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Bacterial etiology of community-acquired pneumonia in immunocompetent hospitalized patients and appropriateness of empirical treatment recommendations: an international point-prevalence study

2020Journal article Open access
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dc.contributor.authorCarugati, Manuela
dc.contributor.authorAliberti, S.
dc.contributor.authorSotgiu, G.
dc.contributor.authorBlasi, F.
dc.contributor.authorGori, A.
dc.contributor.authorMenendez, R.
dc.contributor.authorEncheva, M.
dc.contributor.authorGallego, M.
dc.contributor.authorLeuschner, P.
dc.contributor.authorRuiz-Buitrago, S.
dc.contributor.authorBattaglia, S.
dc.contributor.authorFantini, R.
dc.contributor.authorPascual-Guardia, S.
dc.contributor.authorMarin-Corral, J.
dc.contributor.authorRestrepo, M. I.
dc.contributor.authorAruj, Patricia Karina
dc.contributor.authorAttorri, Silvia
dc.contributor.authorBarimboim, Enrique
dc.contributor.authorCaeiro, Juan Pablo
dc.contributor.authorGarzón, María I
dc.contributor.authorCambursano, Victor Hugo
dc.contributor.authorCeccato, Adrian
dc.contributor.authorChertcoff, Julio
dc.contributor.authorLascar, Florencia
dc.contributor.authorTulio, Fernando Di
dc.contributor.authorDíaz, Ariel Cordon
dc.contributor.authorde Vedia, Lautaro
dc.contributor.authorGanaha, Maria Cristina
dc.contributor.authorLambert, Sandra
dc.contributor.authorLopardo, Gustavo
dc.contributor.authorLuna, Carlos M
dc.contributor.authorMalberti, Alessio Gerardo
dc.contributor.authorMorcillo, Nora
dc.contributor.authorTartara, Silvina
dc.contributor.authorPensotti, Claudia
dc.contributor.authorPereyra, Betiana
dc.contributor.authorScapellato, Pablo Gustavo
dc.contributor.authorStagnaro, Juan Pablo
dc.contributor.authorShah, Sonali
dc.contributor.authorLötsch, Felix
dc.contributor.authorThalhammer, Florian
dc.contributor.authorVincent, Jean Louis
dc.contributor.authorAnseeuw, Kurt
dc.contributor.authorFrancois, Camille A
dc.contributor.authorVan Braeckel, Eva
dc.contributor.authorDjimon, Marcel Zannou
dc.contributor.authorBashi, Jules
dc.contributor.authorRoger, Dodo
dc.contributor.authorNouér, Simone Aranha
dc.contributor.authorChipev, Peter
dc.contributor.authorEncheva, Milena
dc.contributor.authorMiteva, Darina
dc.contributor.authorPetkova, Diana
dc.contributor.authorDodo, Balkissou Adamou
dc.contributor.authorNgahane, Mbatchou
dc.contributor.authorHugo, Bertrand
dc.contributor.authorShen, Ning
dc.contributor.authorXu, Jin-fu
dc.contributor.authorRico, Carlos Andres Bustamante
dc.contributor.authorBuitrago, Ricardo
dc.contributor.authorPaternina, Fernando Jose Pereira
dc.contributor.authorJean-Marie, Kayembe Ntumba
dc.contributor.authorCarevic, Vesna Vladic
dc.contributor.authorJakopovic, Marko
dc.contributor.authorJankovic, Mateja
dc.contributor.authorMatkovic, Zinka
dc.contributor.authorMitrecic, Ivan
dc.contributor.authorJacobsson, Marie-Laure Bouchy
dc.contributor.authorChristensen, Anette Bro
dc.contributor.authorHeitmannBødtger, Uff e Christian
dc.contributor.authorMeyer, Christian Niels
dc.contributor.authorJensen, Andreas Vestergaard
dc.contributor.authorBaunbæk-knudsen, Gertrud
dc.contributor.authorPetersen, Pelle Trier
dc.contributor.authorAndersen, Stine
dc.contributor.authorEl-Wahhab, Ibrahim El-Said Abd
dc.contributor.authorMorsy, Nesreen Elsayed
dc.contributor.authorShafiek, Hanaa
dc.contributor.authorSobh, Eman
