An international perspective on hospitalized patients with viral community-acquired pneumonia
Por:
Radovanovic, D, Sotgiu, G, Jankovic, M, Mahesh, PA, Marcos, PJ, Abdalla, MI, Di Pasquale, MF, Gramegna, A, Terraneo, S, Blasi, F, Santus, P, Aliberti, S, Reyes, LF, Restrepo, MI, Noriega, L, Alvarado, E, Aman, M, Labra, L, Aruj, PK, Attorri, S, Barimboim, E, Caeiro, JP, Garzon, MI, Cambursano, VH, Ceccato, A, Chertcoff, J, Diaz, AC, de Vedia, L, Ganaha, MC, Lambert, S, Lopardo, G, Luna, CM, Malberti, AG, Morcillo, N, Tartara, S, Pensotti, C, Pereyra, B, Scapellato, PG, Stagnaro, JP, Shah, S, Lotsch, F, Thalhammer, F, Anseeuw, K, Francois, CA, Van Braeckel, E, Vincent, JL, Djimon, MZ, Nouer, SA, Chipev, P, Encheva, M, Miteva, D, Petkova, D, Balkissou, AD, Yone, EWP, Ngahane, BHM, Shen, N, Xu, JF, Rico, CAB, Buitrago, R, Paternina, FJP, Ntumba, JMK, Vladic-Carevic, V, Jakopovic, M, Matkovic, Z, Mitrecic, I, Jacobsson, MLB, Christensen, AB, Bodtger, U, Meyer, CN, Jensen, AV, El-Wahhab, IE, Morsy, NE, Shafiek, H, Sobh, E, Abdulsemed, KA, Bertrand, F, Brun-Buisson, C, de Montmollin, E, Fartoukh, M, Messika, J, Tattevin, P, Khoury, A, Ebruke, B, Dreher, M, Kolditz, M, Meisinger, M, Pletz, MW, Hagel, S, Rupp, J, Schaberg, T, Spielmanns, M, Creutz, P, Suttorp, N, Siaw-Lartey, B, Dimakou, K, Papapetrou, D, Tsigou, E, Ampazis, D, Kaimakamis, E, Bhatia, M, Dhar, R, D'Souza, G, Garg, R, Koul, PA, Jayaraj, BS, Narayan, KV, Udnur, HB, Krishnamurthy, SB, Kant, S, Swarnakar, R, Salvi, S, Limaye, S, Golshani, K, Keatings, VM, Martin-Loeches, I, Maor, Y, Strahilevitz, J, Battaglia, S, Carrabba, M, Ceriana, P, Confalonieri, M, Monforte, AD, Del Prato, B, De Rosa, M, Fantini, R, Fiorentino, G, Gammino, MA, Menzella, F, Milani, G, Nava, S, Palmiero, G, Petrino, R, Gabrielli, B, Rossi, P, Sorino, C, Steinhilber, G, Zanforlin, A, Franzetti, F, Carone, M, Patella, V, Scarlata, S, Comel, A, Kurahashi, K, Bacha, ZA, Ugalde, DB, Zuniga, OC, Villegas, JF, Medenica, M, van de Garde, EMW, Mihsra, DR, Shrestha, P, Ridgeon, E, Awokola, BI, Nwankwo, ONO, Olufunlola, AB, Olumide, S, Ukwaja, KN, Irfan, M, Minarowski, L, Szymon, S, Froes, F, Meireles, M, Ferrao, C, Leuschner, P, Neves, J, Ravara, SB, Brocovschii, V, Ion, C, Rusu, D, Toma, C, Chirita, D, Dorobat, CM, Birkun, A, Kaluzhenina, A, Almotairi, A, Bukhary, ZAA, Edathodu, J, Fathy, A, Enani, AMA, Mohamed, NE, Memon, JU, Bella, A, Bogdanovic, N, Milenkovic, B, Pesut, D, Borderias, L, Garcia, NMB, Alarcon, HC, Cilloniz, C, Torres, A, Diaz-Brito, V, Casas, X, Gonzalez, AE, Fernandez-Almira, ML, Gallego, M, Gaspar-GarcIa, I, Del Castillo, JG, Victoria, PJ, Martinez, EL, de Molina, RM, Menendez, R, Pando-Sandoval, A, Aymerich, CP, de la Torre, AL, Garcia-Olive, I, Rello, J, Moyano, S, Sanz, F, Sibila, O, Rodrigo-Troyano, A, Sole-Violan, J, Uranga, A, van Boven, JFM, Torra, EV, Pujol, JA, Feldman, C, Yum, HK, Fiogbe, AA, Yangui, F, Bilaceroglu, S, Dalar, L, Yilmaz, U, Bogomolov, A, Elahi, N, Dhasmana, DJ, Feneley, A, Hancock, C, Hill, AT, Rudran, B, Ruiz-Buitrago, S, Campbell, M, Whitaker, P, Youzguin, A, Singanayagam, A, Allen, KS, Brito, V, Dietz, J, Dysart, CE, Kellie, SM, Franco-Sadud, RA, Meier, G, Gaga, M, Holland, TL, Bergin, SP, Kheir, F, Landmeier, M, Lois, M, Nair, GB, Patel, H, Reyes, K, Rodriguez-Cintron, W, Saito, S, Soni, NJ, Noda, J, Hinojosa, CI, Levine, SM, Angel, LF, Anzueto, A, Whitlow, KS, Hipskind, J, Sukhija, K, Totten, V, Wunderink, RG, Shah, RD, Mateyo, KJ, Carugati, M, Morosi, M, Monge, E
Publicada:
1 feb 2019
Resumen:
Background: Who should be tested for viruses in patients with community acquired pneumonia (CAP), prevalence and risk factors for viral CAP are still debated. We evaluated the frequency of viral testing, virus prevalence, risk factors and treatment coverage with oseltamivir in patients admitted for CAP.
