학술논문
Microbiological testing of adults hospitalised with community-acquired pneumonia: an international study
Document Type
article
Author
Manuela Carugati; Stefano Aliberti; Luis Felipe Reyes; Ricardo Franco Sadud; Muhammad Irfan; Cristina Prat; Nilam J. Soni; Paola Faverio; Andrea Gori; Francesco Blasi; Marcos I. Restrepo; Patricia Karina Aruj; Silvia Attorri; Enrique Barimboim; Juan Pablo Caeiro; María I. Garzón; Victor Hugo Cambursano; Adrian Ceccato; Julio Chertcoff; Florencia Lascar; Fernando Di Tulio; Ariel Cordon Díaz; Lautaro de Vedia; Maria Cristina Ganaha; Sandra Lambert; Gustavo Lopardo; Carlos M. Luna; Alessio Gerardo Malberti; Nora Morcillo; Silvina Tartara; Claudia Pensotti; Betiana Pereyra; Pablo Gustavo Scapellato; Juan Pablo Stagnaro; Florencio Varela; Sonali Shah; Felix Lötsch; Florian Thalhammer; Kurt Anseeuw; Camille A. Francois; Eva Van Braeckel; Jean Louis Vincent; Marcel Zannou Djimon; Jules Bashi; Roger Dodo; Simone Aranha Nouér; Peter Chipev; Milena Encheva; Darina Miteva; Diana Petkova; Adamou Dodo Balkissou; Eric Walter Pefura Yone; Bertrand Hugo Mbatchou Ngahane; Ning Shen; Jin-fu Xu; Carlos Andres Bustamante Rico; Ricardo Buitrago; Fernando Jose Pereira Paternina; Jean-Marie Kayembe Ntumba; Vesna Vladic Carevic; Marko Jakopovic; Mateja Jankovic; Zinka Matkovic; Ivan Mitrecic; Marie-Laure Bouchy Jacobsson; Anette Bro Christensen; Uffe Christian Heitmann Bødtger; Christian Niels Meyer; Andreas Vestergaard Jensen; Gertrud Baunbæk-Knudsen; Pelle Trier Petersen; Stine Andersen; Ibrahim El-Said Abd El-Wahhab; Nesreen Elsayed Morsy; Hanaa Shafiek; Eman Sobh; Kedir Abdella Abdulsemed; Fabrice Bertrand; Christian Brun-Buisson; Etienne de Montmollin; Muriel Fartoukh; Jonathan Messika; Pierre Tattevin; Abdo Khoury; Bernard Ebruke; Michael Dreher; Martin Kolditz; Matthias Meisinger; Mathias W. Pletz; Stefan Hagel; Jan Rupp; Tom Schaberg; Marc Spielmanns; Petra Creutz; Norton Suttorp; Beatrice Siaw-Lartey; Katerina Dimakou; Dimosthenis Papapetrou; Evdoxia Tsigou; Dimitrios Ampazis; Evangelos Kaimakamis; Mina Gaga; Mohit Bhatia; Raja Dhar; George D'Souza; Rajiv Garg; Parvaiz A. Koul; P.A. Mahesh; B.S. Jayaraj; Kiran Vishnu Narayan; Hirennappa B. Udnur; Shashi Bhaskara Krishnamurthy; Surya Kant; Rajesh Swarnakar; Sneha Limaye; Sundeep Salvi; Keihan Golshani; Vera M. Keatings; Ignacio Martin-Loeches; Yasmin Maor; Jacob Strahilevitz; Salvatore Battaglia; Maria Carrabba; Piero Ceriana; Marco Confalonieri; Antonella d'Arminio Monforte; Bruno Del Prato; Marino De Rosa; Riccardo Fantini; Giuseppe Fiorentino; Maria Antonia Gammino; Francesco Menzella; Giuseppe Milani; Stefano Nava; Gerardo Palmiero; Roberta Petrino; Barbra Gabrielli; Paolo Rossi; Claudio Sorino; Gundi Steinhilber; Alessandro Zanforlin; Fabio Franzetti; Manuela Morosi; Elisa Monge; Mauro Carone; Vincenzo Patella; Simone Scarlata; Andrea Comel; Kiyoyasu Kurahashi; Zeina Aoun Bacha; Daniel Barajas Ugalde; Omar Ceballos Zuñiga; José F. Villegas; Milic Medenica; E.M.W. van de Garde; Deebya Raj Mihsra; Poojan Shrestha; Elliott Ridgeon; Babatunde Ishola Awokola; Ogonna N.O. Nwankwo; Adefuye Bolanle Olufunlola; Segaolu Olumide; Kingsley N. Ukwaja; Lukasz Minarowski; Skoczyński Szymon; Felipe Froes; Pedro