Viral Pneumonia: From Influenza to COVID-19
Catia Cilloniz1,2, Guinevere Dy-Agra3, Rodolfo S Pagcatipunan3
1Hospital Clinic of Barcelona, IDIBAPS, CIBERESA, Barcelona, Spain.
Abstract:
Respiratory viruses are increasingly recognized as a cause of community-acquired pneumonia (CAP). The implementation of new diagnostic technologies has facilitated their identification, especially in vulnerable population such as immunocompromised and elderly patients and those with severe cases of pneumonia. In terms of severity and outcomes, viral pneumonia caused by influenza viruses appears similar to that caused by non-influenza viruses. Although several respiratory viruses may cause CAP, antiviral therapy is available only in cases of CAP caused by influenza virus or respiratory syncytial virus. Currently, evidence-based supportive care is key to managing severe viral pneumonia. We discuss the evidence surrounding epidemiology, diagnosis, management, treatment, and prevention of viral pneumonia.
Insights
Community-acquired pneumonia (CAP) is often caused by respiratory viruses, particularly in vulnerable groups. While supportive care is crucial for severe cases, targeted antiviral therapy is limited to influenza and respiratory syncytial virus infections.
Area of Science:
- Infectious Diseases
- Pulmonology
- Virology
Background:
- Respiratory viruses are a significant cause of community-acquired pneumonia (CAP).
- Advanced diagnostics improve viral identification, especially in immunocompromised, elderly, and severe CAP patients.
- Viral pneumonia severity and outcomes are comparable between influenza and non-influenza viruses.
Purpose of the Study:
- To review the current evidence on viral pneumonia.
- To cover epidemiology, diagnosis, management, treatment, and prevention strategies.
- To highlight the role of diagnostics and supportive care in managing viral CAP.
Main Methods:
- Literature review of existing evidence on viral pneumonia.
- Synthesis of data on diagnostic technologies and their impact.
- Analysis of treatment options, including antiviral and supportive care.
Main Results:
- Respiratory viruses are increasingly identified as CAP causes.
- Antiviral treatment is restricted to influenza and RSV.
- Evidence-based supportive care remains the cornerstone for severe viral pneumonia management.
Conclusions:
- Viral pneumonia diagnosis and management have advanced with new technologies.
- Supportive care is critical for severe viral pneumonia.
- Further research is needed to expand antiviral options for various respiratory viruses causing CAP.
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