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Resurgence of common respiratory viruses in patients with community-acquired pneumonia (CAP) - a prospective multicenter study

Title: Resurgence of common respiratory viruses in patients with community-acquired pneumonia (CAP) - a prospective multicenter study
Authors: Dähne, Theo; Bauer, Wolfgang; Essig, Andreas; Schaaf, Bernhard; Barten-Neiner, Grit; Spinner, Christoph D.; Pletz, Mathias W.; Rohde, Gernot; Rupp, Jan; Witzenrath, Martin; Panning, Marcus; Fuchs, André; Engelmann, Maximilian; Stolz, D.; Bauer, W.; Mücke, H.C.; Suttorp, N.; Witzenrath, M.; Schmager, S.; Schaaf, B.; Kremling, J.; Nickoleit-Bitzenberger, D.; Azzaui, H.; Hower, M.; Hempel, F.; Prebeg, K.; Popkirova, K.; Kolditz, M.; Rohde, G.; Bellinghausen, C.; Grünewaldt, A.; Panning, M.; Welte, T.; Fühner, T.; van't Klooster, M.; Barten-Neiner, G.; Kröner, W.; Unruh, Ol.; Adaskina, N.; Eberherdt, F.; Julius, C.; Illig, T.; Klopp, N.; Pletz, M.; Schleenvoigt, B.T.; Forstner, C.; Moeser, A.; Ankert, J.; Drömannn, D.; Parschke, P.; Franzen, K.; Rupp, J.; Käding, N.; Waldeck, F.; Spinner, C.; Erber, J.; Voit, F.; Schneider, J.; Heigener, D.; Hering, I.; Albrich, W.; Seneghini, M.; Rassouli, F.; Baldesberger, S.; Essig, A.; Stenger, S.; Wallner, M.; Burgmann, H.; Traby, L.; Schubert, L.; Chen, R.
Publication Year: 2024
Collection: Augsburg University Publication Server (OPUS)
Subject Terms: ddc:610
Description: Background Community-acquired pneumonia (CAP) is a major global cause of death and hospitalization. Bacteria or community-acquired viruses (CARVs) cause CAP. COVID-19 associated restrictions effectively reduced the circulation of CARVs. Objectives The aim of this study was to analyze the proportion of CARVs in adult patients with CAP from mid-2020 to mid-2023. Specifically, we aimed to compare the rate of influenza virus, SARS-CoV-2, and RSV detections in patients aged 18–59 years and ≥60 years. Study design We analyze the proportion of 21 community-acquired respiratory viruses (CARVs) and three atypical bacteria (Bordetella pertussis, Legionella pneumophila, and Mycoplasma pneumoniae) in nasopharyngeal swab samples using molecular multiplex methods within the prospective, multicentre, multinational study of the German study Group CAPNETZ. We used stringent inclusion criteria throughout the study. Results We identified CARVs in 364/1,388 (26.2 %) patients. In detail, we detected SARS-CoV-2 in 210/1,388 (15.1 %), rhino-/enterovirus in 64/1,388 (4.6 %), influenza virus in 23/1,388 (1.6 %) and RSV in 17/1,388 (1.2 %) of all patients. We detected RSV and influenza more frequently in patients ≥60 years, especially in 22/23 compared to the previous season. None of the atypical bacteria were detected. Conclusions Beginning in 2023, we demonstrate a re-emergence of CARVs in CAP patients. Effective vaccines or specific antiviral therapies for more than two thirds of the detected viral infections are currently available. High detection rates of vaccine-preventable viruses in older age groups support targeted vaccination campaigns.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://doi.org/10.1016/j.jcv.2024.105694
DOI: 10.1016/j.jcv.2024.105694
Availability: https://opus.bibliothek.uni-augsburg.de/opus4/frontdoor/index/index/docId/117208; https://nbn-resolving.org/urn:nbn:de:bvb:384-opus4-1172089; https://doi.org/10.1016/j.jcv.2024.105694; https://opus.bibliothek.uni-augsburg.de/opus4/files/117208/117208.pdf
Rights: https://creativecommons.org/licenses/by/4.0/deed.de ; CC-BY 4.0: Creative Commons: Namensnennung (mit Print on Demand) ; info:eu-repo/semantics/openAccess
Accession Number: edsbas.A14C81B6
Database: BASE