Source: Annual Congress 2010 - Influenza A (H1N1) and other viral infections: therapeutic aspects
Disease area: Respiratory infections

Abstract

Background: The role and impact of viral pathogens as a cause of community acquired pneumonia (CAP) in hospitalized adults sometimes is underestimated. Although viral pneumonias are usually not very serious they can be life threating in very old, young patients and immunocompomised patients.
Aims: The aim of our study was to characterize the viral etiology of CAP in adult hospitalized patients.
Methods: We investigated clinical data between January 2008 and December 2009 of hospitalized patients on Clinic of Pulmology in Skopje who were finally diagnosed with pneumonia. The following tests were performed: medical history, physical examinations, complete blood count, chest x ray, sputum cultura, pneumoslide tests and nasopharyngeal swabs. The study included 158 patients.
Results: The etiological agents were determined in 119 patients. A viral infection was found in 42 patients (35%) of 119 patients. Influenza A and B were found in 26 patients with viral pneumonia (61%). Respiratory syncycial virus was found in 7 patients. Parainfluenza 1,2,3 in 5 patients and adenovirus in 4 patients. We found that Influenza A and B usually occur in winter and spring, whereas RSV occurred in spring. Mixed infections were documented in 35 patients. Streptococcus pneumoniae was most common cause of bacterial pneumonia.
Conclusion: Our results support the notion that presence of a viruses acting significant role in development of CAP in adults. We recommended more frequently use of routine tests for respiratory viruses in adults who have been hospitalized with pneumonia.

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Citations should be made in the following way:
S. Arbutina, Z. Goseva, Z. Arsovski, K. Busljetic, S. Pejkovska, D. Dimitrievska (Skopje, Fyrom). Viral infection in adult hospitalized with community acquired pneumonia. Eur Respir J 2010; 36: Suppl. 54, 2980

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