dc.contributor.authorBertrand, Fabrice
dc.contributor.authorBrun-Buisson, Christian
dc.contributor.authorde Montmollin, Etienne
dc.contributor.authorFartoukh, Muriel
dc.contributor.authorMessika, Jonathan
dc.contributor.authorTattevin, Pierre
dc.contributor.authorDreher, Michael
dc.contributor.authorKolditz, Martin
dc.contributor.authorMeisinger, Matthias
dc.contributor.authorPletz, Mathias W
dc.contributor.authorHagel, Stefan
dc.contributor.authorRupp, Jan
dc.contributor.authorSchaberg, Tom
dc.contributor.authorSpielmanns, Marc
dc.contributor.authorSiaw-Lartey, Beatrice
dc.contributor.authorDimakou, Katerina
dc.contributor.authorPapapetrou, Dimosthenis
dc.contributor.authorTsigou, Evdoxia
dc.contributor.authorAmpazis, Dimitrios
dc.contributor.authorBhatia, Mohit
dc.contributor.authorDhar, Raja
dc.contributor.authorD’Souza, George
dc.contributor.authorGarg, Rajiv
dc.contributor.authorKoul, Parvaiz A
dc.contributor.authorMahesh, P A
dc.contributor.authorJayaraj, B S
dc.contributor.authorNarayan, Kiran Vishnu
dc.contributor.authorUdnur, Hirennappa B
dc.contributor.authorKrishnamurthy, Shashi Bhaskara
dc.contributor.authorGolshani, Keihan
dc.contributor.authorKeatings, Vera M
dc.contributor.authorMartin-Loeches, Ignacio
dc.contributor.authorMaor, Yasmin
dc.contributor.authorStrahilevitz, Jacob
dc.contributor.authorBattaglia, Salvatore
dc.contributor.authorCarrabba, Maria
dc.contributor.authorCeriana, Piero
dc.contributor.authorConfalonieri, Marco
dc.contributor.authord’Arminio Monforte, Antonella
dc.contributor.authorDel Prato, Bruno
dc.contributor.authorDe Rosa, Marino
dc.contributor.authorFantini, Riccardo
dc.contributor.authorFiorentino, Giuseppe
dc.contributor.authorGammino, Maria Antonia
dc.contributor.authorMenzella, Francesco
dc.contributor.authorMilani, Giuseppe
dc.contributor.authorNava, Stefano
dc.contributor.authorPalmiero, Gerardo
dc.contributor.authorPetrino, Roberta
dc.contributor.authorGabrielli, Barbra
dc.contributor.authorRossi, Paolo
dc.contributor.authorSorino, Claudio
dc.contributor.authorSteinhilber, Gundi
dc.contributor.authorZanforlin, Alessandro
dc.contributor.authorKurahashi, Kiyoyasu
dc.contributor.authorBacha, Zeina Aoun
dc.contributor.authorUgalde, Daniel Barajas
dc.contributor.authorZuñiga, Omar Ceballos
dc.contributor.authorVillegas, José F
dc.contributor.authorMedenica, Milic
dc.contributor.authorvan de Garde, E M W
dc.contributor.authorMihsra, Deebya Raj
dc.contributor.authorShrestha, Poojan
dc.contributor.authorRidgeon, Elliott
dc.contributor.authorAwokola, Babatunde Ishola
dc.contributor.authorNwankwo, Ogonna N O
dc.contributor.authorOlufunlola, Adefuye Bolanle
dc.contributor.authorOlumide, Segaolu
dc.contributor.authorUkwaja, Kingsley N
dc.contributor.authorIrfan, Muhammad
dc.contributor.authorMinarowski, Lukasz
dc.contributor.authorSzymon, Skoczyński
dc.contributor.authorFroes, Felipe
dc.contributor.authorLeuschner, Pedro
dc.contributor.authorMeireles, Mariana
dc.contributor.authorFerrão, Cláudia
dc.contributor.authorLeuschner, Pedro
dc.contributor.authorNeves, João
dc.contributor.authorRavara, Sofia B
dc.contributor.authorda Beira, Cova
dc.contributor.authorBrocovschii, Victoria
dc.contributor.authorIon, Chesov
dc.contributor.authorRusu, Doina
dc.contributor.authorToma, Cristina
dc.contributor.authorChirita, Daniela
dc.contributor.authorBirkun, Alexei
dc.contributor.authorKaluzhenina, Anna
dc.contributor.authorAlmotairi, Abdullah
