Patients with PJP n = 107 | |
---|---|
Age, years, mean ± SD | 56 ± 18 |
Males, n (%) | 65 (61) |
BMI, kg/m2, mean ± SD | 23 ± 4 |
Serum albumin, g/L, mean ± SD | 26.8 ± 6.3 |
Chronic underlying disease, n (%) | |
Chronic pulmonary disease | 33 (30.8) |
Chronic kidney disease | 24 (22.4) |
Chronic heart failure | 9 (8.4) |
ICU admission, n (%) | 51 (47.7) |
Severe ARDS, n (%) | 47 (43.9) |
PaO2/FiO2 on admission, mean ± SD | 174 ± 112 |
SAPS2, mean ± SD | 33 ± 13 |
SOFA score on day 1, mean ± SD | 3 ± 3 |
Cause of immunodeficiency, n (%)a | |
Haematological malignancy | 37 (34.6) |
Solid organ transplant | 27 (25.2) |
HIV infection | 21 (19.6) |
HIV viral load, copies/mL, mean ± SD | 317,240 ± 474,037 |
Systemic disease | 13 (12.2) |
Solid malignancy | 12 (11.2) |
Primary immunodeficiency | 8 (7.5) |
Ongoing immunosuppressive therapy, n (%) | 83 (77.6) |
Ongoing glucocorticoid therapy, n (%) | 51 (47.7) |
Prednisolone-equivalent dosage, mg/day, mean ± SD | 17 ± 30 |
PJP prophylaxis, n (%)b | 21 (19.6) |
Time from symptom onset to admission, days, mean ± SD | 13 ± 22 |
Time from symptom onset to initiation of effective therapy, days, mean ± SD | 16 ± 19.7 |
Laboratory findings, mean ± SD | |
White blood cells/mm3 | 12.5 ± 26.5 |
Neutrophils/mm3 | 7.4 ± 13 |
Lymphocytes/mm3 | 2038.1 ± 7913.5 |
CRP, mg/L | 110.1 ± 96.1 |
LDH, µKat/L | 9.8 ± 5.8 |
Diagnosis of PJP | |
Sputum | 16 (15) |
Positive PJ PCR | 15 |
PJ visible in smears | 3 |
Bronchoalveolar lavage (BAL) fluid | |
N of patients (%) | 97 (90.7) |
Time from onset to BAL, days, mean ± SD | 3 ± 5.5 |
PJ visible in smears, n (%) | 49 (45.8) |
Alveolitis profile, n (%) | 31 (29) |
Co-infection at PJP diagnosis, n (%) | |
Viral infection | 37 (35) |
Bacterial infection | 29 (18) |
Invasive fungal infection | 5 (5) |
Respiratory support, n (%) | |
Mechanical ventilation | 30 (28) |
Non-invasive ventilation | 2 (1.9) |
Outcome | |
90-day mortality, n (%) | 29 (27.1) |