Haemophilus influenzae is a Gram-negative coccobacillus capable of colonizing and infecting the human respiratory tract. In the adult population, patients with an abnormality of their mucociliary epithelium and a deficiency in innate or adaptive immunity are particularly exposed. The Infectious and Tropical Diseases department of Necker-Enfants Malades hospital has noted a recent increase in the number of cases of respiratory infections due to H. influenzae, with a high frequency of early relapses and recurrences despite appropriate treatment. The research focuses on lower respiratory infections (pneumonia) caused by Haemophilus influenzae in adults, excluding pneumonia acquired under mechanical ventilation linked to Haemophilus influenzae in patients in 13 AP-HP hospitals during 12 months, from 09/01/2022 to 08/31/2023.
Haemophilus influenzae is a Gram-negative coccobacillus capable of colonizing and infecting the human respiratory tract. In the adult population, patients with an abnormality of their mucociliary epithelium and a deficiency in innate or adaptive immunity are particularly exposed. The Infectious and Tropical Diseases department of Necker-Enfants Malades hospital has noted a recent increase in the number of cases of respiratory infections due to H. influenzae, with a high frequency of early relapses and recurrences despite appropriate treatment. The research focuses on lower respiratory infections (pneumonia) caused by Haemophilus influenzae in adults, excluding pneumonia acquired under mechanical ventilation linked to Haemophilus influenzae in patients in 13 AP-HP hospitals during 12 months, from 09/01/2022 to 08/31/2023. The main objective of the study is to identify factors associated with relapse in hospitalized adult Haemophilus influenzae pneumonia.
Study Type
OBSERVATIONAL
Enrollment
203
Collection of data from the patient's medical file. Relapses will be collected up to 3 months after Haemophilus influenzae pneumonia first episode.
Hôpital Béclère
Clamart, France
Hôpital Beaujon
Clichy, France
Hôpital Raymond Poincaré
Garches, France
Hôpital du Kremlin-Bicêtre
Le Kremlin-Bicêtre, France
Hôpital Lariboisière
Paris, France
Hôpital Saint-Louis
Paris, France
Hôpital Saint-Antoine
Paris, France
Hôpital La Pitié Salpêtrière
Paris, France
Hôpital Cochin
Paris, France
Hôpital Européen Georges Pompidou
Paris, France
...and 2 more locations
Relapse associated factors of Haemophilus influenzae pneumonia
Relapse associated factors with the Haemophilus influenzae pneumonia in hospitalized adult. Relapse of Haemophilus influenzae pneumonia defined as: * Definite relapse: acute respiratory symptoms (cough and/or dyspnea and/or purulent sputum), inflammatory syndrome (clinical: fever ≥ 38.5°C or biological: CRP ≥ 30 mg/L), respiratory antibiotic therapy started by the clinician, new good quality respiratory sample positive in culture for Haemophilus influenzae within 90 days following the first episode. * Probable relapse: acute respiratory symptoms, inflammatory syndrome (clinical: fever ≥ 38.5°C or biological: CRP ≥ 30 mg/L), respiratory antibiotic therapy started by the clinician, absence of microbiological documentation of the new episode, within 30 days following the first episode.
Time frame: 15 months
Severity associated factors in Haemophilus influenzae pneumonia
Identify the factors associated with severity in Haemophilus influenzae pneumonia. Severity is defined as: oxygen therapy \> 3 L/minute or need for hospitalization in intensive care unit or death.
Time frame: 15 months
Antibiotic resistance profiles of Haemophilus influenza strains
Specify the antibiotic resistance profiles of the strains of Haemophilus influenzae responsible for pneumonia during the study period.
Time frame: 15 months
Pulmonary radiological patterns in Haemophilus influenzae pneumonia
Describe the pulmonary radiological patterns associated with Haemophilus influenzae pneumonia.
Time frame: 15 months
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