Leuschner; Mariana Meireles; Sofia B Ravara; Victoria Brocovschii; Chesov Ion; Doina Rusu; Cristina Toma; Daniela Chirita; Carmen Mihaela Dorobat; Alexei Birkun; Anna Kaluzhenina; Abdullah Almotairi; Zakeya Abdulbaqi Ali Bukhary; Jameela Edathodu; Amal Fathy; Abdullah Mushira Abdulaziz Enani; Nazik Eltayeb Mohamed; Jawed Ulhadi Memon; Abdelhaleem Bella; Nada Bogdanović; Branislava Milenkovic; Dragica Pesut; Charles Feldman; Ho Kee Yum; Luis Borderìas; Noel Manuel Bordon Garcia; Hugo Cabello Alarcón; Catia Cilloniz; Antoni Torres; Vicens Diaz-Brito; Xavier Casas; Alicia Encabo González; Maria Luisa Fernández-Almira; Miguel Gallego; Inmaculada Gaspar-GarcÍa; Juan González del Castillo; Patricia Javaloyes Victoria; Elena Laserna Martínez; Rosa Malo de Molina; Pedro J. Marcos; Rosario Menéndez; Ana Pando-Sandoval; Cristina Prat Aymerich; Jordi Rello; Silvia Moyano; Francisco Sanz; Oriol Sibila; Ana Rodrigo-Troyano; Jordi Solé-Violán; Ane Uranga; Job F.M. van Boven; Ester Vendrell Torra; Jordi Almirall Pujol; Arnauld Attannon Fiogbe; Ferdaous Yangui; Semra Bilaceroglu; Levent Dalar; Ufuk Yilmaz; Artemii Bogomolov; Naheed Elahi; Devesh J. Dhasmana; Andrew Feneley; Rhiannon Ions; Julie Skeemer; Gerrit Woltmann; Carole Hancock; Adam T. Hill; Banu Rudran; Silvia Ruiz-Buitrago; Marion Campbell; Paul Whitaker; Alexander Youzguin; Anika Singanayagam; Karen S. Allen; Veronica Brito; Jessica Dietz; Claire E. Dysart; Susan M. Kellie; Ricardo A. Franco-Sadud; Garnet Meier; Thomas L. Holland; Stephen P. Bergin; Fayez Kheir; Mark Landmeier; Manuel Lois; Girish B. Nair; Hemali Patel; Katherine Reyes; William Rodriguez-Cintron; Shigeki Saito; Julio Noda; Cecilia I. Hinojosa; Stephanie M. Levine; Luis F. Angel; Antonio Anzueto; K. Scott Whitlow; John Hipskind; Kunal Sukhija; Vicken Totten; Richard G. Wunderink; Ray D. Shah; Kondwelani John Mateyo; Lorena Noriega; Ezequiel Alvarado; Mohamed Aman; Lucía Labra
Source
ERJ Open Research, Vol 4, Iss 4 (2018)
Subject
Language
English
ISSN
2312-0541
23120541
23120541
Abstract
This study aimed to describe real-life microbiological testing of adults hospitalised with community-acquired pneumonia (CAP) and to assess concordance with the 2007 Infectious Diseases Society of America (IDSA)/American Thoracic Society (ATS) and 2011 European Respiratory Society (ERS) CAP guidelines. This was a cohort study based on the Global Initiative for Methicillin-resistant Staphylococcus aureus Pneumonia (GLIMP) database, which contains point-prevalence data on adults hospitalised with CAP across 54 countries during 2015. In total, 3702 patients were included. Testing was performed in 3217 patients, and included blood culture (71.1%), sputum culture (61.8%), Legionella urinary antigen test (30.1%), pneumococcal urinary antigen test (30.0%), viral testing (14.9%), acute-phase serology (8.8%), bronchoalveolar lavage culture (8.4%) and pleural fluid culture (3.2%). A pathogen was detected in 1173 (36.5%) patients. Testing attitudes varied significantly according to geography and disease severity. Testing was concordant with IDSA/ATS and ERS guidelines in 16.7% and 23.9% of patients, respectively. IDSA/ATS concordance was higher in Europe than in North America (21.5% versus 9.8%; p