Resurgence of common respiratory viruses in patients with community-acquired pneumonia (CAP)—A prospective multicenter study
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
- Department of Internal Medicine I
- University Medical Center Freiburg
- University of Freiburg
- Berlin Institute of Health at Charité
- Ulm University
- Municipal Hospital Dortmund
- Hannover Medical School (MHH)
- German Center for Lung Research (DZL)
- Technical University of Munich
- Friedrich Schiller University Jena
- University Hospital Frankfurt
- Universitätsklinikum Schleswig-Holstein - Campus Lübeck
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) - DZL Hannover
- University Hospital Augsburg
- University of Basel
- Charité – Universitätsmedizin Berlin
- Carl Thiem Clinics Cottbus
- University Hospital Carl Gustav Carus Dresden
- KRH Hospital Siloah
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
Original language | English |
---|---|
Article number | 105694 |
Journal | Journal of Clinical Virology |
Volume | 173 |
Publication status | Published - Aug 2024 |
Peer-reviewed | Yes |
External IDs
PubMed | 38781632 |
---|---|
ORCID | /0000-0001-6022-6827/work/173054905 |
Keywords
Sustainable Development Goals
ASJC Scopus subject areas
Keywords
- Community-acquired pneumonia, Community-acquired respiratory viruses, Epidemiology, Molecular detection methods, Post-pandemic, Prospective study