Methods: Secondary analysis of GLIMP, an international, multicenter, point-prevalence study of hospitalized adults with CAP. Testing frequency, prevalence of viral CAP and treatment with oseltamivir were assessed among patients who underwent a viral swab. Univariate and multivariate analysis was used to evaluate risk factors.
Results: 553 (14.9%) patients with CAP underwent nasal swab. Viral CAP was diagnosed in 157 (28.4%) patients. Influenza virus was isolated in 80.9% of cases. Testing frequency and viral CAP prevalence were inhomogeneous across the participating centers. Obesity (OR 1.59, 95%CI: 1.01-2.48; p = 0.043) and need for invasive mechanical ventilation (OR 1.62, 95%CI: 1.02-2.56; p = 0.040) were independently associated with viral CAP. Prevalence of empirical treatment with oseltamivir was 5.1%.
Conclusion: In an international scenario, testing frequency for viruses in CAP is very low. The most common cause of viral CAP is Influenza virus. Obesity and need for invasive ventilation represent independent risk factors for viral CAP. Adherence to recommendations for treatment with oseltamivir is poor.
Filiaciones:
Radovanovic, D:
Univ Milan, Dept Biomed & Clin Sci DIBIC, Sect Resp Dis, Osped L Sacco,ASST Fatebenefratelli Sacco, Milan, Italy
Sotgiu, G:
Univ Sassari, Dept Med Surg & Expt Med, Clin Epidemiol & Med Stat Unit, Sassari, Italy
Jankovic, M:
Univ Zagreb, Univ Hosp Ctr Zagreb, Dept Resp Dis Jordanovac, Sch Med, Zagreb, Croatia
Mahesh, PA:
JSS Acad Higher Educ & Res, JSS Med Coll, Dept Pulm Med, Mysore, Karnataka, India
Marcos, PJ:
Univ Coruna UDC, Inst Invest Biomed Coruna INIBIC, Estruct Organizat Xest Integrada EOXI A Coruna, CHUAC,SERDAS,Direcc Proc Asistenciales,Serv Neumo, La Coruna, Spain
Abdalla, MI:
South Texas Vet Hlth Care Syst, San Antonio, TX USA
Univ Texas Hlth San Antonio, San Antonio, TX USA
Di Pasquale, MF:
Univ Milan, Dept Pathophysiol & Transplantat, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Internal Med Dept,Resp Unit & Cyst Fibrosis Adult, Via Francesco Sforza 35, I-20122 Milan, Italy
Gramegna, A:
Univ Milan, Dept Pathophysiol & Transplantat, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Internal Med Dept,Resp Unit & Cyst Fibrosis Adult, Via Francesco Sforza 35, I-20122 Milan, Italy
Terraneo, S:
Univ Milan, Dept Hlth Sci, Milan, Italy
Blasi, F:
Univ Milan, Dept Pathophysiol & Transplantat, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Internal Med Dept,Resp Unit & Cyst Fibrosis Adult, Via Francesco Sforza 35, I-20122 Milan, Italy
Santus, P:
Univ Milan, Dept Biomed & Clin Sci DIBIC, Sect Resp Dis, Osped L Sacco,ASST Fatebenefratelli Sacco, Milan, Italy
Aliberti, S:
Univ Milan, Dept Pathophysiol & Transplantat, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Internal Med Dept,Resp Unit & Cyst Fibrosis Adult, Via Francesco Sforza 35, I-20122 Milan, Italy
Reyes, LF:
Univ la Sabana, Dept Microbiol, Chia, Colombia
Univ Milan, Resp Unit, San Paolo Hosp, Dept Hlth Sci, Milan, Italy
Restrepo, MI:
South Texas Vet Hlth Care Syst, San Antonio, TX USA
Univ Texas Hlth San Antonio, San Antonio, TX USA
Aruj, PK:
Univ Hosp Alfredo Lanari, Dept Internal Med, Buenos Aires, DF, Argentina
Attorri, S:
Hosp Luis Lago Maggiore, Mendoza, Argentina
Barimboim, E:
Hosp Cent Mendoza, Mendoza, Argentina
Caeiro, JP:
Hosp Privado Univ, Cordoba, Argentina
Garzon, MI:
Hosp Privado Univ, Cordoba, Argentina
Cambursano, VH:
Hosp Rawson, Serv Neumol, VH Dr Cazaux A, Cordoba, Argentina
