Predictors of viral pneumonia in patients with community-acquired pneumonia.
<h4>Background</h4>Viruses are increasingly recognized as major causes of community-acquired pneumonia (CAP). Few studies have investigated the clinical predictors of viral pneumonia, and the results have been inconsistent. In this study, the clinical predictors of viral pneumonia were i...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2014-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0114710 |
| _version_ | 1818838019277324288 |
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| author | Ji Eun Kim Uh Jin Kim Hee Kyung Kim Soo Kyung Cho Joon Hwan An Seung-Ji Kang Kyung-Hwa Park Sook-In Jung Hee-Chang Jang |
| author_facet | Ji Eun Kim Uh Jin Kim Hee Kyung Kim Soo Kyung Cho Joon Hwan An Seung-Ji Kang Kyung-Hwa Park Sook-In Jung Hee-Chang Jang |
| author_sort | Ji Eun Kim |
| collection | DOAJ |
| description | <h4>Background</h4>Viruses are increasingly recognized as major causes of community-acquired pneumonia (CAP). Few studies have investigated the clinical predictors of viral pneumonia, and the results have been inconsistent. In this study, the clinical predictors of viral pneumonia were investigated in terms of their utility as indicators for viral pneumonia in patients with CAP.<h4>Methods</h4>Adult patients (≥ 18 years old) with CAP, tested by polymerase chain reaction (PCR) for respiratory virus, at two teaching hospitals between October 2010 and May 2013, were identified retrospectively. Demographic and clinical data were collected by reviewing the hospital electronic medical records.<h4>Results</h4>During the study period, 456 patients with CAP were identified who met the definition, and 327 (72%) patients were tested using the respiratory virus PCR detection test. Viral pneumonia (n = 60) was associated with rhinorrhea, a higher lymphocyte fraction in the white blood cells, lower serum creatinine and ground-glass opacity (GGO) in radiology results, compared to non-viral pneumonia (n = 250) (p < 0.05, each). In a multivariate analysis, rhinorrhea (Odd ratio (OR) 3.52; 95% Confidence interval (CI), 1.58-7.87) and GGO (OR 4.68; 95% CI, 2.48-8.89) were revealed as independent risk factors for viral pneumonia in patients with CAP. The sensitivity, specificity, positive- and negative-predictive values (PPV and NPV) of rhinorrhea were 22, 91, 36 and 83%: the sensitivity, specificity, PPV and NPV of GGO were and 43, 84, 40 and 86%, respectively.<h4>Conclusion</h4>Symptom of rhinorrhea and GGO predicted viral pneumonia in patients with CAP. The high specificity of rhinorrhea and GGO suggested that these could be useful indicators for empirical antiviral therapy. |
| first_indexed | 2024-12-19T03:31:44Z |
| format | Article |
| id | doaj.art-6ce58634b88c4a47a574511222350b5e |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-19T03:31:44Z |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj.art-6ce58634b88c4a47a574511222350b5e2022-12-21T20:37:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11471010.1371/journal.pone.0114710Predictors of viral pneumonia in patients with community-acquired pneumonia.Ji Eun KimUh Jin KimHee Kyung KimSoo Kyung ChoJoon Hwan AnSeung-Ji KangKyung-Hwa ParkSook-In JungHee-Chang Jang<h4>Background</h4>Viruses are increasingly recognized as major causes of community-acquired pneumonia (CAP). Few studies have investigated the clinical predictors of viral pneumonia, and the results have been inconsistent. In this study, the clinical predictors of viral pneumonia were investigated in terms of their utility as indicators for viral pneumonia in patients with CAP.<h4>Methods</h4>Adult patients (≥ 18 years old) with CAP, tested by polymerase chain reaction (PCR) for respiratory virus, at two teaching hospitals between October 2010 and May 2013, were identified retrospectively. Demographic and clinical data were collected by reviewing the hospital electronic medical records.<h4>Results</h4>During the study period, 456 patients with CAP were identified who met the definition, and 327 (72%) patients were tested using the respiratory virus PCR detection test. Viral pneumonia (n = 60) was associated with rhinorrhea, a higher lymphocyte fraction in the white blood cells, lower serum creatinine and ground-glass opacity (GGO) in radiology results, compared to non-viral pneumonia (n = 250) (p < 0.05, each). In a multivariate analysis, rhinorrhea (Odd ratio (OR) 3.52; 95% Confidence interval (CI), 1.58-7.87) and GGO (OR 4.68; 95% CI, 2.48-8.89) were revealed as independent risk factors for viral pneumonia in patients with CAP. The sensitivity, specificity, positive- and negative-predictive values (PPV and NPV) of rhinorrhea were 22, 91, 36 and 83%: the sensitivity, specificity, PPV and NPV of GGO were and 43, 84, 40 and 86%, respectively.<h4>Conclusion</h4>Symptom of rhinorrhea and GGO predicted viral pneumonia in patients with CAP. The high specificity of rhinorrhea and GGO suggested that these could be useful indicators for empirical antiviral therapy.https://doi.org/10.1371/journal.pone.0114710 |
| spellingShingle | Ji Eun Kim Uh Jin Kim Hee Kyung Kim Soo Kyung Cho Joon Hwan An Seung-Ji Kang Kyung-Hwa Park Sook-In Jung Hee-Chang Jang Predictors of viral pneumonia in patients with community-acquired pneumonia. PLoS ONE |
| title | Predictors of viral pneumonia in patients with community-acquired pneumonia. |
| title_full | Predictors of viral pneumonia in patients with community-acquired pneumonia. |
| title_fullStr | Predictors of viral pneumonia in patients with community-acquired pneumonia. |
| title_full_unstemmed | Predictors of viral pneumonia in patients with community-acquired pneumonia. |
| title_short | Predictors of viral pneumonia in patients with community-acquired pneumonia. |
| title_sort | predictors of viral pneumonia in patients with community acquired pneumonia |
| url | https://doi.org/10.1371/journal.pone.0114710 |
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