{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T05:48:28Z","timestamp":1741067308588,"version":"3.38.0"},"reference-count":5,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2009,3,1]],"date-time":"2009-03-01T00:00:00Z","timestamp":1235865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:p> The aim of the study was to compare a retrospective case note review of all cases of Pneumocystis carinii (now Pneumocystis jirovecii) pneumonia (PJP) over the period 1997\u20132004 at North Manchester General Hospital with a previous audit covering the years 1986\u20131995. During 1986\u20131995, 777 patients were diagnosed with HIV. One hundred and eighty-one were also diagnosed with PJP. Of these, 11 patients required ventilation with a mortality rate of 100%. For the current review during 1997\u20132004, 210 patients were diagnosed with PJP, and 64 with severe PJP. Median age was 39 years (interquartile range [IQR] 22\u201361). Twenty-four patients had a prior diagnosis of HIV (median 43 months, IQR 6\u201372 months), and for 38 patients this was the presenting diagnosis of HIV. Median CD4 was 34 cells\/L (IQR of 12\u201380 cells\/L). Median viral load was 3.5 \u00d7 10<jats:sup>5<\/jats:sup> copies\/mL (IQR 1\u20135.8 \u00d7 10<jats:sup>5<\/jats:sup> copies\/mL). Eighteen patients required intubation during this period. Nine (50%) were alive at 30 days postextubation. We believe that the 50% reduction in mortality seen between 1997\u20132004 in intubated patients with severe PJP is due to the improvement in intensive care management of severe respiratory failure rather than changes in the specific management of PJP. The necessity of ventilation in HIV patients is no longer a mandatory death sentence. <\/jats:p>","DOI":"10.1258\/ijsa.2008.008198","type":"journal-article","created":{"date-parts":[[2009,3,2]],"date-time":"2009-03-02T19:33:38Z","timestamp":1236022418000},"page":"200-201","source":"Crossref","is-referenced-by-count":3,"title":["Retrospective review of <i>Pneumocystis jirovecii<\/i> pneumonia over two decades"],"prefix":"10.1177","volume":"20","author":[{"given":"J","family":"Travis","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, The Monsall Unit, North Manchester General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Hart","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, The Monsall Unit, North Manchester General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Helm","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, The Monsall Unit, North Manchester General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Duncan","sequence":"additional","affiliation":[{"name":"Critical Care Department, North Manchester General Hospital, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Vilar","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, The Monsall Unit, North Manchester General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,3,1]]},"reference":[{"key":"bibr-IJSA-08-198C1","first-page":"53","volume":"8","author":"Vilar FJ","year":"1998","journal-title":"Br J Intens Care"},{"key":"bibr-IJSA-08-198C2","unstructured":"SimoR, HartleyC, MurphyC, WilkinsEGL. Intensive care management of patients with Pneumocystis pneumonia: a ten year review from 1986\u20131995. 1997;34:169 Abstract 2.7. Third Conference of the Federation of Infection Societies. J Infect 1997;34:169"},{"key":"bibr-IJSA-08-198C3","doi-asserted-by":"publisher","DOI":"10.1136\/thx.50.2.191"},{"key":"bibr-IJSA-08-198C4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1989.03420200065039"},{"key":"bibr-IJSA-08-198C5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199603143341106"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/ijsa.2008.008198","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/ijsa.2008.008198","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/ijsa.2008.008198","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T17:44:43Z","timestamp":1741023883000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/ijsa.2008.008198"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,3]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,3]]}},"alternative-id":["10.1258\/ijsa.2008.008198"],"URL":"https:\/\/doi.org\/10.1258\/ijsa.2008.008198","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"type":"print","value":"0956-4624"},{"type":"electronic","value":"1758-1052"}],"subject":[],"published":{"date-parts":[[2009,3]]}}}