SESSION TITLE: Pneumonia Diagnosis and Outcomes SESSION TYPE: Original Investigation Slide PRESENTED ON: Wednesday, October 26, 2016 at 02:45 PM - 04:15 PM PURPOSE: The purpose of this study was to examine the respiratory support, length of stay (LOS), age, intensive care unit (ICU) admission, respiratory failure and requirement of steroids in patients diagnosed with: Rhinovirus alone, bacterial pneumonia alone, and bacterial pneumonia in combination with Rhinovirus. METHODS: This study was a retrospective chart review of patients admitted to Charleston Area Medical Center (CAMC) with a positive diagnosis of Rhinovirus and/or community acquired pneumonia (CAP) for a single respiratory season. Inclusion Criteria:age >18 years, respiratory symptoms present on admission, and qualifying diagnosis on admission. The patients were divided into three groups: Rhinovirus alone, Rhinovirus in combination with bacterial pneumonia, and bacterial pneumonia alone. RESULTS: 168 patients were diagnosed with Rhinovirus alone, 25 patients were diagnosed with Rhinovirus and bacterial pneumonia, 58 patients had bacterial pneumonia alone. There were 123 males and 128 females. The average age was 61.34 years, (SD 17.65). Age range was 19 years of age to 95 years old. 74 patients had the diagnosis of obesity. Asthma was diagnosed in 17 patients. 122 patients had a diagnosis of chronic obstructive pulmonary disease. 40 patients had a diagnosis of chronic respiratory failure. 68.2% of the patients were admitted to the general ward, 31.8% of the patients were admitted to the ICU. The average LOS was 11.3 days, (SD 19.2 days). LOS ranged from one day to 189 days. 154 patients (61.4%) required steroids (IV or PO). 208 patients (82.9%) required some type of respiratory support. 202 (80.5%) required supplemental oxygen. 59 (23.5%) required noninvasive positive pressure ventilation. 68 (27.1%) required mechanical ventilation. 12 of the 251 patients died while in the hospital. Patients diagnosed with Rhinovirus were older (p<.05). A significant proportion of patients diagnosed with bacterial pneumonia alone went to the ICU (p<0.0001) and had longer LOS at 17.9 days.(p<.05). A significant proportion of patients diagnosed with bacterial pneumonia alone needed respiratory support (p<0.001) either in the form of supplemental oxygen (p<0.05) or the necessity for mechanical ventilation (p,0.001). A significant proportion of patients diagnosed with bacterial pneumonia + Rhinovirus had respiratory failure and required steroids (p<.05). CONCLUSIONS: Patients diagnosed with only Rhinovirus were older. A significant proportion of patients diagnosed with bacterial pneumonia only went to the ICU, had a longer LOS and needed respiratory support, either in the form of supplemental oxygen or the necessity for mechanical ventilation. A significant proportion of patients diagnosed with bacterial pneumonia + Rhinovirus had respiratory failure and required steroids. CLINICAL IMPLICATIONS: In our study, patients with Rhinovirus +bacterial pneumonia had increased respiratory failure and requirement for steroids. Additionally, Rhinovirus infection alone did not negatively affect patients as far as ICU admission, LOS, and the need for respiratory support compared to patients with bacterial pneumonia alone or Rhinovirus + bacterial pneumonia. It appears that Rhinovirus infection alone does not have a significant influence on hospitalized patients with pneumonia. DISCLOSURE: The following authors have nothing to disclose: Holly Hill, Suzanne Kemper, Kevin Maupin No Product/Research Disclosure Information