Outcomes and factors contributing to poor prognosis of Pneumocystis jirovecii pneumonia in HIV-negative patients: a cross-sectional retrospective study in a Chinese single center

被引:0
作者
Ju Zhang
Xingcheng Sun
Jian Xu
Xiaodan Gu
Qian Chen
Jie Gao
Xia Xu
Ti Zhang
机构
[1] Changhai Hospital,Department of Rheumatology and Immunology
[2] Second Military Medical University,Department of Emergency Medicine
[3] Changhai Hospital,National Clinical Research Center of Kidney Diseases
[4] Second Military Medical University,undefined
[5] Changhai Hospital,undefined
[6] Second Military Medical University,undefined
[7] Jinling Hospital,undefined
[8] Nanjing University School of Medicine,undefined
来源
European Journal of Clinical Microbiology & Infectious Diseases | 2023年 / 42卷
关键词
Immunocompromised patients; Pneumocystis jirovecii pneumonia; Prognosis; Risk factor;
D O I
暂无
中图分类号
学科分类号
摘要
Pneumocystis jirovecii pneumonia (PJP) is a life-threatening opportunistic infection mainly occurring in immunocompromised patients. Almost half of the 30 HIV-negative patients enrolled in this study from 2016–2020 in a Chinese single-center contracted 17 hematological malignancies, and 25 received long-term systemic corticosteroids. Only 4 patients received prophylaxis. The overall mortality was 30%. Patients with older age (> 43 years), dyspnea, and LDH > 404U/L had significantly higher risk of developing into a severe form. LDH > 424 U/L, PaO2 < 60 mmHg, monocyte < 0.2 × 10^9/L, and lymphocyte < 0.3 × 10^9/L were factors contributing to a poor survival outcome.
引用
收藏
页码:109 / 112
页数:3
相关论文
共 22 条
[1]  
Weyant RB(2021)Pneumocystis jirovecii: a review with a focus on prevention and treatment Expert Opin Pharmacother 22 1579-1592
[2]  
Bateman M(2020)Diagnosing Pneumocystis jirovecii pneumonia: a review of current methods and novel approaches Med Mycol 58 1015-1028
[3]  
Oladele R(2019)Pneumocystis jirovecii pneumonia prophylaxis in immunocompromised patients with systemic autoimmune diseases Med Clin (Barc) 152 502-507
[4]  
Kolls JK(2018)Pneumocystis jirovecii pneumonia in AIDS and non-AIDS immunocompromised patients - an update J Infect Dev Ctries 12 824-834
[5]  
Braga BP(2021)On the treatment of pneumocystis jirovecii pneumonia: current practice based on outdated evidence Open Forum Infect Dis 8 ofab545-95
[6]  
Prieto-Gonzalez S(2020)Adjunctive corticosteroids may be associated with better outcome for non-HIV Pneumocystis pneumonia with respiratory failure: a systemic review and meta-analysis of observational studies Ann Intensive Care 10 34-65
[7]  
Hernandez-Rodriguez J(2020)Lower mortality associated with adjuvant corticosteroid therapy in non-HIV-infected patients With Pneumocystis jirovecii pneumonia: a single-institution retrospective US cohort study Open Forum Infect Dis 7 ofaa354-2314
[8]  
Lee YT(2014)Prognostic factors of Pneumocystis jirovecii pneumonia in patients without HIV infection J Infect 69 88-undefined
[9]  
Chuang ML(2018)Clinical, diagnostic, and treatment disparities between HIV-infected and non-HIV-infected immunocompromised patients with Pneumocystis jirovecii pneumonia Respiration 96 52-undefined
[10]  
McDonald EG(2021)Risk factors of mortality from Pneumocystis pneumonia in non-HIV patients: a meta-analysis Front Public Health 9 680108-undefined