International prevalence and risk factors evaluation for drug-resistant Streptococcus pneumoniae pneumonia
Por:
Aliberti, S, Cook, GS, Babu, BL, Reyes, LF, Rodriguez, AH, Sanz, F, Soni, NJ, Anzueto, A, Faverio, P, Sadud, RF, Muhammad, I, Prat, C, Vendrell, E, Neves, J, Kaimakamis, E, Feneley, A, Swarnakar, R, Franzetti, F, Carugati, M, Morosi, M, Monge, E, Restrepo, MI, Aruj, PK, Attorri, S, Barimboim, E, Caeiro, JP, Garzon, MI, Cambursano, VH, Ceccato, A, Chertcoff, J, Lascar, F, Di Tulio, F, Diaz, AC, de Vedia, L, Ganaha, MC, Lambert, S, Lopardo, G, Lopez, V, Luna, CM, Malberti, AG, Morcillo, N, Tartara, S, Pensotti, C, Pereyra, B, Scapellato, PG, Stagnaro, JP, Shah, S, Lotsch, F, Thalhammer, F, Anseeuw, K, Francois, CA, Van Braeckel, E, Vincent, JL, Djimon, MZ, Bashi, J, Dodo, R, Nouer, SA, Chipev, P, Encheva, M, Miteva, D, Petkova, D, Balkissou, AD, Yone, EWP, Ngahane, BHM, Shen, N, Xu, JF, Rico, CAB, Buitrago, R, Paternina, FJP, Ntumba, JMK, Carevic, VV, Jakopovic, M, Jankovic, M, Matkovic, Z, Mitrecic, I, Jacobsson, MLB, Christensen, AB, Bodtger, UCH, Meyer, CN, Jensen, AV, Baunbaek-knudsen, G, Petersen, PT, Andersen, S, Abd El-Wahhab, IES, Morsy, NE, Shafiek, H, Sobh, E, Abdulsemed, KA, Bertrand, F, Brun-Buisson, C, de Montmollin, E, Fartoukh, M, Messika, J, Tattevin, P, Khoury, A, Ebruke, B, Dreher, M, Kolditz, M, Meisinger, M, Pletz, MW, Hagel, S, Rupp, J, Schaberg, T, Spielmanns, M, Creutz, P, Suttorp, N, Siaw-Lartey, B, Dimakou, K, Papapetrou, D, Tsigou, E, Ampazis, D, Bhatia, M, Dhar, R, D'Souza, G, Garg, R, Koul, PA, Mahesh, PA, Jayaraj, BS, Narayan, KV, Udnur, HB, Krishnamurthy, SB, Kant, S, Limaye, S, Salvi, S, Golshani, K, Keatings, VM, Martin-Loeches, I, Maor, Y, Strahilevitz, J, Battaglia, S, Carrabba, M, Ceriana, P, Confalonieri, M, Monforte, AD, Del Prato, B, De Rosa, M, Fantini, R, Fiorentino, G, Gammino, MA, Menzella, F, Milani, G, Nava, S, Palmiero, G, Petrino, R, Gabrielli, B, Rossi, P, Sorino, C, Steinhilber, G, Zanforlin, A, Carone, M, Patella, V, Scarlata, S, Comel, A, Kurahashi, K, Bacha, ZA, Ugalde, DB, Zuniga, OC, Villegas, JF, Medenica, M, van de Garde, EMW, Mihsra, DR, Shrestha, P, Ridgeon, E, Awokola, BI, Nwankwo, ONO, Olufunlola, AB, Olumide, S, Ukwaja, KN, Irfan, M, Minarowski, L, Szymon, S, Froes, F, Leuschner, P, Meireles, M, Ferrao, C, Ravara, SB, Brocovschii, V, Ion, C, Rusu, D, Toma, C, Chirita, D, Dorobat, CM, Birkun, A, Kaluzhenina, A, Almotairi, A, Bukhary, ZAA, Edathodu, J, Fathy, A, Enani, AMA, Mohamed, NE, Memon, JU, Bella, A, Bogdanovic, N, Milenkovic, B, Pesut, D, Borderias, L, Garcia, NMB, Alarcon, HC, Cilloniz, C, Torres, A, Diaz-Brito, V, Casas, X, Gonzalez, AE, Fernandez-Almira, ML, Gallego, M, Gaspar-Garcia, I, del Castillo, JG, Victoria, PJ, Martinez, EL, de Molina, RM, Marcos, PJ, Menendez, R, Pando-Sandoval, A, Aymerich, CP, de la Torre, AL, Garcia-Olive, I, Rello, J, Moyano, S, Sibila, O, Rodrigo-Troyano, A, Sole-Violan, J, Uranga, A, van Boven, JFM, Torra, EV, Pujol, JA, Feldman, C, Yum, HK, Fiogbe, AA, Yangui, F, Bilaceroglu, S, Dalar, L, Yilmaz, U, Bogomolov, A, Elahi, N, Dhasmana, DJ, Ions, R, Skeemer, J, Woltmann, G, Hancock, C, Hill, AT, Rudran, B, Ruiz-Buitrago, S, Campbell, M, Whitaker, P, Youzguin, A, Singanayagam, A, Allen, KS, Brito, V, Dietz, J, Dysart, CE, Kellie, SM, Franco-Sadud, RA, Meier, G, Gaga, M, Holland, TL, Bergin, SP, Kheir, F, Landmeier, M, Lois, M, Nair, GB, Patel, H, Reyes, K, Rodriguez-Cintron, W, Saito, S, Noda, J, Hinojosa, CI, Levine, SM, Angel, LF, Whitlow, KS, Hipskind, J, Sukhija, K, Totten, V, Wunderink, RG, Shah, RD, Mateyo, KJ, Noriega, L, Alvarado, E, Aman, M and Labra, L
Publicada:
1 oct 2019
Ahead of Print:
9 jul 2019
Resumen:
Objective: Streptococcus pneumoniae is the most frequent bacterial pathogen isolated in subjects with Community-acquired pneumonia (CAP) worldwide. Limited data are available regarding the current global burden and risk factors associated with drug-resistant Streptococcus pneumoniae (DRSP) in CAP subjects. We assessed the multinational prevalence and risk factors for DRSP-CAP in a multinational point-prevalence study.