Ceccato, A:
Hosp Nacl Prof Alejandro Posadas, Buenos Aires, DF, Argentina
Chertcoff, J:
Buenos Aires British Hosp, Crit Care Unit & Resp Med, Florencia Lascar & Fernando Di Tulio, Buenos Aires, DF, Argentina
Diaz, AC:
Hosp Gen Alvear, Mendoza, Argentina
de Vedia, L:
Hosp Muniz, Resp Intens Care Unit, Buenos Aires, DF, Argentina
Ganaha, MC:
Hosp Interzonal Gen Agudos Vicente y Lopez Planes, Infect Dis Ward, Buenos Aires, DF, Argentina
Lambert, S:
Hosp El Cruce, Alta Complejidad Red, Buenos Aires, DF, Argentina
Lopardo, G:
Hosp Bernardo Houssay, Vicente Lopez, Argentina
Luna, CM:
Univ Buenos Aires, Hosp Clin, Dept Med, Pulm Med Div, Buenos Aires, DF, Argentina
Malberti, AG:
Hosp Nuestra Senora Carmen, La Rioja, Spain
Morcillo, N:
Hosp Zonal Especializado Agudos & Cronicos Dr Ant, Buenos Aires, DF, Argentina
Tartara, S:
Hosp Zonal Especializado Agudos & Cronicos Dr Ant, Buenos Aires, DF, Argentina
Pensotti, C:
Clin Privada Monte Grande, Infect Dis & Infect Control Dept, Buenos Aires, DF, Argentina
Pereyra, B:
Hosp San Roque, Cordoba, Argentina
Scapellato, PG:
Hosp DF Santojanni, Infect Dis Dept, Buenos Aires, DF, Argentina
Stagnaro, JP:
HZGA Mi Pueblo, Florencio Varela, Argentina
Shah, S:
Austin Hosp, Dept Gen Med, Heidelberg, Vic, Australia
Lotsch, F:
Med Univ Vienna, Dept Med 1, Div Infect Dis & Trop Med, Vienna, Austria
Thalhammer, F:
Med Univ Vienna, Dept Med 1, Div Infect Dis & Trop Med, Vienna, Austria
Anseeuw, K:
ZNA Campus Stuivenberg, Antwerp, Belgium
Francois, CA:
Erasme Univ Hosp, Anesthesia & Crit Care Dept, Brussels, Belgium
Van Braeckel, E:
Ghent Univ Hosp, Dept Resp Med, Ghent, Belgium
Vincent, JL:
Univ Libre Bruxelles, Erasme Univ Hosp, Dept Intens Care, Brussels, Belgium
Djimon, MZ:
Ctr Hosp Univ HKM Cotonou, Jules Bashi & Roger Dodo, Cotonou, Benin
Nouer, SA:
Univ Fed Rio de Janeiro, Rio De Janeiro, Brazil
Chipev, P:
Mil Med Acad, Clin Pulm Dis, Sofia, Bulgaria
Encheva, M:
Mil Med Acad, Clin Pulm Dis, Sofia, Bulgaria
Miteva, D:
UMHAT St Marina, Varna, Bulgaria
Petkova, D:
Univ Hosp Varna, Varna, Bulgaria
Balkissou, AD:
Yaounde Jamot Hosp, Yaounde, Cameroon
Yone, EWP:
Univ Yaounde, Dept Med Interne, Yaounde, Cameroon
Ngahane, BHM:
Douala Gen Hosp, Douala, Cameroon
Shen, N:
Peking Univ, Hosp 3, Resp Med, Beijing, Peoples R China
Xu, JF:
Tongji Univ, Shanghai Pulm Hosp, Dept Resp Med, Shanghai, Peoples R China
Rico, CAB:
Clin Shaio, Bogota, Colombia
Buitrago, R:
Clin Shaio, Bogota, Colombia
Paternina, FJP:
Las Amer Clin, Medellin, Colombia
Ntumba, JMK:
Clin Univ Kinshasa, Kinshasa, DEM REP CONGO
Vladic-Carevic, V:
Interne Med, Dubrovnik, Croatia
Jakopovic, M:
Univ Zagreb, Univ Hosp Ctr Zagreb, Dept Resp Dis Jordanovac, Med Sch, Zagreb, Croatia
Matkovic, Z:
Univ Hosp Dubrava, Zagreb, Croatia
Mitrecic, I:
Karlovac Gen Hosp, Karlovac, Croatia
Jacobsson, MLB:
North Zealands Hosp, Emergency Dept, Hillerod, Denmark
Christensen, AB:
Viborg Reg Hosp, Dept Anaethesiol, Viborg, Denmark
Bodtger, U:
Naestved Hosp, Dept Pulmonol, Naestved, Denmark
Meyer, CN:
Copenhagen Univ Hosp, Roskilde Hosp, Dept Internal Med, Roskilde, Denmark
Jensen, AV:
Nordsjaellands Hosp Hillerod, Dept Lung & Infect Dis, Gertrud Baunbaek Knudsen Pelle Trier Petersen & S, Hillerod, Denmark
El-Wahhab, IE:
Mansoura Univ, Fac Med, Thorac Med, Mansoura, Egypt
Morsy, NE:
Mansoura Univ, Pulm Crit Care & Sleep Med, Mansoura, Egypt
Shafiek, H:
Alexandria Univ, Chest Dis Dept, Alexandria, Egypt
Sobh, E:
