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住院成人的呼吸道病毒感染:一家三级保健医院的经验。

Respiratory viral infections among hospitalized adults: experience of a single tertiary healthcare hospital.

机构信息

Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

出版信息

Influenza Other Respir Viruses. 2014 May;8(3):282-92. doi: 10.1111/irv.12237. Epub 2014 Feb 3.

Abstract

BACKGROUND

Following the 2009 H1N1 pandemic, there have been a large number of studies focusing on the epidemiology and outcomes of influenza A infection; however, there have been fewer studies focused on other respiratory viral infections.

OBJECTIVES

To define the epidemiology and outcomes of non-influenza respiratory viral infections in hospitalized adults.

PATIENTS/METHODS: Data on all patients ≥18 years of age with a positive molecular respiratory viral assay who were hospitalized at a single tertiary healthcare system in Chicago, IL, from retrospectively collected and analyzed.

RESULTS

Over the study period, 503 of 46 024 (1·1%) admitted patients had a positive RVP result. Human rhinovirus was the most commonly detected virus followed by influenza A, human metapneumovirus, respiratory syncytial virus, and parainfluenza virus, adenovirus, and influenza B, respectively. Infection in immunocompromised patients was associated with a higher rate of progression to pneumonia and death.

CONCLUSIONS

Non-influenza respiratory viral infections are commonly detected among adults admitted to the hospital and can cause serious illness. The data can inform the prioritization of research into novel antiviral therapies for these infections.

摘要

背景

2009 年 H1N1 大流行后,大量研究集中在甲型流感感染的流行病学和结局上;然而,针对其他呼吸道病毒感染的研究较少。

目的

明确住院成人中非流感性呼吸道病毒感染的流行病学和结局。

患者/方法:本研究回顾性收集并分析了在伊利诺伊州芝加哥市的一家单一三级医疗保健系统中住院的所有年龄≥18 岁、呼吸道病毒聚合酶链反应(RVP)检测阳性的患者的数据。

结果

在研究期间,46024 例住院患者中有 503 例(1.1%)的 RVP 检测结果为阳性。人鼻病毒是最常检测到的病毒,其次是甲型流感病毒、人偏肺病毒、呼吸道合胞病毒和副流感病毒、腺病毒和乙型流感病毒。免疫功能低下患者的感染与肺炎和死亡发生率较高相关。

结论

住院成人中常可检测到非流感性呼吸道病毒感染,可导致严重疾病。这些数据可以为针对这些感染的新型抗病毒治疗方法的研究提供优先排序依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e653/4181476/bba08e1eef68/irv0008-0282-f1.jpg

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