Design: The prevalence of DRSP-CAP was assessed by identification of DRSP in blood or respiratory samples among adults hospitalized with CAP in 54 countries. Prevalence and risk factors were compared among subjects that had microbiological testing and antibiotic susceptibility data. Multivariate logistic regressions were used to identify risk factors independently associated with DRSP-CAP.
Results: 3,193 subjects were included in the study. The global prevalence of DRSP-CAP was 1.3% and continental prevalence rates were 7.0% in Africa, 1.2% in Asia, and 1.0% in South America, Europe, and North America, respectively. Macrolide resistance was most frequently identified in subjects with DRSP-CAP (0.6%) followed by penicillin resistance (0.5%). Subjects in Africa were more likely to have DRSP-CAP (OR: 7.6; 95% CI: 3.34-15.35, p < 0.001) when compared to centres representing other continents.
Conclusions: This multinational point-prevalence study found a low global prevalence of DRSP-CAP that may impact guideline development and antimicrobial policies. Published by Elsevier Ltd on behalf of The British Infection Association.
Filiaciones:
Aliberti, S:
Fdn IRCCS Ca Granda Osped Maggiore Policlin, Resp Unit, Milan, Italy
Cyst Fibrosis Adult Ctr, Milan, Italy
Univ Milan, Dept Pathophysiol & Transplantat, Milan, Italy
Cook, GS:
Univ Texas Hlth Sci Ctr San Antonio, Div Pulm Dis & Crit Care Med, San Antonio, TX 78229 USA
Babu, BL:
Univ Texas Hlth Sci Ctr San Antonio, Div Pulm Dis & Crit Care Med, San Antonio, TX 78229 USA
South Texas Vet Hlth Care Syst, Div Pulm Dis & Crit Care Med, 7400 Merton Minter Blvd, San Antonio, TX 78229 USA
Reyes, LF:
Univ Sabana, Dept Microbiol, Bogota, Colombia
Rodriguez, AH:
Rovira & Virgili Univ, Hosp Univ Joan XXIII, Crit Care Med, Tarragona, Spain
CIBERes Biomed Res Network Resp Dis, Tarragona, Spain
Sanz, F:
Consorci Hosp Gen Univ Valencia, Pulmonol Dept, Valencia, Spain
Consorci Hosp Gen Univ Valencia, Serv Neumol, Valencia, Spain
Soni, NJ:
Univ Texas Hlth Sci Ctr San Antonio, Div Pulm Dis & Crit Care Med, San Antonio, TX 78229 USA
South Texas Vet Hlth Care Syst, Div Pulm Dis & Crit Care Med, 7400 Merton Minter Blvd, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Pulm Crit Care Med, San Antonio, TX 78229 USA
Anzueto, A:
Univ Texas Hlth Sci Ctr San Antonio, Div Pulm Dis & Crit Care Med, San Antonio, TX 78229 USA
South Texas Vet Hlth Care Syst, Div Pulm Dis & Crit Care Med, 7400 Merton Minter Blvd, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Pulm Crit Care Med, San Antonio, TX 78229 USA
Faverio, P:
Univ Milano Bicocca, San Gerardo Hosp, Resp Unit, Cardiothorac Vasc Dept,ASST Monza, Monza, Italy
Sadud, RF:
Med Coll Wisconsin, Sect Hosp Med, Milwaukee, WI 53226 USA
Cook Cty Hosp, Div Hosp Med, Chicago, IL 60612 USA
Muhammad, I:
Aga Khan Univ, Dept Med, Sect Pulm & Crit Care Med, Karachi 74800, Pakistan
:
Hosp Badalona Germans Trias & Pujol, Microbiol Dept, Badalona, Spain
Univ Autonoma Barcelona, Barcelona, Spain
Inst Salud Carlos III, CIBER Enfermedades Resp CIBERES, Madrid, Spain
Vendrell, E:
Hosp Mataro, Intens Care Med, Mataro, Spain
Neves, J:
Ctr Hosp Porto, Serv Med, P-4099001 Porto, Portugal
Kaimakamis, E:
G Papanikolaou Gen Hosp Thessaloniki, Intens Care Unit, Thessaloniki, Greece
Feneley, A:
Univ Hosp Leicester NHS Trust, Leicester, Leics, England
Univ Leicester, Leicester, Leics, England
Swarnakar, R:
Getwell Hosp & Res Inst, Nagpur, Maharashtra, India
Franzetti, F:
Univ Milan, Luigi Sacco Hosp, Div Infect Dis, Dept Biomed & Clin Sci, Milan, Italy
Carugati, M:
Univ Milan, Luigi Sacco Hosp, Div Infect Dis, Dept Biomed & Clin Sci, Milan, Italy
Morosi, M:
Univ Milan, Luigi Sacco Hosp, Div Infect Dis, Dept Biomed & Clin Sci, Milan, Italy
Monge, E:
Univ Milan, Luigi Sacco Hosp, Div Infect Dis, Dept Biomed & Clin Sci, Milan, Italy
Restrepo, MI:
Univ Texas Hlth Sci Ctr San Antonio, Div Pulm Dis & Crit Care Med, San Antonio, TX 78229 USA
South Texas Vet Hlth Care Syst, Div Pulm Dis & Crit Care Med, 7400 Merton Minter Blvd, San Antonio, TX 78229 USA
Aruj, PK:
Univ Hosp Alfredo Lanari, Dept Internal Med, Buenos Aires, DF, Argentina
Attorri, S:
Hosp Luis Lago Maggiore, Mendoza, Argentina
Barimboim, E:
Hosp Cent Mendoza, Mendoza, Argentina
Caeiro, JP:
Hosp Privado Univ, Cordoba, Argentina
Garzon, MI:
Hosp Privado Univ, Cordoba, Argentina
Cambursano, VH:
Hosp Rawson, VH Dr Cazaux A Serv Neumol, Cordoba, Argentina
Ceccato, A:
Hosp Nacl Prof Alejandro Posadas, El Palomar, Buenos Aires, Argentina
Chertcoff, J:
Buenos Aires British Hosp, Crit Care Unit, Buenos Aires, DF, Argentina
Buenos Aires British Hosp, Resp Med, Buenos Aires, DF, Argentina
Lascar, F:
Buenos Aires British Hosp, Crit Care Unit, Buenos Aires, DF, Argentina
Buenos Aires British Hosp, Resp Med, Buenos Aires, DF, Argentina
Di Tulio, F:
Buenos Aires British Hosp, Crit Care Unit, Buenos Aires, DF, Argentina
Buenos Aires British Hosp, Resp Med, Buenos Aires, DF, Argentina
Diaz, AC:
Hosp Gen Alvear, Mendoza, Argentina
de Vedia, L:
Hosp Muniz, Resp Intens Care Unit, Buenos Aires, DF, Argentina
Ganaha, MC:
Hosp Interzonal Gen Agudos Vicente Lopez y Planes, Infect Dis Ward, Buenos Aires, DF, Argentina
Lambert, S:
Hosp Cruce Alta Complejidad Red, Florencio Varela, Buenos Aires, Argentina
Lopardo, G:
Hosp Bernardo Houssay, Vicente Lopez, Argentina
Luna, CM:
Univ Buenos Aires, Hosp Clin, Dept Med, Pulm Med Div, Buenos Aires, DF, Argentina
Malberti, AG:
Hosp Nuestra Senora del Carmen, Zaragoza, Argentina
Morcillo, N:
Hosp Zonal Especializado Agudos & Cron Dr Antonio, Vicente Lopez, Buenos Aires, Argentina
Tartara, S:
Hosp Zonal Especializado Agudos & Cron Dr Antonio, Vicente Lopez, Buenos Aires, Argentina
Pensotti, C:
Clin Privada Monte Grande, Infect Dis & Infect Control Dept, Buenos Aires, DF, Argentina
Pereyra, B:
Hosp San Roque, Cordoba, Argentina
Scapellato, PG:
Hosp DF Santojanni, Infect Dis Dept, Buenos Aires, DF, Argentina
Stagnaro, JP:
HZGA Mi Pueblo, Florencio Varela, Argentina
Shah, S:
Austin Hosp, Dept Gen Med, Heidelberg, Vic, Australia
Lotsch, F:
Med Univ Vienna, Dept Med 1, Div Infect Dis & Trop Med, Vienna, Austria
Thalhammer, F:
Med Univ Vienna, Dept Med 1, Div Infect Dis & Trop Med, Vienna, Austria
Anseeuw, K:
ZNA Campus Stuivenberg, Antwerp, Belgium
Francois, CA:
Erasme Univ Hosp, Anesthesia & Crit Care Dept, Brussels, Belgium
Van Braeckel, E:
Ghent Univ Hosp, Dept Resp Med, Ghent, Belgium
Vincent, JL:
Univ Libre Bruxelles, Erasme Univ Hosp, Dept Intens Care, Brussels, Belgium
Djimon, MZ:
Ctr Hosp Univ HKM Cotonou, Cotonou, Benin
Bashi, J:
Ctr Hosp Univ HKM Cotonou, Cotonou, Benin
Dodo, R:
Ctr Hosp Univ HKM Cotonou, Cotonou, Benin
Nouer, SA:
Univ Fed Rio de Janeiro, Rio De Janeiro, Brazil
Chipev, P:
Mil Med Acad, Clin Pulm Dis, Sofia, Bulgaria
Encheva, M:
Mil Med Acad, Clin Pulm Dis, Sofia, Bulgaria
Miteva, D:
UMHAT St Marina, Varna, Bulgaria
Petkova, D:
Univ Hosp Varna, Varna, Bulgaria
Balkissou, AD:
Yaounde Jamot Hosp, Yaounde, Cameroon
Yone, EWP:
Univ Yaounde, Dept Med Interne, Yaounde, Cameroon
Ngahane, BHM:
Douala Gen Hosp, Douala, Cameroon
Shen, N:
Peking Univ, Hosp 3, Resp Med, Beijing, Peoples R China
Xu, JF:
