{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T11:07:34Z","timestamp":1780312054359,"version":"3.54.0"},"reference-count":28,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Diagnostic Microbiology and Infectious Disease"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.diagmicrobio.2026.117466","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T16:10:11Z","timestamp":1778861411000},"page":"117466","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of hospitalization and pneumonia in influenza during the post-pandemic era: Role of influenza A+B coinfection"],"prefix":"10.1016","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9356-7510","authenticated-orcid":false,"given":"\u00d6zlem","family":"Aldemir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murtaza","family":"\u00d6z","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0001","doi-asserted-by":"crossref","first-page":"ofad244","DOI":"10.1093\/ofid\/ofad244","article-title":"Age differences in comorbidities, presenting symptoms, and outcomes of influenza illness requiring hospitalization: a worldwide perspective from the Global Influenza Hospital Surveillance Network","volume":"10","author":"Andrew","year":"2023","journal-title":"Open Forum Infect Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0002","doi-asserted-by":"crossref","first-page":"ofz225","DOI":"10.1093\/ofid\/ofz225","article-title":"Age-related differences in hospitalization rates, clinical presentation, and outcomes among older adults hospitalized with influenza-U.S. Influenza Hospitalization Surveillance Network (FluSurv-NET)","volume":"6","author":"Czaja","year":"2019","journal-title":"Open Forum Infect Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0004","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1093\/cid\/civ733","article-title":"Impact of prompt influenza antiviral treatment on extended care needs after influenza hospitalization among community-dwelling older adults","volume":"61","author":"Chaves","year":"2015","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0005","doi-asserted-by":"crossref","first-page":"f5061","DOI":"10.1136\/bmj.f5061","article-title":"Populations at risk for severe or complicated influenza illness: systematic review and meta-analysis","volume":"347","author":"Mertz","year":"2013","journal-title":"BMJ"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0006","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1038\/s41514-025-00212-5","article-title":"Potential of biomarkers of ageing in predicting severity of influenza virus infection and vaccination efficacy","volume":"11","author":"Yang","year":"2025","journal-title":"npj Aging"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0007","doi-asserted-by":"crossref","first-page":"327","DOI":"10.6061\/clinics\/2012(04)05","article-title":"The behavior and diagnostic utility of procalcitonin and five other inflammatory molecules in critically ill patients with respiratory distress and suspected 2009 influenza A H1N1 infection","volume":"67","author":"Paiva","year":"2012","journal-title":"Clin (Sao Paulo)"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0008","first-page":"1876","article-title":"Predictors of severity and in-hospital mortality in patients with influenza","volume":"92","author":"Serino","year":"2021","journal-title":"Monaldi Arch Chest Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0009","unstructured":"Alparslan V., G\u00fcler \u00d6., Kutlu S., \u0130zgin Avc\u0131 \u0130., Karadenizli A., Baykara N., et al. The clinical characteristics of influenza and other viral respiratory infections in the intensive care unit: a one-year single-center retrospective study 2025. https:\/\/izlik.org\/JA56DW29WN."},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.jiph.2026.103178","article-title":"Post-influenza bacterial infections: epidemiology, mechanistic insights and emerging treatment approaches","volume":"19","author":"Chen","year":"2026","journal-title":"J Infect Public Health"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0011","first-page":"449","article-title":"Severe influenza: overview in critically ill patients","volume":"25","author":"Sarda","year":"2019","journal-title":"Curr Opin Crit Care"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0012","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1186\/s12887-025-06165-8","article-title":"Antibiotic overuse in a contemporary cohort of children hospitalized with influenza, RSV, or SARS-CoV-2: a retrospective cohort study","volume":"25","author":"Kalasikam","year":"2025","journal-title":"BMC Pediatr"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0013","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1111\/irv.12398","article-title":"The frequency of influenza and bacterial coinfection: a systematic review and meta-analysis","volume":"10","author":"Klein","year":"2016","journal-title":"Influenz Other Respir Virus"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0014","doi-asserted-by":"crossref","first-page":"e45","DOI":"10.1164\/rccm.201908-1581ST","article-title":"Diagnosis and treatment of adults with community-acquired pneumonia: an official clinical practice guideline of the ATS and IDSA","volume":"200","author":"Metlay","year":"2019","journal-title":"Am J Respir Crit Care Med"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0015","doi-asserted-by":"crossref","DOI":"10.1080\/21548331.2025.2600249","article-title":"Antibiotic prescription patterns among hospitalized patients with influenza: a cross-sectional study in a tertiary referral hospital in Iran","volume":"53","author":"Salehi","year":"2025","journal-title":"Hosp Pract (1995)"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0016","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-026396","article-title":"Influenza-like illness and antimicrobial prescribing in Australian general practice from 2015 to 2017: a national longitudinal study using the MedicineInsight dataset","volume":"9","author":"Bernardo","year":"2019","journal-title":"BMJ Open"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0017","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1056\/NEJMoa1500245","article-title":"Community-acquired pneumonia requiring hospitalization among U.S. adults","volume":"373","author":"Jain","year":"2015","journal-title":"N Engl J Med"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0018","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1186\/s12879-015-1004-y","article-title":"Pneumonia among adults hospitalized with laboratory-confirmed seasonal influenza virus infection\u2014United States, 2005\u20132008","volume":"15","author":"Garg","year":"2015","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0019","doi-asserted-by":"crossref","DOI":"10.1177\/17534666251363307","article-title":"Impact of influenza on chronic obstructive pulmonary disease: pathophysiology, exacerbations, and preventive approaches","volume":"19","author":"Mao","year":"2025","journal-title":"Ther Adv Respir Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0020","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s40121-020-00354-x","article-title":"Predictors and outcomes of hospitalization for influenza: real-world evidence from the United States Medicare population","volume":"10","author":"Bolge","year":"2021","journal-title":"Infect Dis Ther"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0021","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1093\/cid\/ciaa407","article-title":"Influenza vaccine effectiveness in inpatient and outpatient settings in the United States, 2015\u20132018","volume":"73","author":"Tenforde","year":"2021","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0022","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.pedneo.2013.07.002","article-title":"Influenza B virus-associated pneumonia in pediatric patients: clinical features, laboratory data, and chest X-ray findings","volume":"55","author":"Liu","year":"2014","journal-title":"Pediatr Neonatol"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0023","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1111\/irv.12967","article-title":"Viral co-infections are associated with increased rates of hospitalization in those with influenza","volume":"16","author":"Shannon","year":"2022","journal-title":"Influenz Other Respir Virus"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0024","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1007\/s10096-016-2620-1","article-title":"Influenza A and B co-infection: a case-control study and review of the literature","volume":"35","author":"P\u00e9rez-Garc\u00eda","year":"2016","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0025","doi-asserted-by":"crossref","DOI":"10.1136\/bmjpo-2025-003940","article-title":"Impact of multiplex PCR respiratory viral panel testing on antibiotic utilisation in children with acute febrile and respiratory illnesses","volume":"9","author":"Bhaskaran","year":"2025","journal-title":"BMJ Paediatr Open"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0026","doi-asserted-by":"crossref","DOI":"10.3389\/fcimb.2025.1662422","article-title":"Characteristics of adults with influenza A virus pneumonia and co-infections identified by mNGS in Jilin, China during 2024\u20132025","volume":"15","author":"Li","year":"2025","journal-title":"Front Cell Infect Microbiol"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0027","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1086\/591708","article-title":"Predominant role of bacterial pneumonia as a cause of death in pandemic influenza: implications for pandemic influenza preparedness","volume":"198","author":"Morens","year":"2008","journal-title":"J Infect Dis"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0028","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1186\/s13054-019-2395-8","article-title":"The effect of corticosteroids on mortality of patients with influenza pneumonia: a systematic review and meta-analysis","volume":"23","author":"Ni","year":"2019","journal-title":"Crit Care"},{"key":"10.1016\/j.diagmicrobio.2026.117466_bib0029","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1093\/infdis\/jiz221","article-title":"Dual and triple infections with influenza A and B viruses: a case-control study in southern Brazil","volume":"220","author":"Gregianini","year":"2019","journal-title":"J Infect Dis"}],"container-title":["Diagnostic Microbiology and Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0732889326002166?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0732889326002166?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T10:36:40Z","timestamp":1780310200000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0732889326002166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0732889326002166"],"URL":"https:\/\/doi.org\/10.1016\/j.diagmicrobio.2026.117466","relation":{},"ISSN":["0732-8893"],"issn-type":[{"value":"0732-8893","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Determinants of hospitalization and pneumonia in influenza during the post-pandemic era: Role of influenza A+B coinfection","name":"articletitle","label":"Article Title"},{"value":"Diagnostic Microbiology and Infectious Disease","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.diagmicrobio.2026.117466","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"117466"}}