Clinical practice of respiratory virus diagnostics in critically ill patients with a suspected pneumonia: A prospective observational study

作者: Frank van Someren Gréve , David S.Y. Ong , Olaf L. Cremer , Marc J.M. Bonten , Lieuwe D.J. Bos

DOI: 10.1016/J.JCV.2016.08.295

关键词: Respiratory tractIntensive care medicineRespiratory virusRespiratory systemIntensive careVirusIntensive care unitRespiratory tract infectionsInternal medicinePneumoniaMedicine

摘要: Abstract Background Clinical guidelines suggest testing for respiratory viruses during the influenza season, but are unclear which categories of patients on intensive care unit (ICU) should be tested. Objective We described clinical practice diagnostic virus infections in presenting to ICU with suspected community-acquired pneumonia (CAP) or hospital-acquired (HAP). Study design Prospective observational study consecutive CAP and HAP an stay more than 24 h two tertiary hospitals The Netherlands, from 2011 December 2013. proportion receiving PCR presence tract specimens was determined. Results In total, 1452 were included, 712 presented 740 HAP. CAP, 282 (40%) tested (190 417 (46%) season). HAP, 95 (13%) (50 372 Regardless tests ordered significantly often comorbidities, those elevated CRP leucopenia. who prevalence 14% 10% Influenza absent summer both groups. Conclusions Less half admitted viral pathogens, either outside season.

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