Tongji Univ, Shanghai Pulm Hosp, Dept Resp Med, Shanghai, Peoples R China
Rico, CAB:
Clin Shaio, Bogota, Colombia
Buitrago, R:
Clin Shaio, Bogota, Colombia
Paternina, FJP:
Las Amer Clin, Medellin, Colombia
Ntumba, JMK:
Clin Univ Kinshasa, Kinshasa, DEM REP CONGO
Carevic, VV:
Interne Med, Dubrovnik, Croatia
Jakopovic, M:
Univ Zagreb, Univ Hosp Ctr Zagreb, Med Sch, Dept Resp Dis Jordanovac, Zagreb, Croatia
Jankovic, M:
Univ Hosp Ctr Zagreb, Dept Resp Dis, Zagreb, Croatia
Matkovic, Z:
Univ Hosp Dubrava, Zagreb, Croatia
Mitrecic, I:
Karlovac Gen Hosp, Karlovac, Croatia
Jacobsson, MLB:
Emergency Dept North Zealands Hosp, Hillerod, Denmark
Christensen, AB:
Viborg Reg Hosp, Dept Anaethesiol, Viborg, Denmark
Bodtger, UCH:
Naestved Hosp, Dept Pulmonol, Naestved, Denmark
Meyer, CN:
Copenhagen Univ Hosp, Roskilde Hosp, Dept Internal Med, Roskilde, Denmark
Jensen, AV:
Nordsjaellands Hosp, Dept Lung & Infect Dis, Hillerod, Denmark
Baunbaek-knudsen, G:
Nordsjaellands Hosp, Dept Lung & Infect Dis, Hillerod, Denmark
Petersen, PT:
Nordsjaellands Hosp, Dept Lung & Infect Dis, Hillerod, Denmark
Andersen, S:
Nordsjaellands Hosp, Dept Lung & Infect Dis, Hillerod, Denmark
Abd El-Wahhab, IES:
Mansoura Univ, Fac Med, Thorac Med, Mansoura, Egypt
Morsy, NE:
Mansoura Univ, Fac Med, Pulm Crit Care & Sleep Med, Mansoura, Egypt
Shafiek, H:
Alexandria Univ, Fac Med, Chest Dis Dept, Alexandria, Egypt
Sobh, E:
Al Azhar Univ, Chest Dis Dept, Cairo, Egypt
Abdulsemed, KA:
Jimma Univ, Inst Biotechnol Res, Mycobacteriol Res Ctr, Dept Med Lab Sci & Pathol,Coll Hlth Sci, Jimma, Ethiopia
Bertrand, F:
Robert Ballanger Hosp, Crit Care Unit, Aulnay Sous Bois, France
Brun-Buisson, C:
Univ Hosp Henri Mondor, F-94000 Creteil, France
de Montmollin, E:
Ctr Hosp St Denis, Hop Delafontaine, Intens Care Unit, St Denis, Reunion, France
Fartoukh, M:
Grp Hosp Est Parisien, Hop Tenon, Pole Thorax Voies Aeriennes, Unite Reanimat Medicochirurg, Paris, France
Messika, J:
Hop Louis Mourier, Publ Hop Paris, Serv Reanimat Medicochirurg, Colombes, France
Univ Paris Diderot, IAME, UMR 1137, Sorbonne Paris Cite, Colombes, France
Tattevin, P:
Pontchaillou Univ Hosp, Infect Dis & ICU, Rennes, France
Khoury, A:
Univ Franche Comte, Med Ctr, Dept Emergency Med & Crit Care, Besancon, France
Ebruke, B:
MRC Unit, Serekunda, Gambia
Dreher, M:
Univ Hosp Aachen, Dept Cardiol Pneumol Vasc Med & Intens Care Med, Aachen, Germany
Kolditz, M:
Tech Univ Dresden, Univ Hosp Carl Gustav Cams, Med Dept 1, Div Pulmonol, Dresden, Germany
Meisinger, M:
Klinikum Niederlausitz GmbH, Klin Innere Med & Intens Med, Senftenberg, Germany
Pletz, MW:
Jena Univ Hosp, Ctr Infect Dis & Infect Control, Jena, Germany
Hagel, S:
Jena Univ Hosp, Ctr Infect Dis & Infect Control, Jena, Germany
Rupp, J:
Univ Lubeck, Dept Mol & Infect Dis, Lubeck, Germany
Schaberg, T:
Agaples Diakonieklinikum Rotenburg, Zentrum Pneumol, Rotenburg, Germany
Spielmanns, M:
Univ Witten Herdecke, St Remigius Hosp, Sch Med, Internal Med Dept,Pulm Rehabil, Leverkusen, Germany
Univ Witten Herdecke, St Remigius Hosp, Sch Med, Dept Hlth, Leverkusen, Germany
Creutz, P:
Charite, Dept Infect Dis & Resp Med, Berlin, Germany
Suttorp, N:
Charite, Dept Infect Dis & Resp Med, Berlin, Germany
Siaw-Lartey, B:
Komfo Anokye Teaching Hosp, Kumasi, Ghana
Dimakou, K:
SOTIRIA Chest Hosp, Resp Med Dept 5, Athens 11527, Greece
Papapetrou, D:
Paleo Faliro Clin, Med Grp Athens, Athens, Greece
Tsigou, E:
Agioi Anargiroi Hosp, Athens, Greece
Ampazis, D:
Agioi Anargiroi Hosp, Athens, Greece
Bhatia, M:
SS Hosp IMS BHU Varanasi, Varanasi, Uttar Pradesh, India
