Respiratory Syncytial Virus Is an Important Cause of Community-Acquired Lower Respiratory Infection among Hospitalized Adults
Respiratory syncytial virus (RSV), the most important cause of lower respiratory disease in infants and young children, is rarely considered among the causes for community-acquired lower respiratory infection in adults. All noninstitutionalized adults hospitalized with community-acquired pneumonia i...
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| Veröffentlicht in: | The Journal of infectious diseases 1996-09, Vol.174 (3), p.456-462 |
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| container_issue | 3 |
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| container_title | The Journal of infectious diseases |
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| creator | Dowell, Scott F. Anderson, Larry J. Gary, Howard E. Erdman, Dean D. Plouffe, Joseph F. File, Thomas M. Marston, Barbara J. Breiman, Robert F. |
| description | Respiratory syncytial virus (RSV), the most important cause of lower respiratory disease in infants and young children, is rarely considered among the causes for community-acquired lower respiratory infection in adults. All noninstitutionalized adults hospitalized with community-acquired pneumonia in two Ohio counties were evaluated between December 1990 and May 1992. Fifty-three (4.4%) of 1195 adults admitted during the RSV seasons and 4 (1.0%) of 390 in the off-season had serologic evidence of RSV infection, making RSV one of the four most common pathogens identified. RSV-infected patients had clinical features (e.g., wheezing and rhonchi) that distinguished them from all non-RSV-infected patients and other features (e.g., nonelevated white blood cell counts) that distinguished them from those infected with bacterial or atypical agents. However, RSV infection was not diagnosed during hospitalization for any of the 57 RSV-infected patients. RSV should be considered in the differential diagnosis for adults hospitalized between November and April with community-acquired lower respiratory infection. |
| doi_str_mv | 10.1093/infdis/174.3.456 |
| format | Article |
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All noninstitutionalized adults hospitalized with community-acquired pneumonia in two Ohio counties were evaluated between December 1990 and May 1992. Fifty-three (4.4%) of 1195 adults admitted during the RSV seasons and 4 (1.0%) of 390 in the off-season had serologic evidence of RSV infection, making RSV one of the four most common pathogens identified. RSV-infected patients had clinical features (e.g., wheezing and rhonchi) that distinguished them from all non-RSV-infected patients and other features (e.g., nonelevated white blood cell counts) that distinguished them from those infected with bacterial or atypical agents. However, RSV infection was not diagnosed during hospitalization for any of the 57 RSV-infected patients. RSV should be considered in the differential diagnosis for adults hospitalized between November and April with community-acquired lower respiratory infection.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1093/infdis/174.3.456</identifier><identifier>PMID: 8769600</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>United States: The University of Chicago Press</publisher><subject>Adolescent ; Adult ; Aged ; Antibodies ; Bacterial Infections - diagnosis ; Bacterial pneumonia ; Community-Acquired Infections - virology ; Cross-Sectional Studies ; Diagnosis, Differential ; Female ; Hospitalization ; Human respiratory syncytial virus ; Humans ; Infections ; Influenza, Human - diagnosis ; Major Articles ; Male ; Middle Aged ; Ohio ; Older adults ; Pneumonia, Bacterial - diagnosis ; Prospective Studies ; Respiratory diseases ; respiratory syncytial virus ; Respiratory syncytial virus infections ; Respiratory Syncytial Virus Infections - diagnosis ; Respiratory Syncytial Virus Infections - epidemiology ; Respiratory syncytial viruses ; Respiratory tract infections ; Respiratory Tract Infections - diagnosis ; Serologic Tests ; Viral pneumonia</subject><ispartof>The Journal of infectious diseases, 1996-09, Vol.174 (3), p.456-462</ispartof><rights>Copyright 1996 The University of Chicago</rights><rights>Copyright University of Chicago, acting through its Press Sep 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-8d3b9798e0a4a3fba51b76e7cad22480497e94746933a0ff81e70e9259a29d4d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/30128186$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/30128186$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27903,27904,57995,58228</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8769600$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dowell, Scott F.</creatorcontrib><creatorcontrib>Anderson, Larry J.</creatorcontrib><creatorcontrib>Gary, Howard E.</creatorcontrib><creatorcontrib>Erdman, Dean D.</creatorcontrib><creatorcontrib>Plouffe, Joseph F.</creatorcontrib><creatorcontrib>File, Thomas M.</creatorcontrib><creatorcontrib>Marston, Barbara J.</creatorcontrib><creatorcontrib>Breiman, Robert F.