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Detection of human cytomegalovirus in bronchoalveolar lavage of intensive care unit patients

Andrea Vergara, Catia Cilloniz, Nestor Luque, Carolina Garcia-Vidal, Javier Tejero, Rafael Perelló, Carmen María Lucena, Antoni Torres, María Angeles Marcos
European Respiratory Journal 2018 51: 1701332; DOI: 10.1183/13993003.01332-2017
Andrea Vergara
Dept of Clinical Microbiology, Biomedical Diagnostic Center (CDB), Hospital Clínic of Barcelona, University of Barcelona, Institute for Global Health (ISGlobal), Barcelona, SpainThese authors contributed equally to the study
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Catia Cilloniz
Dept of Pneumology, Institut Clínic Respiratori (ICR), Hospital Clínic of Barcelona, University of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainSGR 911, Centro de Investigatión Biomédica en Red de Enfermedades Respiratorias (CIBERES), Barcelona, SpainThese authors contributed equally to the study
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Nestor Luque
Dept of Pneumology, Institut Clínic Respiratori (ICR), Hospital Clínic of Barcelona, University of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
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Carolina Garcia-Vidal
Dept of Infectious Diseases, Hospital Clínic of Barcelona, Barcelona, Spain
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Javier Tejero
University of Barcelona, Barcelona, Spain
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Rafael Perelló
Emergency Dept, Hospital Clínic of Barcelona, Barcelona, Spain
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Carmen María Lucena
Dept of Pneumology, Institut Clínic Respiratori (ICR), Hospital Clínic of Barcelona, University of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
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Antoni Torres
Dept of Pneumology, Institut Clínic Respiratori (ICR), Hospital Clínic of Barcelona, University of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, SpainSGR 911, Centro de Investigatión Biomédica en Red de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
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María Angeles Marcos
Dept of Clinical Microbiology, Biomedical Diagnostic Center (CDB), Hospital Clínic of Barcelona, University of Barcelona, Institute for Global Health (ISGlobal), Barcelona, SpainBarcelona Centre for International Health Research (CRESIB), Institute for Global Health (ISGlobal), Barcelona, Spain
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  • For correspondence: mmarcos@clinic.cat
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The seroprevalence of human cytomegalovirus (CMV) is very high worldwide [1, 2] and the spectrum of disease caused by it ranges from an asymptomatic state to a mononucleosis-like syndrome to severe diseases such as pneumonia, retinitis or gastrointestinal infection. The most severe disease occurs in congenital infection and in immunosuppressed patients, in whom the virus acts as an opportunistic pathogen. However, the role of CMV in other populations is less clear and is controversial [3]. Some studies in critical patients describe a relationship between CMV and increased mortality rates, longer length of stay and prolonged need for mechanical ventilation [3–5]. The incidence of active CMV infection depends on the diagnostic method used. Several epidemiological studies and systematic reviews have assessed the incidence of CMV infection in mechanically ventilated, critically ill patients, finding values ranging from 0–36% [5–7]. In this study, we aimed to assess the incidence, clinical characteristics, risk factors and outcomes for intensive care unit (ICU) patients with CMV detection by bronchoalveolar lavage (BAL).

Abstract

What is the role of cytomegalovirus (CMV) in ICU patients? http://ow.ly/GeM130holtF

Footnotes

  • Support statement: This work was supported in part by Ciber de Enfermedades Respiratorias (CibeRes CB06/06/0028).

  • Conflict of interest: None declared.

  • Received July 3, 2017.
  • Accepted November 30, 2017.
  • Copyright ©ERS 2018
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Detection of human cytomegalovirus in bronchoalveolar lavage of intensive care unit patients
Andrea Vergara, Catia Cilloniz, Nestor Luque, Carolina Garcia-Vidal, Javier Tejero, Rafael Perelló, Carmen María Lucena, Antoni Torres, María Angeles Marcos
European Respiratory Journal Feb 2018, 51 (2) 1701332; DOI: 10.1183/13993003.01332-2017

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Detection of human cytomegalovirus in bronchoalveolar lavage of intensive care unit patients
Andrea Vergara, Catia Cilloniz, Nestor Luque, Carolina Garcia-Vidal, Javier Tejero, Rafael Perelló, Carmen María Lucena, Antoni Torres, María Angeles Marcos
European Respiratory Journal Feb 2018, 51 (2) 1701332; DOI: 10.1183/13993003.01332-2017
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