Dhar, R:
Fortis Hosp, Kolkata, India
D'Souza, G:
St Johns Med Coll Hosp, Dept Pulm Med, Bangalore 560034, Karnataka, India
Garg, R:
King Georges Med Univ UP, Dept Resp Med, Lucknow, Uttar Pradesh, India
Koul, PA:
SheriKashmir Inst Med Sci, Dept Internal & Pulm Med, Srinagar, Jammu & Kashmir, India
Mahesh, PA:
JSS Univ, JSS Med Coll, Dept Pulm Med, Mysore, Karnataka, India
Jayaraj, BS:
JSS Univ, JSS Med Coll, Dept Pulm Med, Mysore, Karnataka, India
Narayan, KV:
Govt Med Coll Kozhikode, Pulm Med, Kozhikode, Kerala, India
Udnur, HB:
Columbia Asia Hosp, Bengaluru, Karnataka, India
Krishnamurthy, SB:
Columbia Asia Hosp, Bengaluru, Karnataka, India
Kant, S:
King Georges Med Univ, Dept Resp Med, Lucknow 226003, Uttar Pradesh, India
Limaye, S:
Chest Res Fdn, Resp Res Network India, Pune, Maharashtra, India
Salvi, S:
Chest Res Fdn, Resp Res Network India, Pune, Maharashtra, India
Golshani, K:
Isfahan Univ Med Sci, Esfahan, Iran
Keatings, VM:
Letterkenny Gen Hosp, Letterkenny, Co Donegal, Ireland
Martin-Loeches, I:
St James Univ Hosp, Trinity Ctr Hlth Sci Dublin, MICRO, Dublin, Ireland
Maor, Y:
Tel Aviv Univ, Wolfson Med Ctr, Infect Dis Unit, Holon, Israel
Strahilevitz, J:
Hadassah Hebrew Univ, Dept Clin Microbiol & Infect Dis, Jerusalem, Israel
Battaglia, S:
Univ Palermo, Pneumol DiBiMIS, Palermo, Italy
Carrabba, M:
Fdn IRCCS Ca Granda Osped Maggiore Policlin, Internal Med Dept, I-20122 Milan, Italy
Ceriana, P:
IRCCS Fdn Maugeri, Pulm Rehabil, I-27100 Pavia, Italy
Confalonieri, M:
Univ Hosp, Dept Pulmunol, Trieste, Italy
Monforte, AD:
Univ Milan, Dept Hlth Sci, Clin Infect Dis, San Paolo Hosp, Milan, Italy
Del Prato, B:
Hosp Antonio Cardarelli, Intervent Pneumol, Naples, Italy
De Rosa, M:
UOC Pneumol PO San Filippo Neri ASL RM E Roma, Rome, Italy
Fantini, R:
Policlin Modena, Resp Dis Clin, I-41124 Modena, Italy
Fiorentino, G:
AO Osped Colli PO Monaldi, UOC Fisiopatol & Riabilitaz Resp, Naples, Italy
Gammino, MA:
ASL 5 Oristano, San Martino Hosp, Pulm Med Unit, Sardinia, Italy
Menzella, F:
IRCCS Arcispedale Santa Maria Nuova, Pneumol Unit, Dept Cardiac Thorac Vasc & Intens Care Med, Reggio Emilia, Italy
Milani, G:
Presidio Osped S Anna Nuovo, Unita Operat Pneumol, Azienda Osped St Anna Como, Como, Italy
Nava, S:
Alma Mater Univ Bologna, DIMES, Resp & Crit Care Unit, St Orsola Malpighi Hosp, Bologna, Italy
Palmiero, G:
Azienda USL 12 Viareggio, Versilia Hosp, Resp Unit, Lido Di Camaiore, Lucca, Italy
Petrino, R:
S Andrea Hosp, Emergency Med Unit, Vercelli, Italy
Gabrielli, B:
S Andrea Hosp, Emergency Med Unit, Vercelli, Italy
Rossi, P:
Azienda Osped Univ S Maria della Misericordia, Internal Med Dept, Udine, Italy
Sorino, C:
AO St Anna Como, Pulmonol Unit, Como, Italy
Steinhilber, G:
Spedali Civili Brescia, UO Pneumol & Fisiopatol Resp, Brescia, Italy
Zanforlin, A:
ULSS 18 Rovigo, Osped San Luca, I-45027 Trecenta, RO, Italy
Carone, M:
Fdn Salvatore Maugeri, IRCCS, Cassano Delle Murge, Italy
Patella, V:
Battipaglia Hosp, Dept Med Sci, Allergol & Clin Immunol Unit, Salerno, Italy
Scarlata, S:
Campus Bio Med Univ, Unit Resp Pathophysiol & Thorac Endoscopy, Geriatr, Rome, Italy
Teaching Hosp, Rome, Italy
Comel, A:
Osped Pederzoli, UO Pneumol, Peschiera Del Garda, Italy
Kurahashi, K:
Yokohama City Univ, Med Ctr, Yokohama, Kanagawa, Japan
Bacha, ZA:
St Joseph Univ, Med Sch, Beirut, Lebanon
Ugalde, DB:
Natl Inst Resp Dis, Mexico City, DF, Mexico
Zuniga, OC:
Hosp Gen Mexicali, Mexicali, Baja California, Mexico
Villegas, JF:
Hosp Univ Monterrey 1, Monterrey 64030, Mexico
Medenica, M:
Hosp Lung Dis Brezovik, Niksic, Montenegro
