Evidence map›Paper›PMID 31222287›Full record

Observational studyClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Prevalence and Etiology of Community-acquired Pneumonia in Immunocompromised Patients.

Marta Francesca Di Pasquale, Giovanni Sotgiu, Andrea Gramegna, Dejan Radovanovic, Silvia Terraneo, Luis F Reyes, Jan Rupp, Juan González Del Castillo, Francesco Blasi, Stefano Aliberti and 2 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06755814 (Community-acquired Pneumonia in Immunosuppressed Adult Patients), which is not on this map. Cited by 117 papers.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed
8.9field-weighted citation impact, top 2% 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.

NCT06755814 recruitingnot on this mapstarted 2025, after this paper: background citation

Community-acquired Pneumonia in Immunosuppressed Adult Patients: Observational, Perspective Study, ItAlian ReGistry Of pNeumoniA in immUnocompromised paTients (ARGONAUT)

TypeobservationalSponsorSocieta Italiana di PneumologiaRan2025 to 2028Enrolled1,298ConditionsCommunity Acquired Pneumonia (CAP)
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 249 citations in OpenAlex.

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  5. A prospective clinical study on the effectiveness ofJournal of traditional and complementary medicine · 2026
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  9. Challenges and opportunities in the management of severe pneumonia. Key concepts from the Seventh Annual Meeting of Spanish Experts 2025.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
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57 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

12 authors at 6 institutions in 5 countries.

Marta Francesca Di PasqualeDepartment of Pathophysiology and Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Internal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center, University of Milan.
Giovanni SotgiuClinical Epidemiology and Medical Statistics Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari.
Andrea GramegnaDepartment of Pathophysiology and Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Internal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center, University of Milan.
Dejan RadovanovicDepartment of Biomedical and Clinical Sciences (DIBIC), University of Milan, Pulmonary Unit, Ospedale L. Sacco, ASST Fatebenfratelli-Sacco.
Silvia TerraneoRespiratory Unit, San Paolo Hospital, Department of Medical Sciences, University of Milan, Italy.
Luis F ReyesMicrobiology Department, Universidad de La Sabana, Chia, Colombia.
Jan RuppDepartment of Infectious Diseases and Microbiology, University Hospital Schleswig-Holstein/Campus Lübeck, Germany.
Juan González Del CastilloEmergency Department, Hospital Clínico San Carlos, Universidad Complutense.
Francesco BlasiDepartment of Pathophysiology and Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Internal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center, University of Milan.
Stefano AlibertiDepartment of Pathophysiology and Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Internal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center, University of Milan.
Marcos I RestrepoDivision of Pulmonary Diseases and Critical Care Medicine, The University of Texas Health Science Center at San Antonio.
GLIMP Investigators
University of Milan · ITThe University of Texas Health Science Center at San Antonio · USUniversidad de La Sabana · COHospital Clínico San Carlos · ESUniversity Hospital Schleswig-Holstein · DEUniversity of Sassari · IT

Funding

Effect of macrolides as immunomodulators in patients with sepsis and pneumoniaK23HL096054 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI RESTREPO, MARCOS I. · 2010 to 2014
$689k
NHLBI NIH HHS K23 HL096054
6 · The paper itself

Abstract

backgroundThe correct management of immunocompromised patients with pneumonia is debated. We evaluated the prevalence, risk factors, and characteristics of immunocompromised patients coming from the community with pneumonia.

methodsWe conducted a secondary analysis of an international, multicenter study enrolling adult patients coming from the community with pneumonia and hospitalized in 222 hospitals in 54 countries worldwide. Risk factors for immunocompromise included AIDS, aplastic anemia, asplenia, hematological cancer, chemotherapy, neutropenia, biological drug use, lung transplantation, chronic steroid use, and solid tumor.

resultsAt least 1 risk factor for immunocompromise was recorded in 18% of the 3702 patients enrolled. The prevalences of risk factors significantly differed across continents and countries, with chronic steroid use (45%), hematological cancer (25%), and chemotherapy (22%) the most common. Among immunocompromised patients, community-acquired pneumonia (CAP) pathogens were the most frequently identified, and prevalences did not differ from those in immunocompetent patients. Risk factors for immunocompromise were independently associated with neither Pseudomonas aeruginosa nor non-community-acquired bacteria. Specific risk factors were independently associated with fungal infections (odds ratio for AIDS and hematological cancer, 15.10 and 4.65, respectively; both P = .001), mycobacterial infections (AIDS; P = .006), and viral infections other than influenza (hematological cancer, 5.49; P < .001).

conclusionsOur findings could be considered by clinicians in prescribing empiric antibiotic therapy for CAP in immunocompromised patients. Patients with AIDS and hematological cancer admitted with CAP may have higher prevalences of fungi, mycobacteria, and noninfluenza viruses.

Indexed as

Immunocompromised HostAcquired Immunodeficiency SyndromeAfricaAgedAged, 80 and overAmericasAnemia, AplasticAsiaAustraliaCommunity-Acquired InfectionsEuropeFemaleHematologic NeoplasmsHumansLung TransplantationMaleimmunocompromisemicrobiologyMRSAmultidrug-resistant pathogenspneumonia

Identifiers

PMID31222287
PMCPMC6481991
OpenAlexW2888520278

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.