1452 patients were included, of which 712 patients presented with CAP and 740 with HAP. In CAP, 282 of 712 (40%) were tested for respiratory viruses (190 of 417 (46%) during the influenza season). In HAP, 95 of 740 (13%) were tested (50 of 372 (13%) during the influenza season). Regardless of the season, virus diagnostic tests were ordered significantly more often in patients with comorbidities, and in those presenting with elevated CRP and leucopenia. In patients who were tested during the influenza season, the prevalence of influenza was 14% in patients with CAP and 10% in those with HAP. Influenza was absent during the summer in both groups.
conclusionsLess than half of patients admitted to the ICU with suspected pneumonia were tested for the presence of viral pathogens, either in or outside the influenza season.
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