van de Garde, EMW:
St Antonius Hosp, Dept Clin Pharm, Utrecht, Netherlands
Mihsra, DR:
BP Koirala Inst Hlth Sci, Internal Med, Dharan, Nepal
Shrestha, P:
Patan Hosp, Oxford Univ Clin Res Unit, Patan, Nepal
Ridgeon, E:
Med Res Inst New Zealand, Wellington, New Zealand
Awokola, BI:
Lily Hosp Ltd, Dept Family Med & Primary Care, Warri, Nigeria
Nwankwo, ONO:
Univ Calabar Teaching Hosp, Calabar, Nigeria
Olufunlola, AB:
Olabisi Onabanjo Univ Teaching Hosp, Shagamu, Ogun State, Nigeria
Olumide, S:
Univ Coll Hosp, Pulm Unit, Dept Med, Ibadan, Nigeria
Ukwaja, KN:
Fed Teaching Hosp Abakaliki, Dept Med, Abakaliki, Ebonyi State, Nigeria
Irfan, M:
Aga Khan Univ, Dept Med, Sect Pulm & Crit Care Med, Karachi 74800, Pakistan
Minarowski, L:
Med Univ Bialystok, Dept Lung Dis & TB, Bialystok, Poland
Szymon, S:
Med Univ Silesia, Sch Med Katowice, Dept Pneumol, Katowice, Poland
Inst Occupat Med & Environm Hlth, Sosnowiec, Poland
Froes, F:
Hosp Pulido Valente CHLN, Lisbon, Portugal
Leuschner, P:
Ctr Hosp Porto, Porto, Portugal
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Meireles, M:
Ctr Hosp Porto, Serv Med, P-4099001 Porto, Portugal
Ferrao, C:
Ctr Hosp Porto, Serv Med, P-4099001 Porto, Portugal
Ravara, SB:
Univ Beira Interior, Fac Hlth Sci, Covilha, Portugal
Cova da Beira Hosp Ctr, P-6200251 Covilha, Portugal
Brocovschii, V:
State Univ Med & Pharm Nicolae Testemitanu Republ, Dept Pneumol & Allergol, Kishinev, Moldova
Ion, C:
State Univ Med & Pharm Nicolae Testemitanu Republ, Inst Emergency Med, Clin Anesthesia & Intens Care Valeriu Ghrerg, Kishinev, Moldova
Rusu, D:
SMFU N Testemitanu, Kishinev, Moldova
Toma, C:
State Univ Med & Pharm Nicolae Testemitanu, Dept Pneumol & Allergol, Kishinev, Moldova
Chirita, D:
Hosp Sfantul Stefan, Bucharest, Romania
Dorobat, CM:
Univ Med Farm Gr T Popa Iasi, Fac Med Stomatol, Spitalul Clin Boli Infect Sfanta Parascheva Iasi, Str Octav Botez 2, Iasi 700116, Romania
Birkun, A:
Med Acad, Dept Anesthesiol Crit Care & Emergency Med, Simferopol, Russia
Kaluzhenina, A:
Volgograd State Med Univ, Volgograd, Russia
Almotairi, A:
KFMC, Riyadh, Saudi Arabia
Bukhary, ZAA:
Taibah Univ, Coll Med, Medina, Saudi Arabia
Edathodu, J:
Al Faisal Univ, King Faisal Specialist Hosp, Riyadh, Saudi Arabia
Fathy, A:
Taibah Univ, Mansoura Univ Egypt, Pulm & Resp Crit Care Med, Medina, Saudi Arabia
Enani, AMA:
King Fahad Med City, Med Specialties Dept, Infect Dis Sect, Riyadh, Saudi Arabia
Mohamed, NE:
King Fahad Med City, Med Specialties Dept, Infect Dis Sect, Riyadh, Saudi Arabia
Memon, JU:
King Fahad Hosp, Dept Internal Med, Pulmonol Div, Al Hufuf 31982, Al Ahasa, Saudi Arabia
Bella, A:
Dammam Univ Saudi Arabia, Dammam, Saudi Arabia
King Fahad Hosp, Riyadh, Saudi Arabia
Bogdanovic, N:
KHC Dr Dragisa Misovic, Pulm Dept, Belgrade, Serbia
Milenkovic, B:
Univ Belgrade, Fac Med, Clin Ctr Serbia, Clin Pulm Dis, Belgrade, Serbia
Pesut, D:
Univ Belgrade, Clin Ctr Serbia, Sch Med, Teaching Hosp Pulmonol, Belgrade, Serbia
Borderias, L:
Hosp San Jorge, Resp & Sleep Unit, Huesca, Spain
Garcia, NMB:
Barcelona Policlin & Moises Broggi Hosp St Joan D, Barcelona, Spain
Alarcon, HC:
St Hosp Seu de Urgell, Catalonia, Spain
Cilloniz, C:
Univ Barcelona, Hosp Clin Barcelona, Dept Pneumol,Inst Clin Torax, Inst Invest Biomed August Pi & Sunyer IDIBAPS, Barcelona, Spain
Torres, A:
Univ Barcelona, Hosp Clin Barcelona, Dept Pneumol,Inst Clin Torax, Inst Invest Biomed August Pi & Sunyer IDIBAPS, Barcelona, Spain
Diaz-Brito, V:
Parc Sanitari St Joan de Deu, Infect Dis Unit, Barcelona, Spain
Parc Sanitari St Joan de Deu, Pneumol Serv, Barcelona, Spain
