Respiratory Syncytial Virus Infection: Its Propensity for Bacterial Coinfection and Related Mortality in Elderly Adults

Author:

Godefroy Raphael12,Giraud-gatineau Audrey13,Jimeno Marie-Thérèse4,Edouard Sophie13,Meddeb Line13,Zandotti Christine15,Chaudet Hervé13,Colson Philippe12,Raoult Didier12,Cassir Nadim12ORCID

Affiliation:

1. IHU-Méditerranée Infection, Marseille, France

2. Aix-Marseille Univ, IRD, AP-HM, MEPHI, Marseille, France

3. UMR VITROME, Aix-Marseille University, IRD, Service de Santé des Armées, Assistance Publique-Hôpitaux de Marseille, Institut Hospitalo-Universitaire Méditerranée Infection, Marseille, France

4. Service de l’Information Médicale, Hôpital de la Timone, Marseille, France

5. Laboratoire de Virologie IHU Méditerranée Infection, CHU Timone, UMR190-Emergence des Pathologies Virales, Marseille, France

Abstract

Abstract Respiratory syncytial virus (RSV) is an increasingly recognized cause of acute respiratory infection (ARI) in adults. We compared the crude in-hospital mortality of patients with RSV infection alone with that of patients with RSV–bacterial coinfection. Overall, 12 144 hospitalized patients with ARI were screened for RSV detection by polymerase chain reaction between February 2014 and April 2019. In total, 701 (5.8%) had a positive RSV result, including 85 (12.1%) with bacterial coinfection. RSV–bacterial coinfection was associated with an increase in crude in-hospital mortality in patients >65 years old (hazard ratio, 2.94; 95% CI, 1.30–6.60; P = .010). Optimized prevention and management strategies to reduce this burden are needed.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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