Evidence map›Paper›PMID 32034433›Full record

ReviewIntensive care medicine2020

Diagnosis of severe respiratory infections in immunocompromised patients.

Elie Azoulay, Lene Russell, Andry Van de Louw, Victoria Metaxa, Philippe Bauer, Pedro Povoa, José Garnacho Montero, Ignacio Martin Loeches, Sangeeta Mehta, Kathryn Puxty and 6 more

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06538441 (Dynamic Pattern of Etiology, Immunoinflammatory Factors and Their Association With Prognosis of Severe Pneumonia), which is not on this map. Cited by 182 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
182citing papers in PubMed, 3 pooled it
20.2field-weighted citation impact, top 1% 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.

NCT06538441 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Dynamic Pattern of Etiology, Immunoinflammatory Factors and Their Association With Prognosis of Severe Pneumonia: a Longitudinal Observational Study

TypeobservationalSponsorShanghai General Hospital, ChinaRan2024 to 2025Enrolled600ConditionsSevere Pneumonia
3 · Its place in the literature

Who cites it

182 citing papers in PubMed, 3 syntheses or guidelines pooled it, 310 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Clinical features in maxillary sinus fungus ball in patients with malignant hematological disease.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Trial
  7. Review
  8. Clinical utility of metagenomic next-generation sequencing in precision diagnosis of infectious diseases: a retrospective study based on bronchoalveolar lavage fluid, blood, and cerebrospinal fluid.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  9. The Burden of Viral Respiratory Infections in Immunosuppressed Inflammatory Bowel Disease Patients.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  10. Proportions ofJournal of clinical tuberculosis and other mycobacterial diseases · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. [Pulmonary disease caused byZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Review
  17. 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
    Review
  18. Review
  19. Article
  20. Review

122 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

16 authors at 15 institutions in 9 countries.

Elie AzoulayMédecine Intensive et Réanimation, APHP, Saint-Louis Hospital and Paris University, Paris, France. elie.azoulay@aphp.fr.ORCID 0000-0002-8162-1508
Lene RussellDepartment of Intensive Care, Rigshospitalet and Copenhagen Academy for Medical Simulation and Education, University of Copenhagen, Copenhagen, Denmark.
Andry Van de LouwDivision of Pulmonary and Critical Care, Penn State University College of Medicine, Hershey, PA, USA.
Victoria MetaxaDepartment of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Philippe BauerDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.
Pedro PovoaPolyvalent Intensive Care Unit, Hospital de São Francisco Xavier, NOVA Medical School, New University of Lisbon, Lisbon, Portugal.
José Garnacho MonteroIntensive Care Clinical Unit, Hospital Universitario Virgen Macarena, Seville, Spain.
Ignacio Martin LoechesDepartment of Intensive Care Medicine, Multidisciplinary Intensive Care Research Organization (MICRO), St. James's Hospital, St James Street, Dublin 8, Ireland.
Sangeeta MehtaDepartment of Medicine and Interdepartmental Division of Critical Care Medicine, Sinai Health System, University of Toronto, Toronto, ON, Canada.
Kathryn PuxtyDepartment of Intensive Care, Glasgow Royal Infirmary, Glasgow, UK.
Peter SchellongowskiDepartment of Medicine I, Intensive Care Unit 13i2, Comprehensive Cancer Center, Center of Excellence in Medical Intensive Care (CEMIC), Medical University of Vienna, Vienna, Austria.
Jordi RelloCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto Salud Carlos III, Madrid, Spain.
Djamel MokartCritical Care Department, Institut Paoli Calmettes, Marseille, France.
Virginie LemialeMédecine Intensive et Réanimation, APHP, Saint-Louis Hospital and Paris University, Paris, France.
Adrien MirouseMédecine Intensive et Réanimation, APHP, Saint-Louis Hospital and Paris University, Paris, France.
Nine-i Investigators
Assistance Publique – Hôpitaux de Paris · FRCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESComprehensive Cancer Center Vienna · ATGlasgow Royal Infirmary · GBHospital Universitario Virgen Macarena · ESInstitut Paoli-Calmettes · FRKing's College Hospital NHS Foundation Trust · GBMayo Clinic · USPenn State Milton S. Hershey Medical Center · USSaint Louis University Hospital · USSt. James's Hospital · IEUniversité Paris Cité · FRUniversity of Copenhagen · DKUniversity of Lisbon · PTUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An increasing number of critically ill patients are immunocompromised. Acute hypoxemic respiratory failure (ARF), chiefly due to pulmonary infection, is the leading reason for ICU admission. Identifying the cause of ARF increases the chances of survival, but may be extremely challenging, as the underlying disease, treatments, and infection combine to create complex clinical pictures. In addition, there may be more than one infectious agent, and the pulmonary manifestations may be related to both infectious and non-infectious insults. Clinically or microbiologically documented bacterial pneumonia accounts for one-third of cases of ARF in immunocompromised patients. Early antibiotic therapy is recommended but decreases the chances of identifying the causative organism(s) to about 50%. Viruses are the second most common cause of severe respiratory infections. Positive tests for a virus in respiratory samples do not necessarily indicate a role for the virus in the current acute illness. Invasive fungal infections (Aspergillus, Mucorales, and Pneumocystis jirovecii) account for about 15% of severe respiratory infections, whereas parasites rarely cause severe acute infections in immunocompromised patients. This review focuses on the diagnosis of severe respiratory infections in immunocompromised patients. Special attention is given to newly validated diagnostic tests designed to be used on non-invasive samples or bronchoalveolar lavage fluid and capable of increasing the likelihood of an early etiological diagnosis.

Indexed as

HumansImmunocompromised HostIntensive Care UnitsInvasive Fungal InfectionsParasitic DiseasesPneumonia, BacterialRespiratory InsufficiencyRespiratory Tract InfectionsAspergillosisCytomegalovirusInfluenzaMucormycosisPneumocystis pneumoniaToxoplasmosis

Identifiers

PMID32034433
PMCPMC7080052
OpenAlexW3004917317

What OpenQuestion holds

Textmetadata
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.