Al Azhar Univ, Chest Dis Dept, Cairo, Egypt
Abdulsemed, KA:
Jimma Univ, Inst Biotechnol Res, Mycobacteriol Res Ctr, Dept Med Lab Sci & Pathol,Coll Hlth Sci, Jimma, Ethiopia
Bertrand, F:
Robert Ballanger Hosp, Crit Care Unit, Aulnay Sous Bois, France
Brun-Buisson, C:
Univ Hosp Henri Mondor, F-94000 Creteil, France
de Montmollin, E:
Ctr Hosp St Denis, Hop Delafontaine, Intens Care Unit, St Denis, Reunion, France
Fartoukh, M:
Hop Tenon, Grp Hosp Est Parisien, Pole Thorax Voies Aeriennes, Unite Reanimat Medicochirurg, Paris, France
Messika, J:
Hop Louis Mourier, Serv Reanimat Medicochirurg, Publ Hop Paris, Colombes, France
Univ Paris Diderot, Sorbonne Paris Cite, IAME, UMR 1137, Paris, France
Tattevin, P:
Pontchaillou Univ Hosp, Infect Dis & ICU, Rennes, France
Khoury, A:
Univ Franche Comte, Dept Emergency Med & Crit Care, Med Ctr, Besancon, France
Ebruke, B:
MRC Unit, Serekunda, Gambia
Dreher, M:
Univ Hosp Aachen, Vasc Med & Intens Care Med, Pneumol, Dept Cardiol, Aachen, Germany
Kolditz, M:
Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Med Dept 1, Div Pulmonol, Dresden, Germany
Meisinger, M:
Klinikum Niederlausitz GmbH, Klin Innere Med & Intens Med, Senftenberg, Germany
Pletz, MW:
Jena Univ Hosp, Ctr Infect Dis & Infect Control, Jena, Germany
Hagel, S:
Jena Univ Hosp, Ctr Infect Dis & Infect Control, Jena, Germany
Rupp, J:
Univ Lubeck, Dept Mol & Infect Dis, Lubeck, Germany
Schaberg, T:
Agaples Diakonieklinikum Rotenburg, Zentrum Pneumol, Rotenburg, Germany
Spielmanns, M:
Univ Witten Herdecke, Internal Med Dept, Pulm Rehabil, St Remigius Hosp, Leverkusen, Germany
Univ Witten Herdecke, Sch Med, St Remigius Hosp, Leverkusen, Germany
Creutz, P:
Charite, Dept Infect Dis & Resp Med, Berlin, Germany
Suttorp, N:
Charite, Dept Infect Dis & Resp Med, Berlin, Germany
Siaw-Lartey, B:
Komfo Anokye Teaching Hosp, Kumasi, Ghana
Dimakou, K:
SOTIRIA Chest Hosp, Resp Med Dpt 5, Athens 11527, Greece
Papapetrou, D:
Med Grp Athens, Paleo Faliro Clin, Athens, Greece
Tsigou, E:
Agioi Anargiroi Hosp, Athens, Greece
Ampazis, D:
Agioi Anargiroi Hosp, Athens, Greece
Kaimakamis, E:
G Papanikolaou Gen Hosp Thessaloniki, Intens Care Unit, Thessaloniki, Greece
Bhatia, M:
SS Hosp IMS BHU, Varanasi, Uttar Pradesh, India
Dhar, R:
Fortis Hosp, Kolkata, India
D'Souza, G:
St Johns Med Coll Hosp, Dept Pulm Med, Bangalore 560034, Karnataka, India
Garg, R:
King Georges Med Univ UP, Dept Resp Med, Lucknow, Uttar Pradesh, India
Koul, PA:
SheriKashmir Inst Med Sci, Dept Internal & Pulm Med, Srinagar, Jammu & Kashmir, India
Jayaraj, BS:
JSS Univ, JSS Med Coll, Dept Pulm Med, Mysore, Karnataka, India
Narayan, KV:
Columbia Asia Hosp, Bengaluru, Karnataka, India
Udnur, HB:
Columbia Asia Hosp, Bengaluru, Karnataka, India
Krishnamurthy, SB:
Columbia Asia Hosp, Bengaluru, Karnataka, India
Kant, S:
King Georges Med Univ, Dept Resp Med, Lucknow 226003, Uttar Pradesh, India
Swarnakar, R:
Getwell Hosp & Res Inst, Nagpur, Maharashtra, India
Salvi, S:
Resp Res Network India RRNI, Chest Res Fdn Pune, Pune, Maharashtra, India
Limaye, S:
Resp Res Network India RRNI, Chest Res Fdn Pune, Pune, Maharashtra, India
Golshani, K:
Isfahan Univ Med Sci, Esfahan, Iran
Keatings, VM:
Letterkenny Gen Hosp, Letterkenny, Donegal, Ireland
Martin-Loeches, I:
St James Univ Hosp, Trintiy Ctr Hlth Sci Dublin, MICRO, Dublin, Ireland
Maor, Y:
Affiliated Tel Aviv Univ, Infect Dis Unit, Wolfson Med Ctr, Holon, Israel
Strahilevitz, J:
Hadassah Hebrew Univ, Dept Clin Microbiol & Infect Dis, Jerusalem, Israel
