Pure Viral Sepsis Secondary to Community-Acquired Pneumonia in Adults: Risk and Prognostic Factors

J Infect Dis. 2019 Aug 30;220(7):1166-1171. doi: 10.1093/infdis/jiz257.

Abstract

We investigated the risk and prognostic factors of pure viral sepsis in adult patients with community-acquired pneumonia (CAP), using the Sepsis-3 definition. Pure viral sepsis was found in 3% of all patients (138 of 4028) admitted to the emergency department with a diagnosis of CAP, 19% of those with CAP (138 of 722) admitted to the intensive care unit, and 61% of those (138 of 225) with a diagnosis of viral CAP. Our data indicate that males and patients aged ≥65 years are at increased risk of viral sepsis.

Keywords: Sepsis; community-acquired pneumonia; viral sepsis; virus.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Community-Acquired Infections / complications*
  • Community-Acquired Infections / diagnosis*
  • Emergency Service, Hospital
  • Female
  • Hospital Mortality
  • Hospitalization
  • Humans
  • Influenza A virus / genetics
  • Influenza A virus / isolation & purification
  • Influenza, Human / complications
  • Influenza, Human / diagnosis
  • Intensive Care Units
  • Male
  • Middle Aged
  • Multiplex Polymerase Chain Reaction
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / diagnosis*
  • Prognosis
  • Retrospective Studies
  • Risk Factors
  • Sex Factors
  • Spain
  • Viremia / etiology*