Respiratory syncytial virus infection among adults during influenza season: A frequently overlooked diagnosis.
Javier Martínez-SanzSergio Gilaberte ReyzábalJuan SalillasMaría Rosa Lago GómezM Elena Rodríguez-ZuritaMiguel TorralbaPublished in: Journal of medical virology (2019)
Our objective is to assess the characteristics of respiratory syncytial virus (RSV) infection in adult patients and to establish differences with influenza viruses. Fifty-four patients diagnosed with RSV and 198 with influenza were prospectively included. Compared with influenza, empirical antimicrobial therapy was more frequent in patients diagnosed with RSV, whereas antibiotic withdrawal at the time of diagnosis confirmation was lower (OR, 0.12; CI, 95% 0.01-0.90; P = 0.040). RSV-positive patients were more likely to need hospital readmission (OR, 3.00; CI, 95% 0.98-9.09; P = 0.053). The role of RSV infection in adults is often overlooked, leading to inappropriate use of antibiotics and a probable increase in nosocomial RSV transmission.
Keyphrases
- respiratory syncytial virus
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- prognostic factors
- peritoneal dialysis
- healthcare
- respiratory tract
- staphylococcus aureus
- emergency department
- stem cells
- bone marrow
- cystic fibrosis
- acinetobacter baumannii
- methicillin resistant staphylococcus aureus
- electronic health record