Battaglia, S:
Univ Palermo, Pneumol DiBiMIS, Palermo, Italy
Carrabba, M:
Fdn IRCCS Ca Granda Osped Maggiore Policlin, Internal Med Dept, I-20122 Milan, Italy
Ceriana, P:
IRCCS Fdn Maugeri, Pulm Rehabil, I-27100 Pavia, Italy
Confalonieri, M:
Univ Hosp, Dept Pulmunol, Trieste, Italy
Monforte, AD:
Univ Milan, San Paolo Hosp, Clin Infect Dis, Dept Hlth Sci, Milan, Italy
Del Prato, B:
Hosp Antonio Cardarelli, Intervent Pneumol, Naples, Italy
De Rosa, M:
PO San Filippo Neri ASL RM E Roma, UOC Pneumol, Rome, Italy
Fantini, R:
Policlin Modena, Resp Dis Clin, I-41124 Modena, Italy
Fiorentino, G:
AO Osped Colli PO Monaldi, UOC Fisiopatol & Riabilitaz Resp, Naples, Italy
Gammino, MA:
San Martino Hosp, Pulm Med Unit, ASL 5 Oristano, Sardinia, Italy
Menzella, F:
IRCCS Arcispedale Santa Maria Nuova, Dept Cardiac Thorac Vasc, Reggio Emilia, Italy
IRCCS Arcispedale Santa Maria Nuova, Intens Care Med, Pneumol Unit, Reggio Emilia, Italy
Milani, G:
Presidio Osped S Anna Nuovo Unita, Azienda Osped Sant Anna Como, Unita Operat Pneumol, Como, Italy
Nava, S:
Alma Mater Univ Bologna, St Orsola Malpighi Hosp, Resp & Crit Care Unit, DIMES, Bologna, Italy
Palmiero, G:
Versilia Hosp, Resp Unit, Azienda USL 12 Viareggio, Lido Di Camaiore, Lucca, Italy
Petrino, R:
S Andrea Hosp, Emergency Med Unit, Vercelli, Italy
Gabrielli, B:
S Andrea Hosp, Emergency Med Unit, Vercelli, Italy
Rossi, P:
Univ S Maria Misericordia, Azienda Osped, Internal Med Dept, Udine, Italy
Sorino, C:
AO St Anna Como, Pulmonol Unit, San Fermo Della Battagli, Italy
Steinhilber, G:
UO Pneumol & Fisiopatol Resp, Spedali Civili Brescia, Brescia, Italy
Zanforlin, A:
Osped San Luca, ULSS 18 Rovigo, I-45027 Trecenta, RO, Italy
Franzetti, F:
Univ Milan, Luigi Sacco Hosp, Div Infect Dis, Dept Biomed & Clin Sci, Milan, Italy
Carone, M:
IRCCS, Fdn Salvatore Maugeri, Cassano Delle Murge, Italy
Patella, V:
Battipaglia Hosp, Dept Med Sci, Allergol & Clin Immunol Unit, Salerno, Italy
Scarlata, S:
Campus Bio Medico Univ & Teaching Hosp, Unit Resp Pathophysiol & Thorac Endoscopy, Geriatr, Rome, Italy
Comel, A:
Osped Pederzoli, UO Pneumol, Peschiera Del Garda, Italy
Kurahashi, K:
Yokohama City Univ Med Ctr, Yokohama, Kanagawa, Japan
Bacha, ZA:
St Joseph Univ, Med Sch, Beirut, Lebanon
Ugalde, DB:
Natl Inst Resp Dis, Mexico City, DF, Mexico
Zuniga, OC:
Hosp Gen Mexicali, Mexicali, Baja California, Mexico
Villegas, JF:
Hosp Univ Monterrey, Nl Mexico 64030, Mexico
Medenica, M:
Hosp Lung Dis Brezovik, Niksic, Montenegro
van de Garde, EMW:
St Antonius Hosp, Dept Clin Pharm, Utrecht, Netherlands
Mihsra, DR:
BP Koirala Inst Hlth Sci, Internal Med, Dharan, Nepal
Shrestha, P:
Univ Oxford, Clin Res Unit, Patan Hosp, Patan, Nepal
Ridgeon, E:
Med Res Inst New Zealand, Wellington, New Zealand
Awokola, BI:
Lily Hosp Ltd, Dept Family Med & Primary Care, Warri, Nigeria
Nwankwo, ONO:
Univ Calabar, Teaching Hosp, Calabar, Nigeria
Olufunlola, AB:
Olabisi Onabanjo Univ, Teaching Hosp, Shagamu, Ogun State, Nigeria
Olumide, S:
Univ Coll Hosp, Dept Med, Pulm Unit, Ibadan, Nigeria
Ukwaja, KN:
Fed Teaching Hosp Abakaliki, Dept Med, Abakaliki, Nigeria
Irfan, M:
Aga Khan Univ, Dept Med, Sect Pulm & Crit Care Med, Karachi 74800, Pakistan
Minarowski, L:
Med Univ Bialystok, Dept Lung Dis & TB, Bialystok, Poland
Szymon, S:
Med Univ Silesia, Sch Med Katowice, Dept Pneumol, Katowice, Poland
Inst Occupat Med & Environm Hlth, Sosnowiec, Poland
Froes, F:
Hosp Pulido Valente CHLN, Lisbon, Portugal