dc.contributor.authorAbdulbaqi, Zakeya
dc.contributor.authorBukhary, Ali
dc.contributor.authorEdathodu, Jameela
dc.contributor.authorFathy, Amal
dc.contributor.authorEnani, Abdullah Mushira Abdulaziz
dc.contributor.authorMohamed, Nazik Eltayeb
dc.contributor.authorMemon, Jawed Ulhadi
dc.contributor.authorBogdanović, Nada
dc.contributor.authorMilenkovic, Branislava
dc.contributor.authorPesut, Dragica
dc.contributor.authorBorderìas, Luis
dc.contributor.authorGarcia, Noel Manuel Bordon
dc.contributor.authorAlarcón, Hugo Cabello
dc.contributor.authorCilloniz, Catia
dc.contributor.authorTorres, Antoni
dc.contributor.authorDiaz-Brito, Vicens
dc.contributor.authorCasas, Xavier
dc.contributor.authorGonzález, Alicia Encabo
dc.contributor.authorFernández-Almira, Maria Luisa
dc.contributor.authorGallego, Miguel
dc.contributor.authorGaspar-GarcÍa, Inmaculada
dc.contributor.authordel Castillo, Juan González
dc.contributor.authorVictoria, Patricia Javaloyes
dc.contributor.authorMartínez, Elena Laserna
dc.contributor.authorde Molina, Rosa Malo
dc.contributor.authorMarcos, Pedro J
dc.contributor.authorMenéndez, Rosario
dc.contributor.authorPandoSandova, Ana
dc.contributor.authorAymerich, Cristina Prat
dc.contributor.authordel la Torre, Alicia Lacoma
dc.contributor.authorGarcía-Olivé, Ignasi
dc.contributor.authorRello, Jordi
dc.contributor.authorMoyano, Silvia
dc.contributor.authorSanz, Francisco
dc.contributor.authorSibila, Oriol
dc.contributor.authorRodrigo-Troyano, Ana
dc.contributor.authorSolé-Violán, Jordi
dc.contributor.authorUranga, Ane
dc.contributor.authorvan Boven, Job FM
dc.contributor.authorTorra, Ester Vendrell
dc.contributor.authorPujol, Jordi Almirall
dc.contributor.authorFeldman, Charles
dc.contributor.authorYum, Ho Kee
dc.contributor.authorFiogbe, Arnauld Attannon
dc.contributor.authorYangui, Ferdaous
dc.contributor.authorBilaceroglu, Semra
dc.contributor.authorDalar, Levent
dc.contributor.authorYilmaz, Ufuk
dc.contributor.authorBogomolov, Artemii
dc.contributor.authorElahi, Naheed
dc.contributor.authorDhasmana, Devesh J
dc.contributor.authorIons, Rhiannon
dc.contributor.authorSkeemer, Julie
dc.contributor.authorWoltmann, Gerrit
dc.contributor.authorHancock, Carole
dc.contributor.authorHill, Adam T
dc.contributor.authorRudran, Banu
dc.contributor.authorRuiz-Buitrago, Silvia
dc.contributor.authorCampbell, Marion
dc.contributor.authorWhitaker, Paul
dc.contributor.authorAllen, Karen S
dc.contributor.authorBrito, Veronica
dc.contributor.authorDietz, Jessica
dc.contributor.authorDysart, Claire E
dc.contributor.authorKellie, Susan M
dc.contributor.authorFranco-Sadud, Ricardo A
dc.contributor.authorMeier, Garnet
dc.contributor.authorGaga, Mina
dc.contributor.authorHolland, Thomas L
dc.contributor.authorBergin, Stephen P
dc.contributor.authorKheir, Fayez
dc.contributor.authorLandmeier, Mark
dc.contributor.authorLois, Manuel
dc.contributor.authorNair, Girish B
dc.contributor.authorPatel, Hemali
dc.contributor.authorReyes, Katherine
dc.contributor.authorRodriguez-Cintron, William
dc.contributor.authorSaito, Shigeki
dc.contributor.authorSoni, Nilam J
dc.contributor.authorNoda, Julio
dc.contributor.authorHinojosa, Cecilia I
dc.contributor.authorLevine, Stephanie M
dc.contributor.authorAngel, Luis F
dc.contributor.authorAnzueto, Antonio
dc.contributor.authorWhitlow, K Scott
dc.contributor.authorHipskind, John
dc.contributor.authorSukhija, Kunal
dc.contributor.authorWunderink, Richard G.
