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. 2024 Jun 27;62(6):myae038. doi: 10.1093/mmy/myae038

Table 7.

Studies describing annual incidence of Pneumocystis jirovecii.

Author Year Study design Study period Country Level of care Population description No. of patients Annual incidence
Amona et al. 2020 NPS
MC
2018 Republic of Congo Multiple Population of the Republic of Congo 5244 000 estimated Estimated incidence based on cases of HIV-AIDS
15.8/100 000 people
Báez-Saldaña et al. 2015 RCS
SC
January 2010–December
2011
Mexico Tertiary Adults with HIV-AIDS diagnosed with infectious respiratory disease Total: 308 PJP cases
n = 142 (46.1%)
Beardsley et al. 2015 CSS
MC
2012 Vietnam Multiple Population of Vietnam Estimated number of PJP cases: 608 Estimated incidence based on cases of HIV-AIDS
0.67/100000 people
Coelho et al. 2014 RCS
SC
1987–2012 Brazil Multiple Patients with HIV/AIDS aged ≥18 years with opportunistic infections Total opportunistic infections: 3378
Opportunistic infections (2009–2012): 268
PJP cases (2009–2012)
n = 22/268 (8.2%)

IRR
(2012–2009 vs. 1987–1990)
0.03 (P < .001)
Evernden et al. 2020 RCS
SC
January 2008–June
2017
Canada Tertiary Adult allogenic HSCT patients receiving anti-thymocyte globulin for GVHD prophylaxis Total receiving PJP prophylaxis: 649 PJP cases
21/649 (3.24%)
3-year cumulative PJP incidence
3.52%
Faini et al. 2015 NPS
MC
2012 Tanzania Multiple Population of Tanzania 43.6 million estimated.
Adults with HIV-AIDS:
1500 000
Estimated incidence based on cases of HIV-AIDS
n = 9600
∼22/100000 people
Lagrou et al. 2015 NPS
MC
2013 Belgium Multiple Population of Belgium 11 million estimated.
People with HIV-AIDS
∼20000
Estimated incidence
n = 120
1.1/100000 people
Lopez-Sanchez et al. 2015 RCS
SC
January 2000–December
2013
Spain Tertiary Adults with HIV-AIDS and PJP PJP cases: 136 1.3–3.3/1000 person-years
Macedo-Viñas and Denning 2018 CSS
MC
2016 Uruguay Multiple Population of Uruguay Population of Uruguay:
3444006 estimated

People with HIV-AIDS ∼12000
Estimated incidence based on cases of HIV-AIDS
n = 48
1.4/100 000 people
Neofytos et al. 2018 RCS
MC
2008–2016 Switzerland Multiple All patients within the national SOT registry of Switzerland Total: 2842

Diagnosed with PJP: 41
Overall incidence
0.01/1000 person-days
(95% CI 0.009–0.02)
Özenci et al. 2019 CSS
MC
2016 Sweden Multiple Population of Sweden Population of Sweden:
9995 153 estimated
3/100000 people
Quinn et al. 2018 RCS
SC
January 2007–August 2014 USA Tertiary Paediatric oncology patients receiving ≥1 dose of pentamidine Total: 754
Suspected PJP: 4 (0.5%)
Rate
0.03/1000 patient-days
(95% CI 0.009–0.07)
Schmidt et al. 2018 RCS
SC
January 2000–June
2017
Germany Tertiary Confirmed PJP Total: 240
HIV-AIDS: 125 (52.1%)
SOT: 39 (16.3%)
Chemotherapy: 38 (15.8%)
PJP cases annually
n = 13 ± 5
Tufa et al. 2019 CSS
MC
2017 Ethiopia Multiple Population of Ethiopia 105 000000 estimated
People with HIV-AIDS:
12700 estimated
Estimated incidence 12.1/100000 person-years

IR (HIV-AIDS vs. HIV-negative)
1/6.1

CCS, case control study; CI, confidence interval; GVHD, graft versus host disease; HAART, highly active antiretroviral therapy; HIV, human immunodeficiency virus; HSCT, haematopoietic stem cell transplant; IR, incidence ratio; IRR, incidence rate ratio; IV, intravenous; MC, multicentre; NPS, national prevalence study; NS, not stated (by authors); PCS, prospective cohort study; PJP, Pneumocystis jirovecii pneumonia; R-CHOP, rituximab/cyclophosphamide/hydroxydaunorubicin/prednisone; RA, rheumatoid arthritis; RCS, retrospective cohort study; SC, single centre; SOT, solid organ transplant; TMP–SMX, trimethoprim–sulfamethoxazole.