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About:
Diagnosis of severe respiratory infections in immunocompromised patients
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An Entity of Type :
schema:ScholarlyArticle
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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
Diagnosis of severe respiratory infections in immunocompromised patients
Creator
Rello, Jordi
Azoulay, Elie
Povoa, Pedro
Lemiale, Virginie
Mehta, Sangeeta
Mokart, Djamel
Mirouse, Adrien
Bauer, Philippe
Loeches, Ignacio
Metaxa, Victoria
Montero, José
Puxty, Kathryn
Russell, Lene
Schellongowski, Peter
Van De Louw, Andry
source
PMC
abstract
An increasing number of critically ill patients are immunocompromised. Acute hypoxemic respiratory failure (ARF), chiefly due to pulmonary infection, is the leading reason for ICU admission. Identifying the cause of ARF increases the chances of survival, but may be extremely challenging, as the underlying disease, treatments, and infection combine to create complex clinical pictures. In addition, there may be more than one infectious agent, and the pulmonary manifestations may be related to both infectious and non-infectious insults. Clinically or microbiologically documented bacterial pneumonia accounts for one-third of cases of ARF in immunocompromised patients. Early antibiotic therapy is recommended but decreases the chances of identifying the causative organism(s) to about 50%. Viruses are the second most common cause of severe respiratory infections. Positive tests for a virus in respiratory samples do not necessarily indicate a role for the virus in the current acute illness. Invasive fungal infections (Aspergillus, Mucorales, and Pneumocystis jirovecii) account for about 15% of severe respiratory infections, whereas parasites rarely cause severe acute infections in immunocompromised patients. This review focuses on the diagnosis of severe respiratory infections in immunocompromised patients. Special attention is given to newly validated diagnostic tests designed to be used on non-invasive samples or bronchoalveolar lavage fluid and capable of increasing the likelihood of an early etiological diagnosis. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00134-019-05906-5) contains supplementary material, which is available to authorized users.
has issue date
2020-02-07
(
xsd:dateTime
)
bibo:doi
10.1007/s00134-019-05906-5
bibo:pmid
32034433
has license
no-cc
sha1sum (hex)
49a3a223b6b40c1bf6d9d83db3b37b93f1621bec
schema:url
https://doi.org/10.1007/s00134-019-05906-5
resource representing a document's title
Diagnosis of severe respiratory infections in immunocompromised patients
has PubMed Central identifier
PMC7080052
has PubMed identifier
32034433
schema:publication
Intensive Care Med
resource representing a document's body
covid:49a3a223b6b40c1bf6d9d83db3b37b93f1621bec#body_text
is
schema:about
of
named entity 'likelihood'
named entity 'designed'
named entity 'severe'
named entity 'respiratory infections'
named entity 'immunocompromised'
named entity 'infections'
named entity 'Special'
named entity 'complex'
named entity 'Pneumocystis jirovecii'
named entity 'identifying'
named entity 'bacterial pneumonia'
named entity 'non-infectious'
named entity 'virus'
named entity 'non-invasive'
named entity 'pulmonary infection'
named entity 'respiratory infections'
named entity 'infectious agent'
named entity 'Pneumocystis jirovecii'
named entity 'immunocompromised patients'
named entity 'number'
named entity 'incidence rate'
named entity 'resistance genes'
named entity 'Bacterial pneumonia'
named entity 'neutropenia'
named entity 'cutaneous disease'
named entity 'pathogens'
named entity 'infection'
named entity 'pneumonia'
named entity 'immunosuppression'
named entity 'alveolar'
named entity 'pleural effusion'
named entity 'cardiomegaly'
named entity 'lungs'
named entity 'CMV'
named entity 'HSCT'
named entity 'immunocompromised patients'
named entity 'seropositive'
named entity 'interstitial pneumonia'
named entity 'severe infections'
named entity 'Chest imaging'
named entity 'organism'
named entity 'hematology'
named entity 'ARF'
named entity 'strongyloidiasis'
named entity 'varicella-zoster virus'
named entity 'tenosynovitis'
named entity 'pneumonia'
named entity 'mnemonic'
named entity 'living organisms'
named entity 'respiratory distress'
named entity 'hemorrhage'
named entity 'non-invasive'
named entity 'biologic therapies'
named entity 'RSV'
named entity 'Mycobacterial'
named entity 'HSCT'
named entity 'fatigue'
named entity 'neutropenic'
named entity 'RSV infection'
named entity 'ground-glass opacities'
named entity 'cavitation'
named entity 'immunocompromised patients'
named entity 'DNA hybridization'
named entity 'TMP/SMX'
named entity 'asymptomatic carriers'
named entity 'critically ill patients'
named entity 'strongyloidiasis'
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