dc.contributor.authorShah, Ray D
dc.contributor.authorMateyo, Kondwelani John
dc.date.accessioned2021-11-22T17:49:45Z
dc.date.available2021-11-22T17:49:45Z
dc.date.issued2020
dc.description.abstractAn accurate knowledge of the epidemiology of community-acquired pneumonia (CAP) is key for selecting appropriate antimicrobial treatments. Very few etiological studies assessed the appropriateness of empiric guideline recommendations at a multinational level. This study aims at the following: (i) describing the bacterial etiologic distribution of CAP and (ii) assessing the appropriateness of the empirical treatment recommendations by clinical practice guidelines (CPGs) for CAP in light of the bacterial pathogens diagnosed as causative agents of CAP. Secondary analysis of the GLIMP, a point-prevalence international study which enrolled adults hospitalized with CAP in 2015. The analysis was limited to immunocompetent patients tested for bacterial CAP agents within 24 h of admission. The CAP CPGs evaluated included the following: the 2007 and 2019 American Thoracic Society/Infectious Diseases Society of America (ATS/IDSA), the European Respiratory Society (ERS), and selected country-specific CPGs. Among 2564 patients enrolled, 35.3% had an identifiable pathogen. Streptococcus pneumoniae (8.2%) was the most frequently identified pathogen, followed by Pseudomonas aeruginosa (4.1%) and Klebsiella pneumoniae (3.4%). CPGs appropriately recommend covering more than 90% of all the potential pathogens causing CAP, with the exception of patients enrolled from Germany, Pakistan, and Croatia. The 2019 ATS/IDSA CPGs appropriately recommend covering 93.6% of the cases compared with 90.3% of the ERS CPGs (p < 0.01). S. pneumoniae remains the most common pathogen in patients hospitalized with CAP. Multinational CPG recommendations for patients with CAP seem to appropriately cover the most common pathogens and should be strongly encouraged for the management of CAP patients.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCarugati M, Aliberti S, Sotgiu G, et al. Bacterial etiology of community-acquired pneumonia in immunocompetent hospitalized patients and appropriateness of empirical treatment recommendations: an international point-prevalence study [published correction appears in Eur J Clin Microbiol Infect Dis. 2021 Sep;40(9):2051]. Eur J Clin Microbiol Infect Dis. 2020;39(8):1513-1525. doi:10.1007/s10096-020-03870-3pt_PT
dc.identifier.doi10.1007/s10096-020-03870-3pt_PT
dc.identifier.issn0934-9723
dc.identifier.issn1435-4373
dc.identifier.urihttp://hdl.handle.net/10400.16/2602
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttps://link.springer.com/article/10.1007%2Fs10096-020-03870-3pt_PT
dc.subjectAntimicrobial treatmentpt_PT
dc.subjectCommunity-acquired pneumoniapt_PT
dc.subjectGuidelinespt_PT
dc.subjectStreptococcus pneumoniaept_PT
dc.titleBacterial etiology of community-acquired pneumonia in immunocompetent hospitalized patients and appropriateness of empirical treatment recommendations: an international point-prevalence studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceGermanypt_PT
oaire.citation.endPage1525pt_PT
oaire.citation.issue8pt_PT
oaire.citation.startPage1513pt_PT
oaire.citation.titleEuropean Journal of Clinical Microbiology & Infectious Diseasespt_PT
oaire.citation.volume39pt_PT
person.familyNameLeuschner
person.givenNamePedro
person.identifier.ciencia-id3E14-F368-266D
person.identifier.orcid0000-0002-9462-0600
person.identifier.scopus-author-id35364756800
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationa5f2d5d0-c157-4b05-809f-c568571f7783
relation.isAuthorOfPublication.latestForDiscoverya5f2d5d0-c157-4b05-809f-c568571f7783

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