Meireles, M:
Ctr Hosp Porto, Serv Med, P-4099001 Porto, Portugal
Ferrao, C:
Ctr Hosp Porto, Serv Med, P-4099001 Porto, Portugal
Leuschner, P:
Ctr Hosp Porto, Porto, Portugal
Ctr Hosp Porto, Serv Med, P-4099001 Porto, Portugal
Neves, J:
Ctr Hosp Porto, Serv Med, P-4099001 Porto, Portugal
Ravara, SB:
Univ Beira Interior, Fac Hlth Sci, P-6200251 Covilha, Portugal
Cova Beira Hosp Ctr, P-6200251 Covilha, Portugal
Brocovschii, V:
State Univ Med & Pharm Nicolae Testemitanu, Dept Pneumol & Allergol, Kishinev, Moldova
Ion, C:
State Univ Med & Pharm Nicolae Testemitanu, Inst Emergency Med, Clin Anesthesia & Intens Care Valeriu Ghrerg, Kishinev, Moldova
Rusu, D:
SMFU N Testemitanu, Kishinev, Moldova
Chirita, D:
Hosp Sfantul Stefan, Bucharest, Romania
Dorobat, CM:
Univ Med Farm Gr T Popa Iasi, Spitalul Clin Boli Infect Sfanta Parascheva Iasi, Fac Med Stomatol, Str Octav Botez 2, Iasi 700116, Romania
Birkun, A:
State Univ Med & Pharm Nicolae Testemitanu, Dept Pneumol & Allergol, Kishinev, Moldova
Med Acad, Dept Anesthesiol Crit Care & Emergency Med, St Petersburg, Russia
Kaluzhenina, A:
Volgograd State Med Univ, Volgograd, Russia
Almotairi, A:
KFMC, Riyadh, Saudi Arabia
Bukhary, ZAA:
Taibah Univ, Coll Med, Medina, Saudi Arabia
Edathodu, J:
Al Faisal Univ, King Faisal Specialist Hosp, Riyadh, Saudi Arabia
Fathy, A:
Taibah Univ, Mansoura Univ Egypt, Pulm & Resp Crit Care Med, Medina, Saudi Arabia
Enani, AMA:
King Fahad Med City, Med Specialties Dept, Infect Dis Sect, Riyadh, Saudi Arabia
Mohamed, NE:
King Fahad Med City, Med Specialties Dept, Infect Dis Sect, Riyadh, Saudi Arabia
Memon, JU:
King Fahad Hosp, Dept Internal Med, Pulmonol Div, Al Hufuf 31982, Al Ahasa, Saudi Arabia
Bella, A:
Dammam Univ Saudi Arabia, Dammam, Saudi Arabia
King Fahad Hosp, Riyadh, Saudi Arabia
Bogdanovic, N:
KHC Dr Dragisa Misovic, Pulm Dept, Belgrade, Serbia
Milenkovic, B:
Univ Belgrade, Fac Med, Clin Ctr Serbia, Clin Pulm Dis, Belgrade, Serbia
Pesut, D:
Univ Belgrade, Clin Ctr Serbia, Teaching Hosp Pulmonol, Sch Med, Belgrade, Serbia
Borderias, L:
Hosp San Jorge, Resp & Sleep Unit, Huesca, Spain
Garcia, NMB:
Barcelona Policlin & Moises Broggi Hosp, Sant Joan Despi, Spain
Alarcon, HC:
St Hosp Seu Urgell, Catalonia, Spain
Cilloniz, C:
UB, Inst Invest Biomed August Pi i Sunyer IDIBAPS, Hosp Clin Barcelona, Dept Pneumol,Inst Clin Torax, Barcelona, Spain
Torres, A:
UB, Inst Invest Biomed August Pi i Sunyer IDIBAPS, Hosp Clin Barcelona, Dept Pneumol,Inst Clin Torax, Barcelona, Spain
Diaz-Brito, V:
UB, Inst Invest Biomed August Pi i Sunyer IDIBAPS, Hosp Clin Barcelona, Dept Pneumol,Inst Clin Torax, Barcelona, Spain
Casas, X:
UB, Inst Invest Biomed August Pi i Sunyer IDIBAPS, Hosp Clin Barcelona, Dept Pneumol,Inst Clin Torax, Barcelona, Spain
Gonzalez, AE:
Hosp Complex Pontevedra, Pontevedra, Spain
Fernandez-Almira, ML:
Hosp Univ Cent Asturias, Med Interna, Oviedo, Spain
Gallego, M:
Inst Univ Parc Tauli UAB, Hosp Sabadell, Dept Resp Med, Sabadell, Spain
CIBERES, CIBER Enfermedades Resp, Bunyola, Spain
Gaspar-GarcIa, I:
Hosp Costa Sol, Dept Resp Med, Malaga, Spain
Del Castillo, JG:
Hosp Univ Clin San Carlos, Emergency Dept, Madrid, Spain
Victoria, PJ:
Univ Alicante, Hosp Gen, Alicante, Spain
Martinez, EL:
Hosp Mollet, Barcelona, Spain
de Molina, RM:
Univ Hosp Puerta Hierro Majadahonda, Majadahonda, Spain
Menendez, R:
Univ & Polytech Hosp La Fe, Pneumol Serv, Valencia, Spain
Pando-Sandoval, A:
Hosp Univ Cent Asturias, Area Gest Clin Pulmon, Serv Neumol, Oviedo, Spain
Aymerich, CP:
Hosp Univ Germans Trias i Pujol, Inst Invest Germans Trias i Pujol, Microbiol Dept, Badalona, Spain
Hosp Univ Germans Trias i Pujol, Inst Invest Germans Trias i Pujol, Pneumol Dept, Badalona, Spain
Univ Autonoma Barcelona, CIBER Enfermedades Resp CIBERES, Inst Salud Carlos III, Barcelona, Spain
de la Torre, AL:
Hosp Univ Germans Trias i Pujol, Inst Invest Germans Trias i Pujol, Microbiol Dept, Badalona, Spain
Hosp Univ Germans Trias i Pujol, Inst Invest Germans Trias i Pujol, Pneumol Dept, Badalona, Spain
Univ Autonoma Barcelona, CIBER Enfermedades Resp CIBERES, Inst Salud Carlos III, Barcelona, Spain
Garcia-Olive, I:
Hosp Univ Germans Trias i Pujol, Inst Invest Germans Trias i Pujol, Microbiol Dept, Badalona, Spain
Hosp Univ Germans Trias i Pujol, Inst Invest Germans Trias i Pujol, Pneumol Dept, Badalona, Spain
Univ Autonoma Barcelona, CIBER Enfermedades Resp CIBERES, Inst Salud Carlos III, Barcelona, Spain
Rello, J:
Hosp Valle De Hebron, Crit Care Dept, Barcelona, Spain
Moyano, S:
Hosp Valle De Hebron, Crit Care Dept, Barcelona, Spain
Sanz, F:
Univ Valencia, Consorci Hosp Gen, Serv Neumol, Valencia, Spain
Sibila, O:
Hosp Santa Creu i Sant Pau, Serv Pneumol, IIB St Pau, Barcelona, Spain
Rodrigo-Troyano, A:
Hosp Santa Creu i Sant Pau, Serv Pneumol, IIB St Pau, Barcelona, Spain
Sole-Violan, J:
Hosp Univ Gran Canaria Dr Negrin, Las Palmas Gran Canaria, Spain
Uranga, A:
Hosp Galdakao Usansolo, Pulmol Dept, Bizkaia, Spain
van Boven, JFM:
Hosp Univ Son Espases, Palma De Mallorca, Spain
Torra, EV:
Hosp Mataro, Intens Care Med, Mataro, Spain
Pujol, JA:
Hosp Mataro, Intens Care Med, Mataro, Spain
Feldman, C:
Univ Witwatersrand, Fac Hlth Sci, Charlotte Maxeke Johannesburg Acad Hosp, Dept Internal Med,Div Pulmonol, Johannesburg, South Africa
Yum, HK:
Inje Univ, Seoul Paik Hosp, Gimhae, South Korea
Fiogbe, AA:
Univ Hosp Sylvanus Olympio, Pulmonol & Infect Dis Serv, Lome, Togo
Yangui, F:
Hosp Internal Forces Secur IFS, Dept Pneumol, Tunis, Tunisia
Bilaceroglu, S:
Izmir Dr Suat Seren Training & Res Hosp Thorac Me, Izmir, Turkey
Dalar, L:
Istanbul Bilim Univ, Pulm Med, Istanbul, Turkey
Yilmaz, U:
Suat Seren Chest Dis & Surg Training & Res Hosp, Izmir, Turkey
Bogomolov, A:
Vinnitsa Natl Pirogov Mem Med Univ, Vinnitsa Reg Antituberculosis Hosp, Vinnitsa, Ukraine
Elahi, N:
Dubai Hosp, Dubai, U Arab Emirates
Feneley, A:
Univ Hosp Leicester NHS Trust, Rhiannon Ions Julie Skeemer & Gerrit Woltmann, Leicester, Leics, England
Univ Leicester, Leicester, Leics, England
Hancock, C:
Victoria Hosp, NHS Fife, Kirkcaldy, Scotland
Royal Liverpool Univ, Royal Resp Res Team, Liverpool, Merseyside, England
Hill, AT:
Royal Infirm & Univ Edinburgh, Edinburgh, Midlothian, Scotland
Rudran, B:
Royal London Hosp, Barts Hlth Trust, London, England
Ruiz-Buitrago, S:
Hairmyres Hosp, Eaglesham Rd, E Kilbride G75 8RG, Lanark, Scotland
Campbell, M:
Hairmyres Hosp, Eaglesham Rd, E Kilbride G75 8RG, Lanark, Scotland
Whitaker, P:
St James Hosp, Dept Resp Med, Leeds LS9 7TF, W Yorkshire, England
Youzguin, A:
Southport & Ormskirk Hosp NHS Trust, Southport, England
Singanayagam, A:
Imperial Coll Healthcare NHS Trust, London, England
Allen, KS:
Univ Oklahoma, Hlth Sci Ctr, Norman, OK 73019 USA
Brito, V:
UB, Inst Invest Biomed August Pi i Sunyer IDIBAPS, Hosp Clin Barcelona, Dept Pneumol,Inst Clin Torax, Barcelona, Spain
Texas A&M Hlth Sci Ctr, Crit Care & Sleep Med Baylor Scott & White Hlth, Div Pulm, Bryan, TX USA
