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Risk Factors for Community-Acquired Pneumonia among Persons Infected with Human Immunodeficiency Virus
Two hundred eleven adults with human immunodeficiency virus (HIV) infection hospitalized for community-acquired pneumonia, including Pneumocystis carinii pneumonia (PCP; patients), and 192 matched HIV-infected hospitalized patients without pneumonia (controls) were interviewed to determine risk fact...
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Published in: | The Journal of infectious diseases 2000-01, Vol.181 (1), p.158-164 |
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creator | Navin, Thomas R. Rimland, David Lennox, Jeffrey L. Jernigan, John Cetron, Marty Hightower, Allen Roberts, Jacqueline M. Kaplan, Jonathan E. |
description | Two hundred eleven adults with human immunodeficiency virus (HIV) infection hospitalized for community-acquired pneumonia, including Pneumocystis carinii pneumonia (PCP; patients), and 192 matched HIV-infected hospitalized patients without pneumonia (controls) were interviewed to determine risk factors for pneumonia. Multivariate logistic regression showed that patients were less likely than controls to have used trimethoprim-sulfamethox-azole (TMP-SMZ) prophylaxis (odds ratio [OR], 0.22; 95% confidence interval [CI], 0.12–0.41) and more likely to have been hospitalized previously with pneumonia (OR, 6.25; CI, 3.40–11.5). Patients were also more likely than controls to have gardened (OR, 2.24; CI, 1.00–5.02) and to have camped or hiked (OR, 4.95; CI, 1.31–18.7), but stratified analysis by etiologic agent showed this association only for PCP. These findings reconfirm the efficacy of TMP-SMZ in preventing community-acquired pneumonia. In addition, hospitalization for pneumonia might represent a missed opportunity to encourage HIV-infected patients to enter into regular medical care and to adhere to prescribed antiretroviral and prophylaxis medications. |
doi_str_mv | 10.1086/315196 |
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Multivariate logistic regression showed that patients were less likely than controls to have used trimethoprim-sulfamethox-azole (TMP-SMZ) prophylaxis (odds ratio [OR], 0.22; 95% confidence interval [CI], 0.12–0.41) and more likely to have been hospitalized previously with pneumonia (OR, 6.25; CI, 3.40–11.5). Patients were also more likely than controls to have gardened (OR, 2.24; CI, 1.00–5.02) and to have camped or hiked (OR, 4.95; CI, 1.31–18.7), but stratified analysis by etiologic agent showed this association only for PCP. These findings reconfirm the efficacy of TMP-SMZ in preventing community-acquired pneumonia. In addition, hospitalization for pneumonia might represent a missed opportunity to encourage HIV-infected patients to enter into regular medical care and to adhere to prescribed antiretroviral and prophylaxis medications.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/315196</identifier><identifier>PMID: 10608762</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adult ; AIDS ; AIDS/HIV ; Bacterial pneumonia ; Biological and medical sciences ; Community-Acquired Infections - etiology ; Community-Acquired Infections - prevention & control ; Female ; HIV ; HIV Infections - complications ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infections ; Infectious diseases ; Logistic Models ; Major Articles ; Male ; Medical sciences ; Men ; Middle Aged ; Operating rooms ; Pneumocystis carinii ; Pneumocystis pneumonia ; Pneumonia ; Pneumonia - etiology ; Pneumonia - prevention & control ; Pneumonia, Pneumocystis - etiology ; Pneumonia, Pneumocystis - prevention & control ; Predisposing factors ; Risk Factors ; Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Viral pneumonia</subject><ispartof>The Journal of infectious diseases, 2000-01, Vol.181 (1), p.158-164</ispartof><rights>Copyright 2000 Infectious Diseases Society of America</rights><rights>2000 INIST-CNRS</rights><rights>Copyright University of Chicago, acting through its Press Jan 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-bf2e4408446155b5e5e0399126764629a4ab7a9756ea21a85e43b8ebb4c129243</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/30111285$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/30111285$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,777,781,4010,27904,27905,27906,58219,58452</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1247705$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10608762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Navin, Thomas R.