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H1N1 influenza pneumonia and bacterial coinfection

tetano

Editor, Senior Moderator
Thorax. 2011 Oct 12. [Epub ahead of print]
H1N1 influenza pneumonia and bacterial coinfection.
Calbo E, Robles A, Sangil A, Benet S, Viladot ME, Pascual V, Barreiro B.
Source

Department of Interna Medicine, Infectious Disease Unit, Hospital Universitari M?tua Terrasa, Universitat de Barcelona, Barcelona, Spain.
Abstract

The model described by Bewick et al seems to be able to distinguish between H1N1 influenza-related pneumonia and non-H1N1 community acquired pneumonia (CAP) based on five criteria. However, bacterial infection in the influenza group has not been accurately excluded. Therefore, this model could misidentify these patients and lead to an inappropriate treatment. We conducted a prospective observational study to compare mixed pneumonia vs viral pneumonia. In the mixed pneumonia group patients were older, had higher levels of procalcitonine and higher scores of severity. In our cohort the model proposed by Bewick et al would not identify patients with coinfection.

PMID:
21994246
[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/21994246
 
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