</creatorcontrib><title>Respiratory Syncytial Virus Is an Important Cause of Community-Acquired Lower Respiratory Infection among Hospitalized Adults</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>Respiratory syncytial virus (RSV), the most important cause of lower respiratory disease in infants and young children, is rarely considered among the causes for community-acquired lower respiratory infection in adults. All noninstitutionalized adults hospitalized with community-acquired pneumonia in two Ohio counties were evaluated between December 1990 and May 1992. Fifty-three (4.4%) of 1195 adults admitted during the RSV seasons and 4 (1.0%) of 390 in the off-season had serologic evidence of RSV infection, making RSV one of the four most common pathogens identified. RSV-infected patients had clinical features (e.g., wheezing and rhonchi) that distinguished them from all non-RSV-infected patients and other features (e.g., nonelevated white blood cell counts) that distinguished them from those infected with bacterial or atypical agents. However, RSV infection was not diagnosed during hospitalization for any of the 57 RSV-infected patients. RSV should be considered in the differential diagnosis for adults hospitalized between November and April with community-acquired lower respiratory infection.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Antibodies</subject><subject>Bacterial Infections - diagnosis</subject><subject>Bacterial pneumonia</subject><subject>Community-Acquired Infections - virology</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Human respiratory syncytial virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Influenza, Human - diagnosis</subject><subject>Major Articles</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ohio</subject><subject>Older adults</subject><subject>Pneumonia, Bacterial - diagnosis</subject><subject>Prospective Studies</subject><subject>Respiratory diseases</subject><subject>respiratory syncytial virus</subject><subject>Respiratory syncytial virus infections</subject><subject>Respiratory Syncytial Virus Infections - diagnosis</subject><subject>Respiratory Syncytial Virus Infections - epidemiology</subject><subject>Respiratory syncytial viruses</subject><subject>Respiratory tract infections</subject><subject>Respiratory Tract Infections - diagnosis</subject><subject>Serologic Tests</subject><subject>Viral pneumonia</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtvEzEURi0EKqGwZ4NksWA3qd-PZQiFRIqEWh5CbCxnxoMcZuzU9qgMEv-dKYlCxYaVF-fcz77-AHiO0RwjTS98aBufL7BkczpnXDwAM8yprITA9CGYIURIhZXWj8GTnHcIIUaFPANnSgotEJqBX9cu732yJaYRfhhDPRZvO_jZpyHDdYY2wHW_j6nYUODSDtnB2MJl7Psh-DJWi_pm8Mk1cBNvXYL309ahdXXxMUDbx_ANruLEiu38z0lfNENX8lPwqLVdds-O5zn49Pby43JVbd6_Wy8Xm6pmUpVKNXSrpVYOWWZpu7Ucb6VwsrYNIUwhpqXTTDKhKbWobRV2EjlNuLZEN6yh5-DVIXef4s3gcjG9z7XrOhtcHLKRiigsufiviLnkknEyiS__EXdxSGFawhBCNUHT5ZOEDlKdYs7JtWaffG_TaDAyd_2ZQ39m6s9Qw_484MUxd9j2rjkNHAv7y3d5-uQTpghPG6i7-erAfS7ux4nb9N0ISSU3qy9fzWshrhl5w80V_Q1rN7GF</recordid><startdate>19960901</startdate><enddate>19960901</enddate><creator>Dowell, Scott F.</creator><creator>Anderson, Larry J.</creator><creator>Gary, Howard E.</creator><creator>Erdman, Dean D.</creator><creator>Plouffe, Joseph F.</creator><creator>File, Thomas M.</creator><creator>Marston, Barbara J.</creator><creator>Breiman, Robert F.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>19960901</creationdate><title>Respiratory Syncytial Virus Is an Important Cause of Community-Acquired Lower Respiratory Infection among Hospitalized Adults</title><author>Dowell, Scott F. ; 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All noninstitutionalized adults hospitalized with community-acquired pneumonia in two Ohio counties were evaluated between December 1990 and May 1992. Fifty-three (4.4%) of 1195 adults admitted during the RSV seasons and 4 (1.0%) of 390 in the off-season had serologic evidence of RSV infection, making RSV one of the four most common pathogens identified. RSV-infected patients had clinical features (e.g., wheezing and rhonchi) that distinguished them from all non-RSV-infected patients and other features (e.g., nonelevated white blood cell counts) that distinguished them from those infected with bacterial or atypical agents. However, RSV infection was not diagnosed during hospitalization for any of the 57 RSV-infected patients. RSV should be considered in the differential diagnosis for adults hospitalized between November and April with community-acquired lower respiratory infection.</abstract><cop>United States</cop><pub>The University of Chicago Press</pub><pmid>8769600</pmid><doi>10.1093/infdis/174.3.456</doi><tpages>7</tpages></addata></record> |
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| ispartof | The Journal of infectious diseases, 1996-09, Vol.174 (3), p.456-462 |
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| source | Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE |
| subjects | Adolescent Adult Aged Antibodies Bacterial Infections - diagnosis Bacterial pneumonia Community-Acquired Infections - virology Cross-Sectional Studies Diagnosis, Differential Female Hospitalization Human respiratory syncytial virus Humans Infections Influenza, Human - diagnosis Major Articles Male Middle Aged Ohio Older adults Pneumonia, Bacterial - diagnosis Prospective Studies Respiratory diseases respiratory syncytial virus Respiratory syncytial virus infections Respiratory Syncytial Virus Infections - diagnosis Respiratory Syncytial Virus Infections - epidemiology Respiratory syncytial viruses Respiratory tract infections Respiratory Tract Infections - diagnosis Serologic Tests Viral pneumonia |
| title | Respiratory Syncytial Virus Is an Important Cause of Community-Acquired Lower Respiratory Infection among Hospitalized Adults |
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