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About:
Herpes simplex virus and Cytomegalovirus reactivation among severe ARDS patients under veno-venous ECMO
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Herpes simplex virus and Cytomegalovirus reactivation among severe ARDS patients under veno-venous ECMO
Creator
Forel, Jean-Marie
Papazian, Laurent
Roch, Antoine
Adda, Mélanie
Fabre, Cyprien
Guervilly, Christophe
Hraiech, Sami
Bonnardel, Eline
Cavaille, Guilhem
Coiffard, Benjamin
Loundou, Anderson
Parzy, Gabriel
source
PMC
abstract
BACKGROUND: Herpesviridae reactivation among non-immunocompromised critically ill patients is associated with impaired prognosis, especially during acute respiratory distress syndrome (ARDS). However, little is known about herpes simplex virus (HSV) and Cytomegalovirus (CMV) reactivation occurring in patients with severe ARDS under veno-venous extracorporeal membrane oxygenation (ECMO). We tried to determine the frequency of Herpesviridae reactivation and its impact on patients’ prognosis during ECMO for severe ARDS. RESULTS: During a 5-year period, 123 non-immunocompromised patients with a severe ARDS requiring a veno-venous ECMO were included. Sixty-seven patients (54%) experienced HSV and/or CMV reactivation during ECMO course (20 viral co-infection, 40 HSV alone, and 7 CMV alone). HSV reactivation occurred earlier than CMV after the beginning of MV [(6–15) vs. 19 (13–29) days; p < 0.01] and after ECMO implementation [(2–8) vs. 14 (10–20) days; p < 0.01]. In univariate analysis, HSV/CMV reactivation was associated with a longer duration of mechanical ventilation [(22–52.5) vs. 17.5 (9–28) days; p < 0.01], a longer duration of ECMO [15 (10–22.5) vs. 9 (5–14) days; p < 0.01], and a prolonged ICU [29 (19.5–47.5) vs. 16 (9–30) days; p < 0.01] and hospital stay [44 (29–63.5) vs. 24 (11–43) days; p < 0.01] as compared to non-reactivated patients. However, in multivariate analysis, viral reactivation remained associated with prolonged MV only. When considered separately, both HSV and CMV reactivation were associated with a longer duration of MV as compared to non-reactivation patients [29 (19.5–41) and 28 (20.5–37), respectively, vs. 17.5 (9–28) days; p < 0.05]. Co-reactivation patients had a longer duration of MV [58.5 (38–72.3); p < 0.05] and ICU stay [51.5 (32.5–69) vs. 27.5 (17.75–35.5) and 29 (20–30.5), respectively] as compared to patients with HSV or CMV reactivation alone. In multivariate analysis, HSV reactivation remained independently associated with a longer duration of MV and hospital length of stay. CONCLUSIONS: Herpesviridae reactivation is frequent among patients with severe ARDS under veno-venous ECMO and is associated with a longer duration of mechanical ventilation. The direct causative link between HSV and CMV reactivation and respiratory function worsening under ECMO remains to be confirmed.
has issue date
2019-12-23
(
xsd:dateTime
)
bibo:doi
10.1186/s13613-019-0616-6
bibo:pmid
31872319
has license
cc-by
sha1sum (hex)
17a2301f5673e08a8830da3081504b9791323de5
schema:url
https://doi.org/10.1186/s13613-019-0616-6
resource representing a document's title
Herpes simplex virus and Cytomegalovirus reactivation among severe ARDS patients under veno-venous ECMO
has PubMed Central identifier
PMC6928167
has PubMed identifier
31872319
schema:publication
Ann Intensive Care
resource representing a document's body
covid:17a2301f5673e08a8830da3081504b9791323de5#body_text
is
schema:about
of
named entity 'patients'
named entity 'ARDS'
named entity 'ECMO'
named entity 'Herpesviridae'
named entity 'herpes simplex virus (HSV)'
named entity 'acute respiratory distress syndrome (ARDS)'
named entity 'CMV'
named entity 'ARDS'
named entity 'patients'
named entity 'immunocompromised'
named entity 'ECMO'
named entity 'Herpesviridae'
named entity 'ARDS'
named entity 'ARDS'
named entity 'acute respiratory distress syndrome'
named entity 'extracorporeal membrane oxygenation'
named entity 'ARDS'
named entity 'ECMO'
named entity 'ECMO'
named entity 'CMV'
named entity 'plasma levels'
named entity 'ARDS'
named entity 'ICU'
named entity 'risk of death'
named entity 'ICU'
named entity 'prognosis'
named entity 'ICU'
named entity 'ICU'
named entity 'HIV'
named entity 'immunocompromised patients'
named entity 'ARDS'
named entity 'CMV'
named entity 'CMV'
named entity 'fever'
named entity 'Clinical outcomes'
named entity 'univariate analysis'
named entity 'ECMO'
named entity 'acute respiratory distress syndrome'
named entity 'CMV'
named entity 'CMV'
named entity 'HSV'
named entity 'HSV'
named entity 'CMV'
named entity 'CMV'
named entity 'immunosuppression'
named entity 'ARDS'
named entity 'HSV'
named entity 'ECMO'
named entity 'HSV'
named entity 'transfusion'
named entity 'ICU'
named entity 'ARDS'
named entity 'Student's t test'
named entity 'ECMO'
named entity 'IBM SPSS Statistics'
named entity 'case-control study'
named entity 'corticosteroid therapy'
named entity 'ARDS'
named entity 'Herpesviridae'
named entity 'ECMO'
named entity 'HSV'
named entity 'Organ Failure'
named entity 'Clinical outcomes'
named entity 'ICU'
named entity 'mechanical ventilation'
named entity 'antiviral treatment'
named entity 'ECMO'
named entity 'human immunodeficiency virus'
named entity 'IBM'
named entity 'immunocompromised'
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