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

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • CAPNETZ-Studiengruppe - (Autor:in)
  • Medizinische Klinik und Poliklinik I
  • Universitätsklinikum Freiburg
  • Albert-Ludwigs-Universität Freiburg
  • Berliner Institut für Gesundheitsforschung in der Charité
  • Universität Ulm
  • Klinikum Dortmund gGmbH
  • CAPNETZ STIFTUNG
  • Deutsche Zentrum für Lungenforschung (DZL)
  • Technische Universität München
  • Friedrich-Schiller-Universität Jena
  • Universitätsklinikum Frankfurt
  • Universitätsklinikum Schleswig-Holstein Campus Lübeck
  • Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) - DZL Standort Hannover
  • Universitätsklinikum Augsburg
  • Universität Basel
  • Charité – Universitätsmedizin Berlin
  • Carl-Thiem-Klinikum Cottbus
  • Universitätsklinikum Carl Gustav Carus Dresden
  • Medizinische Hochschule Hannover (MHH)
  • KRH Klinikum Siloah
  • CAPNETZ Office

Abstract

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.

Details

OriginalspracheEnglisch
Aufsatznummer105694
FachzeitschriftJournal of Clinical Virology
Jahrgang173
PublikationsstatusVeröffentlicht - Aug. 2024
Peer-Review-StatusJa

Externe IDs

PubMed 38781632
ORCID /0000-0001-6022-6827/work/173054905

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Schlagwörter

  • Community-acquired pneumonia, Community-acquired respiratory viruses, Epidemiology, Molecular detection methods, Post-pandemic, Prospective study