The importance of Haemophilus influenzae in community-acquired pneumonia: an emerging pathogen in the elderly regardless of comorbidities compared to Streptococcus pneumoniae.

Haemophilus influenzae Streptococcus pneumoniae CAP Community acquired pneumonia Pneumonia

Journal

Pneumonia (Nathan Qld.)
ISSN: 2200-6133
Titre abrégé: Pneumonia (Nathan)
Pays: England
ID NLM: 101663459

Informations de publication

Date de publication:
25 Aug 2024
Historique:
received: 15 12 2023
accepted: 19 06 2024
medline: 26 8 2024
pubmed: 26 8 2024
entrez: 24 8 2024
Statut: epublish

Résumé

Haemophilus influenzae community-acquired pneumonia (CAP) is common, and it is equally common to Streptococcus pneumoniae in some settings. The purpose of this study was to provide additional data on patients affected by H. influenzae CAP and their outcomes. Streptococcus pneumoniae-caused CAP (111 cases) was compared to CAP with H. influenzae (53 cases). Patients were adults (≥ 18 years) from the prospective study "Etiology of community acquired pneumonia in Sweden" (ECAPS), which was established during the years 2016-2018. Cases with H. influenzae CAP were significantly older compared to S. pneumoniae CAP (median 77 vs 70 years, p = 0.037) albeit similar comorbidities. Haemophilus influenzae was generally absent in the bloodstream compared to S. pneumoniae (18% vs 2%, p = 0.01) but clinical presentations were comparable. Only a minority of patients, 34% with H. influenzae and 41% with S. pneumoniae CAP had underlying lung disease. In the light of childhood immunization campaigns against S. pneumoniae and the increasing numbers of pneumococcal vaccinations among the elderly, coupled with an aging population, the incidence of CAP caused by H. influenzae may increase. Further research is needed to understand the impact of H. influenzae CAP and to a development of a vaccine against this emerging microbe.

Sections du résumé

BACKGROUND BACKGROUND
Haemophilus influenzae community-acquired pneumonia (CAP) is common, and it is equally common to Streptococcus pneumoniae in some settings. The purpose of this study was to provide additional data on patients affected by H. influenzae CAP and their outcomes.
METHODS METHODS
Streptococcus pneumoniae-caused CAP (111 cases) was compared to CAP with H. influenzae (53 cases). Patients were adults (≥ 18 years) from the prospective study "Etiology of community acquired pneumonia in Sweden" (ECAPS), which was established during the years 2016-2018.
RESULTS RESULTS
Cases with H. influenzae CAP were significantly older compared to S. pneumoniae CAP (median 77 vs 70 years, p = 0.037) albeit similar comorbidities. Haemophilus influenzae was generally absent in the bloodstream compared to S. pneumoniae (18% vs 2%, p = 0.01) but clinical presentations were comparable. Only a minority of patients, 34% with H. influenzae and 41% with S. pneumoniae CAP had underlying lung disease.
CONCLUSION CONCLUSIONS
In the light of childhood immunization campaigns against S. pneumoniae and the increasing numbers of pneumococcal vaccinations among the elderly, coupled with an aging population, the incidence of CAP caused by H. influenzae may increase. Further research is needed to understand the impact of H. influenzae CAP and to a development of a vaccine against this emerging microbe.

Identifiants

pubmed: 39182132
doi: 10.1186/s41479-024-00136-w
pii: 10.1186/s41479-024-00136-w
doi:

Types de publication

Journal Article

Langues

eng

Pagination

15

Subventions

Organisme : Hjärt-Lungfonden
ID : 20180401
Organisme : Vetenskapsrådet
ID : 2019-01053
Organisme : Knut och Alice Wallenbergs Stiftelse
ID : 2018.0318

Informations de copyright

© 2024. The Author(s).

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Auteurs

Linda Yamba Yamba (L)

Clinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Jan Waldenströms Gata 59, 205 02, Malmö, Sweden.

Karin Hansen (K)

Clinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Jan Waldenströms Gata 59, 205 02, Malmö, Sweden.
Infectious Diseases, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, Sweden.

Lisa Wasserstrom (L)

Clinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Jan Waldenströms Gata 59, 205 02, Malmö, Sweden.
Clinical Microbiology, Laboratory Medicine Skåne, Infection Control and Prevention, Lund, Sweden.

Yu-Ching Su (YC)

Clinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Jan Waldenströms Gata 59, 205 02, Malmö, Sweden.

Jonas Ahl (J)

Clinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Jan Waldenströms Gata 59, 205 02, Malmö, Sweden.
Infectious Diseases, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, Sweden.

Kristian Riesbeck (K)

Clinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Jan Waldenströms Gata 59, 205 02, Malmö, Sweden. kristian.riesbeck@med.lu.se.
Clinical Microbiology, Laboratory Medicine Skåne, Infection Control and Prevention, Lund, Sweden. kristian.riesbeck@med.lu.se.

Classifications MeSH