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About:
The contribution of viruses and bacteria to community-acquired pneumonia in vaccinated children: a case–control study
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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
has title
The contribution of viruses and bacteria to community-acquired pneumonia in vaccinated children: a case–control study
Creator
Jaffe, Adam
Lang, Jurissa
Sikazwe, Chisha
West, Rachel
Smith, David
Borland, Meredith
Bhuiyan,
Kirkham, Lea-Ann
Mejbah, Uddin
Thornton, Ruth
Christopher C Blyth,
De Gier,, Camilla
Martin,
Rahman,, Tasmina
Thomas L Snelling,
Source
Medline; PMC
abstract
INTRODUCTION: Respiratory pathogens associated with childhood pneumonia are often detected in the upper respiratory tract of healthy children, making their contribution to pneumonia difficult to determine. We aimed to determine the contribution of common pathogens to pneumonia adjusting for rates of asymptomatic detection to inform future diagnosis, treatment and preventive strategies. METHODS: A case–control study was conducted among children <18 years in Perth, Western Australia. Cases were children hospitalised with radiologically confirmed pneumonia; controls were healthy children identified from outpatient and local immunisation clinics. Nasopharyngeal swabs were collected and tested for 14 respiratory viruses and 6 bacterial species by Polymerase chain reaction (PCR). For each pathogen, adjusted odds ratio (aOR; 95% CI) was calculated using multivariate logistic regression and population-attributable fraction (95% CI) for pneumonia was estimated. RESULTS: From May 2015 to October 2017, 230 cases and 230 controls were enrolled. At least one respiratory virus was identified in 57% of cases and 29% of controls (aOR: 4.7; 95% CI: 2.8 to 7.8). At least one bacterial species was detected in 72% of cases and 80% of controls (aOR: 0.7; 95% CI: 0.4 to 1.2). Respiratory syncytial virus (RSV) detection was most strongly associated with pneumonia (aOR: 58.4; 95% CI: 15.6 to 217.5). Mycoplasma pneumoniae was the only bacteria associated with pneumonia (aOR: 14.5; 95% CI: 2.2 to 94.8). We estimated that RSV, human metapneumovirus (HMPV), influenza, adenovirus and Mycoplasma pneumoniae were responsible for 20.2% (95% CI: 14.6 to 25.5), 9.8% (5.6% to 13.7%), 6.2% (2.5% to 9.7%), 4% (1.1% to 7.1%) and 7.2% (3.5% to 10.8%) of hospitalisations for childhood pneumonia, respectively. CONCLUSIONS: Respiratory viruses, particularly RSV and HMPV, are major contributors to pneumonia in Australian children.
has issue date
2018-10-18
(
xsd:dateTime
)
bibo:doi
10.1136/thoraxjnl-2018-212096
bibo:pmid
30337417
has license
cc-by-nc
sha1sum (hex)
b530a3db1f7e6d6f289cd4fa3df8a782dcb691ab
schema:url
https://doi.org/10.1136/thoraxjnl-2018-212096
resource representing a document's title
The contribution of viruses and bacteria to community-acquired pneumonia in vaccinated children: a case–control study
has PubMed Central identifier
PMC6467248
has PubMed identifier
30337417
schema:publication
Thorax
resource representing a document's body
covid:b530a3db1f7e6d6f289cd4fa3df8a782dcb691ab#body_text
is
schema:about
of
named entity 'BACTERIA '
named entity 'DIAGNOSIS'
named entity 'CLINICS'
named entity 'RSV'
named entity 'RESULTS'
named entity 'CASE-CONTROL STUDY'
named entity 'IMMUNISATION'
named entity '20.2'
named entity 'COLLECTED'
named entity 'WESTERN AUSTRALIA'
named entity 'ODDS RATIO'
named entity '1.2'
named entity '282'
named entity 'CHILDHOOD PNEUMONIA'
named entity 'HOSPITALISATIONS'
named entity 'CONTRIBUTION'
named entity 'ADJUSTED'
named entity '10.8'
named entity '217'
named entity 'IDENTIFIED'
named entity 'INTRODUCTION'
named entity 'POPULATION'
named entity 'CALCULATED'
named entity 'DETECTED'
named entity 'CHILDREN'
named entity 'OCTOBER'
named entity 'BACTERIA '
named entity '2.2'
named entity 'INFLUENZA'
named entity 'TREATMENT'
named entity 'UPPER RESPIRATORY TRACT'
named entity 'pneumonia'
named entity 'respiratory'
named entity 'rSV'
named entity 'cases'
named entity 'immunisation'
named entity '95% ci'
named entity 'strategies'
named entity 'australian'
named entity 'VIRUSES'
named entity 'HEALTHY'
named entity 'DETERMINE'
named entity 'THEIR'
named entity 'CASES'
named entity 'ESTIMATED'
named entity 'LOCAL'
named entity 'CONTRIBUTION'
named entity 'CASE-CONTROL STUDY'
named entity 'COMMON'
named entity 'PNEUMONIA'
named entity 'RESPONSIBLE'
named entity 'RESPIRATORY SYNCYTIAL VIRUS'
named entity 'VACCINATED'
named entity 'COMMUNITY-ACQUIRED PNEUMONIA'
named entity 'CHILDREN'
named entity 'FRACTION'
named entity 'DIFFICULT'
named entity 'AUSTRALIAN'
named entity 'ADJUSTING'
named entity 'SWABS'
named entity '6.2'
named entity '2015'
named entity 'PERTH'
named entity '80%'
named entity 'PREVENTIVE STRATEGIES'
named entity 'ATTRIBUTABLE'
named entity 'MAJOR'
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