</creatorcontrib><creatorcontrib>Rimland, David</creatorcontrib><creatorcontrib>Lennox, Jeffrey L.</creatorcontrib><creatorcontrib>Jernigan, John</creatorcontrib><creatorcontrib>Cetron, Marty</creatorcontrib><creatorcontrib>Hightower, Allen</creatorcontrib><creatorcontrib>Roberts, Jacqueline M.</creatorcontrib><creatorcontrib>Kaplan, Jonathan E.</creatorcontrib><title>Risk Factors for Community-Acquired Pneumonia among Persons Infected with Human Immunodeficiency Virus</title><title>The Journal of infectious diseases</title><addtitle>The Journal of Infectious Diseases</addtitle><description>Two hundred eleven adults with human immunodeficiency virus (HIV) infection hospitalized for community-acquired pneumonia, including Pneumocystis carinii pneumonia (PCP; patients), and 192 matched HIV-infected hospitalized patients without pneumonia (controls) were interviewed to determine risk factors for pneumonia. Multivariate logistic regression showed that patients were less likely than controls to have used trimethoprim-sulfamethox-azole (TMP-SMZ) prophylaxis (odds ratio [OR], 0.22; 95% confidence interval [CI], 0.12–0.41) and more likely to have been hospitalized previously with pneumonia (OR, 6.25; CI, 3.40–11.5). Patients were also more likely than controls to have gardened (OR, 2.24; CI, 1.00–5.02) and to have camped or hiked (OR, 4.95; CI, 1.31–18.7), but stratified analysis by etiologic agent showed this association only for PCP. These findings reconfirm the efficacy of TMP-SMZ in preventing community-acquired pneumonia. In addition, hospitalization for pneumonia might represent a missed opportunity to encourage HIV-infected patients to enter into regular medical care and to adhere to prescribed antiretroviral and prophylaxis medications.</description><subject>Adult</subject><subject>AIDS</subject><subject>AIDS/HIV</subject><subject>Bacterial pneumonia</subject><subject>Biological and medical sciences</subject><subject>Community-Acquired Infections - etiology</subject><subject>Community-Acquired Infections - prevention & control</subject><subject>Female</subject><subject>HIV</subject><subject>HIV Infections - complications</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Logistic Models</subject><subject>Major Articles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Operating rooms</subject><subject>Pneumocystis carinii</subject><subject>Pneumocystis pneumonia</subject><subject>Pneumonia</subject><subject>Pneumonia - etiology</subject><subject>Pneumonia - prevention & control</subject><subject>Pneumonia, Pneumocystis - etiology</subject><subject>Pneumonia, Pneumocystis - prevention & control</subject><subject>Predisposing factors</subject><subject>Risk Factors</subject><subject>Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Viral pneumonia</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><recordid>eNqF0U1rFDEcBvAgil2rfgMliHgbzfvLsS7WXViw1Wqll5DJZjTbnaRNJuh-e2eZpRUvnv6H55cHwgPAc4zeYqTEO4o51uIBmGFOZSMEpg_BDCFCGqy0PgJPStkghBgV8jE4wkggJQWZge5zKNfw1Loh5QK7lOE89X2NYdg1J-62huzX8Cz62qcYLLTj-QHPfC4pFriMnXfDCH6F4Sdc1N5GuNy_TmvfBRd8dDv4LeRanoJHnd0W_-xwj8HX0w8X80Wz-vRxOT9ZNY5xNjRtRzxjSDEmMOct99wjqjUmQgomiLbMttJqyYW3BFvFPaOt8m3LHCaaMHoM3ky9NzndVl8G04fi_HZro0-1GIkUpgjL_0IslVJS7htf_QM3qeY4fsIQQjViQur7NpdTKdl35iaH3uadwcjs9zHTPiN8eWirbe_Xf7FpkBG8PgBbnN122UYXyr0jTErER_ZiYpsyDncXj1_DmKh93kx5KIP_fZfbfG2EpJKbxfcrc3755fziavXeXNI_lPCuUA</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Navin, Thomas R.</creator><creator>Rimland, David</creator><creator>Lennox, Jeffrey L.</creator><creator>Jernigan, John</creator><creator>Cetron, Marty</creator><creator>Hightower, Allen</creator><creator>Roberts, Jacqueline M.</creator><creator>Kaplan, Jonathan E.