Evidence map›Paper›PMID 39434000›Full record

ArticleBMC infectious diseases2024

Incidence of serious respiratory tract infections and associated characteristics in a population exposed to immunosuppressive therapies: a register-based population study.

Cindy Etienne, Ana-Maria Vilcu, Flora Finet, Sylvain Chawki, Thierry Blanchon, Olivier Steichen, Thomas Hanslik

Abstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. The Burden of Viral Respiratory Infections in Immunosuppressed Inflammatory Bowel Disease Patients.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  2. Review
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.

Cindy EtienneService de Médecine Interne, APHP, Hôpital Ambroise Paré, Université de Versailles Saint-Quentin-en-Yvelines, 9 Av. Charles de Gaulle, Boulogne-Billancourt, 92100, France. cindy.etienne@aphp.fr.
Ana-Maria VilcuInstitut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP), Inserm, Sorbonne Université, Paris, France.
Flora FinetService de Médecine Interne, APHP, Hôpital Ambroise Paré, Université de Versailles Saint-Quentin-en-Yvelines, 9 Av. Charles de Gaulle, Boulogne-Billancourt, 92100, France.
Sylvain ChawkiService de Maladies Infectieuses, APHP, Hôpital Lariboisière, Université Paris Cité, Paris, France.
Thierry BlanchonInstitut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP), Inserm, Sorbonne Université, Paris, France.
Olivier SteichenInstitut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP), Inserm, Sorbonne Université, Paris, France.
Thomas HanslikService de Médecine Interne, APHP, Hôpital Ambroise Paré, Université de Versailles Saint-Quentin-en-Yvelines, 9 Av. Charles de Gaulle, Boulogne-Billancourt, 92100, France. thomas.hanslik@aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunosuppressive therapies are associated with a risk of infections. Nevertheless, their incidence in this population remains unclear. This study aims to determine the incidence of serious respiratory tract infections (SRI) in a population exposed to immunosuppressive therapies.

methodsData from a representative sample of the French healthcare claims from 01/01/2014 to 12/31/2019 were analyzed. Exposure to immunosuppressive therapy was defined by the dispensation of drugs through community pharmacies or in hospitals. SRI diagnosis was based on ICD-10 codes from hospitalization records. A cohort analysis was performed to estimate standardized SRI incidence rates. A nested case-control analysis within this cohort was used to study the characteristics associated with SRI.

resultsWe identified 24,122 individuals exposed to immunosuppressive therapies, among which 1,559 developed SRI, resulting in a standardized incidence rate of 1,398 per 100,000 person-years. In this population, the risk of SRI was associated with a history of cancer (OR 2.68, 95% Confidence Intervals (CI) 2.24-3.21; p < 0.001), chronic respiratory disease (2.62, 95%CI 2.17-3.16; p < 0.001), end-stage renal failure (2.38, 95%CI 1.37-4.13; p = 0.003), neurodegenerative diseases (1.52, 95%CI 1.07-2.17; p = 0.026), diabetes (1.44, 95%CI 1.14-1.82; p < 0.001), psychiatric diseases (1.27, 95%CI 1.06-1.52; p < 0.001), and cardiovascular diseases (1.26, 95%CI 1.04-1.52; p = 0.002). Compared to corticosteroids alone, the risk of SRI was lower in individuals treated with conventional synthetic disease-modifying anti-rheumatic drugs (csDMARD) only (0.44, 95%CI 0.25-0.78; p < 0.001).

conclusionIn the population exposed to immunosuppressive therapies, a history of chronic disease is associated with an increased risk of SRI. This risk is lower in those receiving csDMARD alone than corticosteroids alone.

Indexed as

Immunosuppressive AgentsRespiratory Tract InfectionsAdolescentAdultAgedAged, 80 and overCase-Control StudiesCohort StudiesFemaleFranceHumansIncidenceMaleMiddle AgedRegistriesRisk FactorsImmunosuppressive AgentsAntirheumatic agentsBiological therapyGlucocorticoidsImmunomodulationImmunosuppression therapyPneumocystisPneumoniaRespiratory tract infectionsStreptococcus pneumoniae

Identifiers

PMID39434000
PMCPMC11492539

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.