{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:29:49Z","timestamp":1790166589459,"version":"4.1.0"},"reference-count":69,"publisher":"European Respiratory Society (ERS)","issue":"2","license":[{"start":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T00:00:00Z","timestamp":1559606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.ersjournals.com\/user-licence"}],"funder":[{"name":"Beijing Science and Technology Project","award":["D151100002115004"],"award-info":[{"award-number":["D151100002115004"]}]},{"name":"Innovation Fund for Medical Sciences","award":["2018-I2M-1-003"],"award-info":[{"award-number":["2018-I2M-1-003"]}]},{"name":"National Key Technology Support Program","award":["2015BAI12B11"],"award-info":[{"award-number":["2015BAI12B11"]}]},{"name":"National Science Fund for Distinguished Young Scholars","award":["81425001\/H0104"],"award-info":[{"award-number":["81425001\/H0104"]}]}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2019,5,2]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>Although broad knowledge of influenza viral pneumonia has been established, the significance of non-influenza respiratory viruses in community-acquired pneumonia (CAP) and their impact on clinical outcomes remains unclear, especially in the non-immunocompromised adult population.<\/jats:p>\n                  <jats:p>Hospitalised immunocompetent patients with CAP were prospectively recruited from 34 hospitals in mainland China. Respiratory viruses were detected by molecular methods. Comparisons were conducted between influenza and non-influenza viral infection groups.<\/jats:p>\n                  <jats:p>\n                    In total, 915 out of 2336 adult patients with viral infection were enrolled in the analysis, with influenza virus (28.4%) the most frequently detected virus, followed by respiratory syncytial virus (3.6%), adenovirus (3.3%), human coronavirus (3.0%), parainfluenza virus (2.2%), human rhinovirus (1.8%) and human metapneumovirus (1.5%). Non-influenza viral infections accounted for 27.4% of viral pneumonia. Consolidation was more frequently observed in patients with adenovirus infection. The occurrence of complications such as sepsis (40.1%\n                    <jats:italic>versus<\/jats:italic>\n                    39.6%; p=0.890) and hypoxaemia (40.1%\n                    <jats:italic>versus<\/jats:italic>\n                    37.2%; p=0.449) during hospitalisation in the influenza viral infection group did not differ from that of the non-influenza viral infection group. Compared with influenza virus infection, the multivariable adjusted odds ratios of CURB-65 (confusion, urea &gt;7\u2005mmol\u00b7L\n                    <jats:sup>\u22121<\/jats:sup>\n                    , respiratory rate \u226530\u2005breaths\u00b7min\n                    <jats:sup>\u22121<\/jats:sup>\n                    , blood pressure &lt;90\u2005mmHg (systolic) or \u226460\u2005mmHg (diastolic), age \u226565\u2005years) \u22653, arterial oxygen tension\/inspiratory oxygen fraction &lt;200\u2005mmHg, and occurrence of sepsis and hypoxaemia for non-influenza respiratory virus infection were 0.87 (95% CI 0.26\u20132.84), 0.72 (95% CI 0.26\u20131.98), 1.00 (95% CI 0.63\u20131.58) and 1.05 (95% CI 0.66\u20131.65), respectively. The hazard ratio of 90-day mortality was 0.51 (95% CI 0.13\u20131.91).\n                  <\/jats:p>\n                  <jats:p>The high incidence of complications in non-influenza viral pneumonia and similar impact of non-influenza respiratory viruses relative to influenza virus on disease severity and outcomes suggest more attention should be given to CAP caused by non-influenza respiratory viruses.<\/jats:p>","DOI":"10.1183\/13993003.02406-2018","type":"journal-article","created":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T16:45:21Z","timestamp":1559666721000},"page":"1802406","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":107,"title":["Disease severity and clinical outcomes of community-acquired pneumonia caused by non-influenza respiratory viruses in adults: a multicentre prospective registry study from the CAP-China 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