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</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>200001</creationdate><title>Risk Factors for Community-Acquired Pneumonia among Persons Infected with Human Immunodeficiency Virus</title><author>Navin, Thomas R. ; Rimland, David ; Lennox, Jeffrey L. ; Jernigan, John ; Cetron, Marty ; Hightower, Allen ; Roberts, Jacqueline M. ; Kaplan, Jonathan E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-bf2e4408446155b5e5e0399126764629a4ab7a9756ea21a85e43b8ebb4c129243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>AIDS</topic><topic>AIDS/HIV</topic><topic>Bacterial pneumonia</topic><topic>Biological and medical sciences</topic><topic>Community-Acquired Infections - etiology</topic><topic>Community-Acquired Infections - prevention & control</topic><topic>Female</topic><topic>HIV</topic><topic>HIV Infections - complications</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Logistic Models</topic><topic>Major Articles</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Operating rooms</topic><topic>Pneumocystis carinii</topic><topic>Pneumocystis pneumonia</topic><topic>Pneumonia</topic><topic>Pneumonia - etiology</topic><topic>Pneumonia - prevention & control</topic><topic>Pneumonia, Pneumocystis - etiology</topic><topic>Pneumonia, Pneumocystis - prevention & control</topic><topic>Predisposing factors</topic><topic>Risk Factors</topic><topic>Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Viral pneumonia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Navin, Thomas R.</creatorcontrib><creatorcontrib>Rimland, David</creatorcontrib><creatorcontrib>Lennox, Jeffrey L.</creatorcontrib><creatorcontrib>Jernigan, John</creatorcontrib><creatorcontrib>Cetron, Marty</creatorcontrib><creatorcontrib>Hightower, Allen</creatorcontrib><creatorcontrib>Roberts, Jacqueline M.</creatorcontrib><creatorcontrib>Kaplan, Jonathan E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Navin, Thomas R.</au><au>Rimland, David</au><au>Lennox, Jeffrey L.</au><au>Jernigan, John</au><au>Cetron, Marty</au><au>Hightower, Allen</au><au>Roberts, Jacqueline M.</au><au>Kaplan, Jonathan E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors for Community-Acquired Pneumonia among Persons Infected with Human Immunodeficiency Virus</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>The Journal of Infectious Diseases</addtitle><date>2000-01</date><risdate>2000</risdate><volume>181</volume><issue>1</issue><spage>158</spage><epage>164</epage><pages>158-164</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>Two hundred eleven adults with human immunodeficiency virus (HIV) infection hospitalized for community-acquired pneumonia, including Pneumocystis carinii pneumonia (PCP; patients), and 192 matched HIV-infected hospitalized patients without pneumonia (controls) were interviewed to determine risk factors for pneumonia. Multivariate logistic regression showed that patients were less likely than controls to have used trimethoprim-sulfamethox-azole (TMP-SMZ) prophylaxis (odds ratio [OR], 0.22; 95% confidence interval [CI], 0.12–0.41) and more likely to have been hospitalized previously with pneumonia (OR, 6.25; CI, 3.40–11.5). Patients were also more likely than controls to have gardened (OR, 2.24; CI, 1.00–5.02) and to have camped or hiked (OR, 4.95; CI, 1.31–18.7), but stratified analysis by etiologic agent showed this association only for PCP. These findings reconfirm the efficacy of TMP-SMZ in preventing community-acquired pneumonia. In addition, hospitalization for pneumonia might represent a missed opportunity to encourage HIV-infected patients to enter into regular medical care and to adhere to prescribed antiretroviral and prophylaxis medications.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>10608762</pmid><doi>10.1086/315196</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult AIDS AIDS/HIV Bacterial pneumonia Biological and medical sciences Community-Acquired Infections - etiology Community-Acquired Infections - prevention & control Female HIV HIV Infections - complications Human immunodeficiency virus Human viral diseases Humans Infections Infectious diseases Logistic Models Major Articles Male Medical sciences Men Middle Aged Operating rooms Pneumocystis carinii Pneumocystis pneumonia Pneumonia Pneumonia - etiology Pneumonia - prevention & control Pneumonia, Pneumocystis - etiology Pneumonia, Pneumocystis - prevention & control Predisposing factors Risk Factors Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Viral pneumonia |
title | Risk Factors for Community-Acquired Pneumonia among Persons Infected with Human Immunodeficiency Virus |
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