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India: Mohit Bhatia, S. Mahesh and B. Ireland: Vera M. Villegas, Hospital Universitario, Monterrey, Mexico. The Netherlands: E. UK: Devesh J. USA: Karen S. Dysart and Susan M. Kellie, Clement J. Holland and Stephen P. Soni, Julio Noda, Cecilia I.
Hinojosa, Stephanie M. Levine, Luis F. Wunderink and Ray D. Conflict of interest: M. Carugati has nothing to disclose. Conflict of interest: S. Conflict of interest: L. Reyes has nothing to disclose.
Conflict of interest: R. Franco Sadud has nothing to disclose. Irfan has nothing to disclose. Conflict of interest: C. Prat has nothing to disclose. Conflict of interest: N. Soni has nothing to disclose. Conflict of interest: P. Faverio has nothing to disclose. Conflict of interest: A. Conflict of interest: F.
Restrepo has nothing to disclose. Support statement: This project was not funded and relied solely on voluntary site and investigator participation. ERJ Open Res. Published online Oct 8. Nilam J. Marcos I. Koul, P. Mahesh, B. Villegas, Milic Medenica, E. Dysart, Susan M.
Kellie, Ricardo A. Holland, Stephen P. Angel, Antonio Anzueto, K. Wunderink, Ray D. Author information Article notes Copyright and License information Disclaimer. E-mail: ti. Received Jun 20; Accepted Aug This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.
Introduction Community-acquired pneumonia CAP is a leading cause of hospitalisation worldwide. Methods Study design, setting and participants We performed a secondary analysis of an international, multicentre, observational, prospective cohort study using the Global Initiative for Methicillin-resistant Staphylococcus aureus Pneumonia GLIMP database [ 13 ]. Open in a separate window.
Statistical analysis Continuous variables were presented as medians with interquartile range. Results Among patients, TABLE 2 Baseline characteristics of adult inpatients with community-acquired pneumonia by testing status and by pathogen detection. TABLE 3 Microbiological tests performed among adult inpatients with community-acquired pneumonia by disease severity. TABLE 4 Microbiological tests performed among adult inpatients with community-acquired pneumonia by geographic area.
Discussion This international, multicentre, point-prevalence study provides a high-quality, real-life picture of diagnostic testing in patients hospitalised with CAP. Footnotes GLIMP investigators: We would like to thank the following study contributors for their valuable collaboration. References 1.
Community-acquired pneumonia requiring hospitalization among U. N Engl J Med ; : — A prediction rule to identify low-risk patients with community-acquired pneumonia. Long-term morbidity and mortality after hospitalization with community-acquired pneumonia: a population-based cohort study.
Medicine ; 87 : — Predictors of in-hospital vs postdischarge mortality in pneumonia. Chest ; : — Can an etiologic agent be identified in adults who are hospitalized for community-acquired pneumonia: results of a one-year study.
J Infect ; 67 : 11— Microbial etiology of community-acquired pneumonia in the adult population of 4 municipalities in eastern Finland. Clin Infect Dis ; 32 : — Community-acquired pneumonia guidelines: a global perspective. Semin Respir Crit Care Med ; 33 : — Clin Infect Dis ; 44 : Suppl. Guidelines for the management of adult lower respiratory tract infections — summary. Clin Microbiol Infect ; 17 : Suppl. Bartlett JG. Diagnostic tests for agents of community-acquired pneumonia.
Clin Infect Dis ; 52 : Suppl. How often is a work-up for Legionella pursued in patients with pneumonia? A retrospective study. BMC Infect Dis ; 11 : Targets for antibiotic and healthcare resource stewardship in inpatient community-acquired pneumonia: a comparison of management practices with National Guideline Recommendations. Infection ; 41 : — Global initiative for meticillin-resistant Staphylococcus aureus pneumonia GLIMP : an international, observational cohort study.
Lancet Infect Dis ; 16 : — Incidence of community-acquired pneumonia requiring hospitalization. Results of a population-based active surveillance study in Ohio. Arch Intern Med ; : — Incidence and characteristics of viral community-acquired pneumonia in adults. Thorax ; 63 : 42— Etiology of community-acquired pneumonia: increased microbiological yield with new diagnostic methods.
Clin Infect Dis ; 50 : — Viral infection in adults hospitalized with community-acquired pneumonia: prevalence, pathogens, and presentation. Respiratory viruses in adults with community-acquired pneumonia.
Improved diagnosis of the etiology of community-acquired pneumonia with real-time polymerase chain reaction. Clin Infect Dis ; 41 : — The etiology of community-acquired pneumonia in Australia: why penicillin plus doxycycline or a macrolide is the most appropriate therapy. Clin Infect Dis ; 46 : — Community-acquired pneumonia.
Bayesian estimation of pneumonia etiology: epidemiologic considerations and applications to the Pneumonia Etiology Research for Child Health study. Clin Infect Dis ; 64 : Suppl. Prospective study of the aetiology and outcome of pneumonia in the community.
Lancet ; 1 : — Comparison between pathogen directed antibiotic treatment and empirical broad spectrum antibiotic treatment in patients with community acquired pneumonia: a prospective randomised study. Diaconescu Dragos. Miroslaw Piotr Kruk. Ciprian Firea. Sebastian Corneanu. The conflict between good and evil in the Transylvanian Romanesque sculpture does not elude the typical norms of representation to the western iconography.
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