Table 2

Incidence of community-acquired pneumonia (CAP) in adults in Europe

StudyCountry; regionStudy periodCAP incidence (95% CI)
Overall population
 Almirall et al38Spain; east coast1 November 1999–30 November 2000Per 1000 population >14 years:
1.54
 Gutierrez et al39Spain; Alicante15 October 1999–14 October 2001Per 1000 person-years:
Overall, 1.230
Men, 1.556
Women, 0.911
 Rodriguez et al42UK; national1 January 2000–31 December 2005Primary care patients, per 1000 person-years:
Overall, 1.07 (1.04 to 1.09)
Women, 0.93 (0.89 to 0.96)
Men, 1.22 (1.18 to 1.26)
 Viegi et al37*Italy; national15 February 1999–14 February 2000Annual incidence per 1000 population:
Overall, 1.703
Males, 1.692
Females, 1.713
 Vila-Corcoles et al16Spain; Tarragona1 January 2002–30 April 2005Age ≥65 years, per 1000 person-years:
Overall, 14.0 (12.7 to 15.3)
Men, 19.2 (17.1 to 21.6)
Women, 10.0 (8.6 to 11.5)
Hospitalisation for CAP
 Bewick et al41UK; NottinghamSeptember 2008–September 2010Per 1000 population ≥16 years: Overall, 1.097
 Ewig et al36Germany; national2005 and 2006Per 1000 population/year ≥18 years:
2005, 2.75
2006, 2.96
Mean incidence:
Men, 3.21
Women, 2.52
 Kornum et al17Denmark; Copenhagen and AarhusDecember 1993–April 2008Per 1000 person-years, >50 years:
Men, 4.2
Women, 3.4
 Kornum et al18Denmark; Copenhagen and AarhusDecember 1993–April 2008Per 1000 person-years, >50 years:
Men, 4.25
Women, 3.28
Patients with COPD
 Müllerova et al19UK; England and Wales1 January 1996–31 December 2005Per 1000 patient-years:
Overall, 22.4 (21.7 to 23.2)
Women, 21.4 (20.4 to 22.5)
Men, 23.1 (22.1 to 24.2)
Immunocompromised individuals
 Perez-Sola et al40Spain; nationalFebruary 2000–January 2006Patients with rheumatic diseases treated with TNF antagonists, per 1000 patient-years:
5.97 (4.87 to 7.25)
HIV-infected individuals
 Bénard et al24France; Aquitaine2000–2007Per 1000 patient-years:
Overall: 12.0 (9.9 to 14.0)
 Curran et al25Spain; BarcelonaJanuary 2000–December 2005Cases/1000 patients/year:
2000, 30.90
2001, 31.80
2002, 25.70
2003, 21.90
2004, 20.50
2005, 24.00
 Le Moing et al26France; nationalMay 1997–December 2001Hospitalisation for first episode of bacterial pneumonia in protease inhibitor-treated patients:
8/1000 patient-years (3–13)
 Madeddu et al27Italy; northern SardiniaJanuary 1999–December 2004Per 1000 inpatients/year:
1999, 177
2004, 280
 Saindou et al29France; Lyon1993–2004Pneumococcal pneumonia, per 1000 patient-years:
Cohort followed 1993–1 July 1996 (pre-HAART), 10.6 (5.4 to 15.7)
Cohort followed before 1 July 1996–2004 (pre-HAART and HAART era), 1.5 (0.9 to 2.1)
Cohort followed 1 July 1996–2004 (HAART era), 2.5 (1.4 to 3.6)
  • Incidence rates standardised per 1000 population or per 1000 person-years; original study data are available in online supplementary table S2.

  • *This study included data for 10 children aged <14 years.

  • †In this study, ‘pneumonia’ included fungal and viral aetiologies.

  • ‡A majority of patients (84%) in this study were also intravenous drug users.

  • COPD, chronic obstructive pulmonary disease; HAART, highly active antiretroviral therapy; TNF, tumour necrosis factor.