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Pneumocystis Jirovecii Pneumonia in Non-HIV-infected Immunocompromised Patients

Completed
Conditions
Pneumocystis Jirovecii Infection
Registration Number
NCT05458752
Lead Sponsor
Central Hospital, Nancy, France
Brief Summary

Pneumocystis jirovecii pneumonia (PjP) is a rare infectiouse disease with a high level of mortality. PjP is a classical opportunistic infection which concern HIV infected and immunocompromised patients. During the past decade, several therapeutic's progresses have been done in oncology, immunology and hematology. As a consequence, patients benefited of greater treatment efficacy but are exposed to a higher risk of opportunistic infections as PjP. The investigators hypothesis is that PjP incidence increase and its form is depending of underlying immune conditions. The investigators aim to describe its incidence, the PjP forms depending on comorbidities and to identifiy pronostics factors.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
133
Inclusion Criteria
  • Underlying immune condition at risk of Pneumocystis jirovecii pneumonia excluding HIV infection
  • Clinical, biological and radiological presentation which evoke Pneumocystis jirovecii pneumonia
  • Microbiological confirmation by respiratory specimen analyses ( specific coloration and/or IFI and/or PRC)
Exclusion Criteria
  • No microbiological confirmation by respiratory specimen analyses
  • Proved HIV infection
  • Patient denied to particpate

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of Pneumocystis jirovecii pneumonia in HIV-free patientsBetween the first january 2004 and the 31th december 2021

Number of cases / number of patients treated for a predisposing disease (heamotological or imunological disease, or cancer...)

Secondary Outcome Measures
NameTimeMethod
To describe clinical features of Pneumocystis jirovecci pneumonia in HIV-free patientsBetween the first january 2004 and the 31th december 2021

Type of first symptoms as categorial variables

To describe the immunoglobulin level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

immunoglobulin (g/L)

To describe the albumin level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

albumin (g/L)

To describe the age of giv free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

age in years

To describe the WBC level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

WBC (G/L)

To describe the immunofluorescence value of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

Immunofluorescence as a categorial variable

To describe the use of pentamidine for HIV free patients with Pneumocystis carinii pneumoniaBetween the first january 2004 and the 31th december 2021

pentamidine as a categorial variable

To describe the body mass index of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

BMI in kg/m2 (quanti

To describe the Charlson comorbidity index of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

Charlson comorbidity index as a quantitative variable

To describe the date of the first symptoms of Pneumocystis jirovecci pneumonia in HIV-free patientsBetween the first january 2004 and the 31th december 2021

Date of first symptoms as quantitative variable

To describe the comoribidites of HIV-free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

Comorbidities as categorial variables

To describe the PCR level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

PCR (mg/L)

To describe the previous medications used by HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

Medications as categorial variables

To describe the pO2 level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

pO2 (in mmHg)

To describe the creatinine level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

Creatinine (µmol/L)

To describe the LDH level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

LDH (MUI/L)

To describe the lymphocytes level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

lymphocytes (G/L)

To describe the PCR pneumocystis level of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

PCR pneumocystis in ct

To describe the specific coloration value of HIV free patients with Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

Specific coloration as a categorial variable

To describe the use of nasal canula in HIV free patient with a Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

Nasal canula as a categorial variable

To describe the use of high flow oxygenation in HIV free patient with a Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

High flow oxygenation as a categorial variable

To describe the use of mechanical ventilation in HIV free patient with a Pneumocystis jirovecci pneumoniaBetween the first january 2004 and the 31th december 2021

Mechanical ventilation as a categorial variable

To describe the duration of hospitalisation of HIV free patients with Pneumocystis carinii pneumoniaBetween the first january 2004 and the 31th december 2021

Duration in days

To describe the use of cotrimoxazole for HIV free patients with Pneumocystis carinii pneumoniaBetween the first january 2004 and the 31th december 2021

cotrimoxazole as a categorial variable

To describe the use of atovaquone for HIV free patients with Pneumocystis carinii pneumoniaBetween the first january 2004 and the 31th december 2021

atovaquone as a categorial variable

To describe the use of steroïd for HIV free patients with Pneumocystis carinii pneumoniaBetween the first january 2004 and the 31th december 2021

steroïd as a categorial variable

Trial Locations

Locations (1)

Université de Lorraine, CHRU Nancy and APEMAC

🇫🇷

Vandoeuvre Les Nancy, Lorraine, France

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