Dietz, J:
Fargo VA Hlth Care Syst, Fargo, ND USA
Dysart, CE:
Clement J Zablocki VA Med Ctr, 5000 W Natl Ave, Milwaukee, WI 53295 USA
Univ New Mexico, Sch Med, Div Infect Dis, Raymond G Murphy VA Med Ctr, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Kellie, SM:
Clement J Zablocki VA Med Ctr, 5000 W Natl Ave, Milwaukee, WI 53295 USA
Univ New Mexico, Sch Med, Div Infect Dis, Raymond G Murphy VA Med Ctr, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Franco-Sadud, RA:
Cook Cty Hosp, Div Hosp Med, Chicago, IL 60612 USA
Meier, G:
Cook Cty Hosp, Div Hosp Med, Chicago, IL 60612 USA
Gaga, M:
Athens Chest Hosp, Dept & Asthma Ctr, Resp Med 7, Chicago, IL USA
Holland, TL:
Duke Univ, Med Ctr, Dept Med, Durham, NC 27706 USA
Duke Clin Res Inst, Sch Med, Durham, NC USA
Bergin, SP:
Duke Univ, Med Ctr, Dept Med, Durham, NC 27706 USA
Duke Clin Res Inst, Sch Med, Durham, NC USA
Kheir, F:
Tulane Univ, Hlth Sci Ctr, Dept Pulm Dis Crit Care & Environm Med, New Orleans, LA 70118 USA
Landmeier, M:
Northwestern Mem Hosp, Div Pulm & Crit Care Med, Chicago, IL 60611 USA
Lois, M:
John Peter Smith Hosp, Ft Worth, TX 76104 USA
Nair, GB:
SUNY Stony Brook, Winthrop Univ Hosp, Interstitial Lung Dis Programand Pulm Rehabil, Mineola, NY 11501 USA
Patel, H:
Univ Colorado, Hosp Med Grp, Div Gen Internal Med, Dept Med, Boulder, CO 80309 USA
Reyes, K:
Henry Ford Hosp, Detroit, IL USA
Rodriguez-Cintron, W:
VA Caribbean Healthcare Syst, Pulm Crit Care Med, San Juan, PR USA
Saito, S:
Tulane Univ, New Orleans, LA 70118 USA
Soni, NJ:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med & Pulm, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Crit Care Med, San Antonio, TX 78229 USA
Noda, J:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med & Pulm, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Crit Care Med, San Antonio, TX 78229 USA
Hinojosa, CI:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med & Pulm, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Crit Care Med, San Antonio, TX 78229 USA
Levine, SM:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med & Pulm, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Crit Care Med, San Antonio, TX 78229 USA
Angel, LF:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med & Pulm, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Crit Care Med, San Antonio, TX 78229 USA
Anzueto, A:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med & Pulm, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Crit Care Med, San Antonio, TX 78229 USA
Whitlow, KS:
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Hipskind, J:
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Sukhija, K:
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Totten, V:
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Wunderink, RG:
Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
Shah, RD:
Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
Mateyo, KJ:
Univ Teaching Hosp, Dept Internal Med, Lusaka, Zambia
Carugati, M:
Univ Milan, Luigi Sacco Hosp, Div Infect Dis, Dept Biomed & Clin Sci, Milan, Italy
Morosi, M:
Univ Milan, Luigi Sacco Hosp, Div Infect Dis, Dept Biomed & Clin Sci, Milan, Italy
Monge, E:
Univ Milan, Luigi Sacco Hosp, Div Infect Dis, Dept Biomed & Clin Sci, Milan, Italy
Govt Med Coll Kozhikode, Pulm Med, Kozhikode, Kerala, India.
Bronze, Green Published, Green Accepted
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