BMC infectious diseases, 2023-04, Vol.23 (1), p.231-231, Article 231
2023
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- Autor(en) / Beteiligte
- Titel
- Identification of priority pathogens for aetiological diagnosis in adults with community-acquired pneumonia in China: a multicentre prospective study
- Ist Teil von
- BMC infectious diseases, 2023-04, Vol.23 (1), p.231-231, Article 231
- Ort / Verlag
- England: BioMed Central Ltd
- Erscheinungsjahr
- 2023
- Quelle
- Elektronische Zeitschriftenbibliothek
- Beschreibungen/Notizen
- Community-acquired pneumonia (CAP) is a major public health challenge worldwide. However, the aetiological and disease severity-related pathogens associated with CAP in adults in China are not well established based on the detection of both viral and bacterial agents. A multicentre, prospective study was conducted involving 10 hospitals located in nine geographical regions in China from 2014 to 2019. Sputum or bronchoalveolar lavage fluid (BALF) samples were collected from each recruited CAP patient. Multiplex real-time PCR and bacteria culture methods were used to detect respiratory pathogens. The association between detected pathogens and CAP severity was evaluated. Among the 3,403 recruited eligible patients, 462 (13.58%) had severe CAP, and the in-hospital mortality rate was 1.94% (66/3,403). At least one pathogen was detected in 2,054 (60.36%) patients, with two or more pathogens were co-detected in 725 patients. The ten major pathogens detected were Mycoplasma pneumoniae (11.05%), Haemophilus influenzae (10.67%), Klebsiella pneumoniae (10.43%), influenza A virus (9.49%), human rhinovirus (9.02%), Streptococcus pneumoniae (7.43%), Staphylococcus aureus (4.50%), adenovirus (2.94%), respiratory syncytial viruses (2.35%), and Legionella pneumophila (1.03%), which accounted for 76.06-92.52% of all positive detection results across sampling sites. Klebsiella pneumoniae (p < 0.001) and influenza viruses (p = 0.005) were more frequently detected in older patients, whereas Mycoplasma pneumoniae was more frequently detected in younger patients (p < 0.001). Infections with Klebsiella pneumoniae, Staphylococcus aureus, influenza viruses and respiratory syncytial viruses were risk factors for severe CAP. The major respiratory pathogens causing CAP in adults in China were different from those in USA and European countries, which were consistent across different geographical regions over study years. Given the detection rate of pathogens and their association with severe CAP, we propose to include the ten major pathogens as priorities for clinical pathogen screening in China.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 1471-2334eISSN: 1471-2334DOI: 10.1186/s12879-023-08166-3Titel-ID: cdi_doaj_primary_oai_doaj_org_article_2e8c2531e23940889a23b3ccb3b31ae1
- Format
- –
- Schlagworte
- Adult, Adults, Aetiology, Age groups, Aged, Analysis, Antibiotics, Bacteria, Bacterial pneumonia, Bronchus, Care and treatment, Causes of, Chi-square test, Community-Acquired Infections - diagnosis, Community-Acquired Infections - epidemiology, Community-Acquired Infections - etiology, Community-acquired pneumonia, Control, Etiology, Humans, Identification and classification, Infectious diseases, Influenza, Influenza A, Klebsiella, Klebsiella pneumoniae, Lavage, Legionella pneumophila, Legionnaires' disease bacterium, Medical tests, Mycoplasma pneumoniae, Orthomyxoviridae, Pathogenic microorganisms, Pathogens, Patients, Pleural effusion, Pneumonia, Pneumonia - diagnosis, Pneumonia - epidemiology, Pneumonia - etiology, Pneumonia, Bacterial - complications, Pneumonia, Bacterial - diagnosis, Pneumonia, Bacterial - epidemiology, Priority screening pathogens, Prospective Studies, Public health, Respiratory diseases, Respiratory syncytial virus, Respiratory Syncytial Viruses, Rhinovirus, Risk factor, Risk factors, Severe infection, Sputum, Staphylococcus aureus, Streptococcus infections, Streptococcus pneumoniae, Viruses