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Influenza is a potentially lethal disease still responsible for thousands excess deaths both in Europe and the United States. Despite the use of neuraminidase inhibitors, its treatment is mostly based on symptomatic care. Lung microbiota has been shown to be involved in the immunity against influenza and is correlated with lung inflammation in numerous chronic respiratory diseases. We therefore aim to analyse the correlation between lung bacteriobiota and influenza ICU mortality
Influenza is a viral disease which is still responsible for thousands of excess deaths par year both in Europe and in the US. Despite the use of neuraminidase inhibitors, its treatment is mostly based on symptomatic care. As lung microbiota is correlated with lung inflammation in numerous chronic respiratory diseases, we hypothesize that lung microbiota would be correlated with influenza outcomes. In a pilot study, we found that lung bacteriobiota but not mycobiota is associated with influenza ICU mortality. We therefore aim to confirm this correlation between lung bacteriobiota and influenza mortality.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| influenza screening | Diagnostic Test | positive influenza screening |
| Measure | Description | Time Frame |
|---|---|---|
| Lung bacteriobiota and ICU mortality | Comparison of lung bacteriobiota alpha diversity between influenza ICU survivors and non-survivors | at admission |
| Measure | Description | Time Frame |
|---|---|---|
| Lung bacteriobiota and ICU mortality | Analysis of lung bacteriobiota beta diversity between influenza ICU survivors and non-survivors | at admission |
| Lung bacteriobiota and 7-day mortality | Analysis of lung bacteriobiota beta diversity between influenza 7-day survivors and non-survivors |
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Inclusion Criteria:
Exclusion Criteria:
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Influenza patients admitted to ICU
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical intensive care unit, Pellegrin hospital | Bordeaux | New Aquitaine | 33000 | France | ||
| Intensive care unit, CH Robert Boulin |
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| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
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sputum or tracheal aspirate
| at admission |
| Bacteria and ICU mortality | Association of bacteria with influenza ICU mortality by LefSe method | at admission |
| Bacteria and 7-day mortality | Association of bacteria with influenza 7-day mortality by LefSe method | at admission |
| ICU mortality based on Shannon index | Comparison of ICU mortality based on a threshold of 1.79 for Shannon Index | at admission |
| Lung bacteriobiota and 7-day mortality | Comparison of lung bacteriobiota alpha diversity between influenza 7-day survivors and non-survivors | at admission |
| Libourne |
| 33500 |
| France |
|
| Intensive care unit, CH Francois Mitterrand | Pau | 64000 | France |
|
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |