Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3317 |
Resumo: | Pneumocystis pneumonia (PCP) is caused by the fungus Pneumocystis jirovecii, and its incidence has been on the rise in immunosuppressed patients without HIV. We performed a cross sectional study in patients with PCP and assessed demographic, clinical presentation and outcome measures such as mechanical ventilation and mortality differences between HIV and non-HIV patients. The two groups were statistically significantly different, with the HIV group being younger (45.5 years vs 55.9 years, p-value 0.001) and mostly composed of male patients (69% vs 31%, p-value <0.001). Also, the HIV patients had higher percentage of respiratory complaints (90% vs 68%, p-value 0.02) and lactate dehydrogenase elevation (73% vs 40%, p-value 0.001). In contrast, non-HIV patients had worse outcomes with higher incidence of invasive mechanical ventilation (23% vs 46%, p-value 0.005) and in-hospital mortality (13% vs 37%, p-value 0.002). These results reflect the literature and should raise awareness to a potentially fatal medical situation of increasing incidence. |
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Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised PatientsHCC MEDHCC INFComorbidityCross-Sectional StudiesHIV Infections/epidemiologyHIV Infections/immunologyHospital MortalityImmunocompromised HostL-Lactate Dehydrogenase/bloodPneumonia, Pneumocystis/epidemiologyPneumonia, Pneumocystis/immunologyPneumonia, Pneumocystis/mortalityPortugal/epidemiologyRespiration, Artificial/statistics & numerical dataRetrospective StudiesPneumocystis pneumonia (PCP) is caused by the fungus Pneumocystis jirovecii, and its incidence has been on the rise in immunosuppressed patients without HIV. We performed a cross sectional study in patients with PCP and assessed demographic, clinical presentation and outcome measures such as mechanical ventilation and mortality differences between HIV and non-HIV patients. The two groups were statistically significantly different, with the HIV group being younger (45.5 years vs 55.9 years, p-value 0.001) and mostly composed of male patients (69% vs 31%, p-value <0.001). Also, the HIV patients had higher percentage of respiratory complaints (90% vs 68%, p-value 0.02) and lactate dehydrogenase elevation (73% vs 40%, p-value 0.001). In contrast, non-HIV patients had worse outcomes with higher incidence of invasive mechanical ventilation (23% vs 46%, p-value 0.005) and in-hospital mortality (13% vs 37%, p-value 0.002). These results reflect the literature and should raise awareness to a potentially fatal medical situation of increasing incidence.Elsevier EspañaRepositório do Centro Hospitalar Universitário de Lisboa Central, EPERego de Figueiredo, IVieira Alves, RDrummond Borges, DTorres, MLourenço, FAntunes, AMGruner, HPanarra, A2019-10-11T09:56:34Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3317engPulmonology. 2019 Sep - Oct;25(5):271-274.10.1016/j.pulmoe.2019.04.003info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:42:22Zoai:repositorio.chlc.min-saude.pt:10400.17/3317Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:37.933981Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients |
title |
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients |
spellingShingle |
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients Rego de Figueiredo, I HCC MED HCC INF Comorbidity Cross-Sectional Studies HIV Infections/epidemiology HIV Infections/immunology Hospital Mortality Immunocompromised Host L-Lactate Dehydrogenase/blood Pneumonia, Pneumocystis/epidemiology Pneumonia, Pneumocystis/immunology Pneumonia, Pneumocystis/mortality Portugal/epidemiology Respiration, Artificial/statistics & numerical data Retrospective Studies |
title_short |
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients |
title_full |
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients |
title_fullStr |
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients |
title_full_unstemmed |
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients |
title_sort |
Pneumocystosis Pneumonia: A Comparison Study Between HIV and Non-HIV Immunocompromised Patients |
author |
Rego de Figueiredo, I |
author_facet |
Rego de Figueiredo, I Vieira Alves, R Drummond Borges, D Torres, M Lourenço, F Antunes, AM Gruner, H Panarra, A |
author_role |
author |
author2 |
Vieira Alves, R Drummond Borges, D Torres, M Lourenço, F Antunes, AM Gruner, H Panarra, A |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Rego de Figueiredo, I Vieira Alves, R Drummond Borges, D Torres, M Lourenço, F Antunes, AM Gruner, H Panarra, A |
dc.subject.por.fl_str_mv |
HCC MED HCC INF Comorbidity Cross-Sectional Studies HIV Infections/epidemiology HIV Infections/immunology Hospital Mortality Immunocompromised Host L-Lactate Dehydrogenase/blood Pneumonia, Pneumocystis/epidemiology Pneumonia, Pneumocystis/immunology Pneumonia, Pneumocystis/mortality Portugal/epidemiology Respiration, Artificial/statistics & numerical data Retrospective Studies |
topic |
HCC MED HCC INF Comorbidity Cross-Sectional Studies HIV Infections/epidemiology HIV Infections/immunology Hospital Mortality Immunocompromised Host L-Lactate Dehydrogenase/blood Pneumonia, Pneumocystis/epidemiology Pneumonia, Pneumocystis/immunology Pneumonia, Pneumocystis/mortality Portugal/epidemiology Respiration, Artificial/statistics & numerical data Retrospective Studies |
description |
Pneumocystis pneumonia (PCP) is caused by the fungus Pneumocystis jirovecii, and its incidence has been on the rise in immunosuppressed patients without HIV. We performed a cross sectional study in patients with PCP and assessed demographic, clinical presentation and outcome measures such as mechanical ventilation and mortality differences between HIV and non-HIV patients. The two groups were statistically significantly different, with the HIV group being younger (45.5 years vs 55.9 years, p-value 0.001) and mostly composed of male patients (69% vs 31%, p-value <0.001). Also, the HIV patients had higher percentage of respiratory complaints (90% vs 68%, p-value 0.02) and lactate dehydrogenase elevation (73% vs 40%, p-value 0.001). In contrast, non-HIV patients had worse outcomes with higher incidence of invasive mechanical ventilation (23% vs 46%, p-value 0.005) and in-hospital mortality (13% vs 37%, p-value 0.002). These results reflect the literature and should raise awareness to a potentially fatal medical situation of increasing incidence. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-11T09:56:34Z 2019 2019-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3317 |
url |
http://hdl.handle.net/10400.17/3317 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Pulmonology. 2019 Sep - Oct;25(5):271-274. 10.1016/j.pulmoe.2019.04.003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier España |
publisher.none.fl_str_mv |
Elsevier España |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131302618726400 |