Casas, X:
Parc Sanitari St Joan de Deu, Infect Dis Unit, Barcelona, Spain
Parc Sanitari St Joan de Deu, Pneumol Serv, Barcelona, Spain
Gonzalez, AE:
Hosp Complex Pontevedra, Pontevedra, Spain
Fernandez-Almira, ML:
Hosp Univ Cent Asturias, Med Interna, Asturias, Spain
Gallego, M:
Inst Univ Parc Tauli UAB, Hosp Sabadell, Dept Resp Med, Sabadell, Spain
CIBERES, CIBER Enfermedades Resp, Bunyola, Spain
Gaspar-Garcia, I:
Hosp Costa del Sol, Dept Resp Med, Malaga, Spain
del Castillo, JG:
Hosp Univ Clin San Carlos, Emergency Dept, Madrid, Spain
Victoria, PJ:
Hosp Gen Univ Alicante, Alicante, Spain
Martinez, EL:
Hosp Mollet, Barcelona, Spain
de Molina, RM:
Univ Hosp Puerta de Hierro Majadahonda, Madrid, Spain
Marcos, PJ:
UAC, INIBIC, Sergas, CHUAC,Serv Neumol, La Coruna, Spain
Menendez, R:
Univ & Polytech Hosp La Fe, Pneumol Serv, Valencia, Spain
Pando-Sandoval, A:
Hosp Univ Cent Asturias, Area Gest Clin Pulmon, Serv Neumol, Oviedo, Spain
Aymerich, CP:
Univ Autonoma Barcelona, Barcelona, Spain
Inst Salud Carlos III, CIBER Enfermedades Resp CIBERES, Madrid, Spain
Hosp Badalona Germans Trias & Pujol, Inst Invest Germans Trias & Pujol, Microbiol Dept, Badalona, Spain
Hosp Badalona Germans Trias & Pujol, Inst Invest Germans Trias & Pujol, Pneumol Dept, Badalona, Spain
:
Univ Autonoma Barcelona, Barcelona, Spain
Inst Salud Carlos III, CIBER Enfermedades Resp CIBERES, Madrid, Spain
Hosp Badalona Germans Trias & Pujol, Inst Invest Germans Trias & Pujol, Microbiol Dept, Badalona, Spain
Hosp Badalona Germans Trias & Pujol, Inst Invest Germans Trias & Pujol, Pneumol Dept, Badalona, Spain
:
Univ Autonoma Barcelona, Barcelona, Spain
Inst Salud Carlos III, CIBER Enfermedades Resp CIBERES, Madrid, Spain
Hosp Badalona Germans Trias & Pujol, Inst Invest Germans Trias & Pujol, Microbiol Dept, Badalona, Spain
Hosp Badalona Germans Trias & Pujol, Inst Invest Germans Trias & Pujol, Pneumol Dept, Badalona, Spain
Rello, J:
Hosp Valle De Hebron, Crit Care Dept, Barcelona, Spain
Moyano, S:
Hosp Valle De Hebron, Crit Care Dept, Barcelona, Spain
Sibila, O:
Hosp Santa Creu & Sant Pau, IIB St Pau, Servei Pneumol, Barcelona, Spain
Rodrigo-Troyano, A:
Hosp Santa Creu & Sant Pau, IIB St Pau, Servei Pneumol, Barcelona, Spain
Sole-Violan, J:
Hosp Univ Gran Canaria Dr Negrin, Las Palmas Gran Canaria, Spain
Uranga, A:
Hosp Galdakao Usansolo, Pulmol Dept, Galdakao, Bizkaia, Spain
van Boven, JFM:
Hosp Univ Son Espases, Palma De Mallorca, Spain
Torra, EV:
Hosp Mataro, Intens Care Med, Mataro, Spain
Pujol, JA:
Hosp Mataro, Intens Care Med, Mataro, Spain
Feldman, C:
Univ Witwatersrand, Fac Hlth Sci, Charlotte Maxeke Johannesburg Acad Hosp, Div Pulmonol,Dept Internal Med, Johannesburg, South Africa
Yum, HK:
Inje Univ, Seoul Paik Hosp, Seoul, South Korea
Fiogbe, AA:
Univ Hosp Sylvanus Olympio, Pulmonol & Infect Dis Serv, Lome, Togo
Yangui, F:
Hosp Internal Forces Secur IFS, Dept Pneumol, Tunis, Tunisia
Bilaceroglu, S:
Izmir Dr Suat Seren Training & Res Hosp Thorac Me, Izmir, Turkey
Dalar, L:
Istanbul Bil Univ, Pulm Med, Istanbul, Turkey
Yilmaz, U:
Suat Seren Chest Dis & Surg Training & Res Hosp, Izmir, Turkey
Bogomolov, A:
Vinnitsa Natl Pirogov Mem Med Univ, Vinnitsa Reg Antitb Hosp, Vinnitsa, Ukraine
Elahi, N:
Dubai Hosp, Dubai, U Arab Emirates
Dhasmana, DJ:
NHS Fife, Victoria Hosp, Kirkcaldy, Fife, Scotland
Ions, R:
Univ Hosp Leicester NHS Trust, Leicester, Leics, England
Univ Leicester, Leicester, Leics, England
Skeemer, J:
Univ Hosp Leicester NHS Trust, Leicester, Leics, England
Univ Leicester, Leicester, Leics, England
Woltmann, G:
Univ Hosp Leicester NHS Trust, Leicester, Leics, England
Univ Leicester, Leicester, Leics, England
Hancock, C:
Royal Liverpool Univ Hosp, Royal Resp Res Team, Liverpool, Merseyside, England
Hill, AT:
Royal Infirm, Edinburgh, Midlothian, Scotland
Univ Edinburgh, Edinburgh, Midlothian, Scotland
Rudran, B:
Barts Hlth Trust, Royal London Hosp, London, England
Ruiz-Buitrago, S:
Hairmyres Hosp, Eaglesham Rd, East Kilbride G75 8RG, Scotland
Campbell, M:
Hairmyres Hosp, Eaglesham Rd, East Kilbride G75 8RG, Scotland
Whitaker, P:
St James Hosp, Dept Resp Med, Leeds LS9 7TF, W Yorkshire, England
Youzguin, A:
Southport & Ormskirk Hosp NHS Trust, Southport, England
Singanayagam, A:
Imperial Coll Healthcare NHS Trust, London, England
Allen, KS:
Univ Oklahoma, Hlth Sci Ctr, Norman, OK 73019 USA
Brito, V:
Parc Sanitari St Joan de Deu, Infect Dis Unit, Barcelona, Spain
Parc Sanitari St Joan de Deu, Pneumol Serv, Barcelona, Spain
Baylor Scott & White Hlth, Div Pulm Crit Care & Sleep Med, Texas A&M Hlth Sci Ctr, Temple, TX USA
Dietz, J:
Fargo VA Hlth Care Syst, Fargo, ND USA
Dysart, CE:
Clement J Zablocki VA Med Ctr, 5000 W Natl Ave, Milwaukee, WI 53295 USA
Univ New Mexico, Div Infect Dis, Sch Med, Raymond G Murphy VA Med Ctr, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Kellie, SM:
Clement J Zablocki VA Med Ctr, 5000 W Natl Ave, Milwaukee, WI 53295 USA
Univ New Mexico, Div Infect Dis, Sch Med, Raymond G Murphy VA Med Ctr, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Meier, G:
Cook Cty Hosp, Div Hosp Med, Chicago, IL 60612 USA
Gaga, M:
Athens Chest Hosp, Resp Med Dept 7, Athens, Greece
Athens Chest Hosp, Asthma Ctr, Athens, Greece
Holland, TL:
Duke Univ, Dept Med, Med Ctr, Durham, NC 27706 USA
Duke Clin Res Inst, Sch Med, Durham, NC USA
Bergin, SP:
Duke Univ, Dept Med, Med Ctr, Durham, NC 27706 USA
Duke Clin Res Inst, Sch Med, Durham, NC USA
Kheir, F:
Tulane Univ, Hlth Sci Ctr, Dept Pulm Dis Crit Care & Environm Med, New Orleans, LA 70118 USA
Landmeier, M:
Northwestern Mem Hosp, Div Pulm & Crit Care Med, Chicago, IL 60611 USA
John Peter Smith Hosp, Ft Worth, TX 76104 USA
Nair, GB:
SUNY Stony Brook, Winthrop Univ Hosp, Interstitial Lung Dis Programand Pulm Rehabil, Mineola, NY 11501 USA
Patel, H:
Univ Colorado, Hosp Med Grp, Dept Med, Div Gen Internal Med, Boulder, CO 80309 USA
Reyes, K:
Henry Ford Hosp, Detroit, MI 48202 USA
Rodriguez-Cintron, W:
VA Caribbean Healthcare Syst, Pulm Crit Care Med, San Juan, PR USA
Saito, S:
Tulane Univ, New Orleans, LA 70118 USA
Noda, J:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Pulm Crit Care Med, San Antonio, TX 78229 USA
Hinojosa, CI:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Pulm Crit Care Med, San Antonio, TX 78229 USA
Levine, SM:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Pulm Crit Care Med, San Antonio, TX 78229 USA
Angel, LF:
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Hosp Med, San Antonio, TX 78229 USA
Univ Texas Hlth Sci Ctr San Antonio, South Texas Vet Hlth Care Syst, Div Pulm Crit Care Med, San Antonio, TX 78229 USA
Whitlow, KS:
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Hipskind, J:
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Sukhija, K:
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Totten, V:
Kaweah Delta Hlth Care Dist, Dept Emergency Med, Visalia, CA USA
Wunderink, RG:
Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
Shah, RD:
Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA
Mateyo, KJ:
Univ Teaching Hosp, Dept Internal Med, Lusaka, Zambia
Green Accepted
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