{"id":"https://openalex.org/W7223450150","doi":"https://doi.org/10.1186/s41479-026-00211-4","title":"Respiratory pathogens across rural populations: general practice patients with community-acquired pneumonia, residents, and goat farmers","display_name":"Respiratory pathogens across rural populations: general practice patients with community-acquired pneumonia, residents, and goat farmers","publication_year":2026,"publication_date":"2026-10-24","ids":{"openalex":"https://openalex.org/W7223450150","doi":"https://doi.org/10.1186/s41479-026-00211-4","pmid":"https://pubmed.ncbi.nlm.nih.gov/42926196","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13695891"},"language":"en","primary_location":{"id":"doi:10.1186/s41479-026-00211-4","doi":"https://doi.org/10.1186/s41479-026-00211-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s41479-026-00211-4","pdf_url":"https://link.springer.com/content/pdf/10.1186/s41479-026-00211-4.pdf","source":{"id":"https://openalex.org/S4210187308","display_name":"Pneumonia","issn_l":"2200-6133","issn":["2200-6133"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pneumonia","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://link.springer.com/content/pdf/10.1186/s41479-026-00211-4.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5060366778","display_name":"Inge Roof","orcid":"https://orcid.org/0000-0002-7173-0110","observed_orcids":["https://orcid.org/0000-0002-7173-0110"]},"institutions":[{"id":"https://openalex.org/I4210104433","display_name":"National Institute for Public Health and the Environment","ror":"https://ror.org/01cesdt21","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210104433"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Inge Roof","raw_affiliation_strings":["National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands","institution_ids":["https://openalex.org/I4210104433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053735360","display_name":"Aniek Lotterman","orcid":"https://orcid.org/0000-0003-3079-2734","observed_orcids":["https://orcid.org/0000-0003-3079-2734"]},"institutions":[{"id":"https://openalex.org/I193662353","display_name":"Utrecht University","ror":"https://ror.org/04pp8hn57","country_code":"NL","type":"education","lineage":["https://openalex.org/I193662353"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Aniek Lotterman","raw_affiliation_strings":["Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands","institution_ids":["https://openalex.org/I193662353"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052399781","display_name":"Myrna M.T. de Rooij","orcid":"https://orcid.org/0000-0002-6560-4839","observed_orcids":["https://orcid.org/0000-0002-6560-4839"]},"institutions":[{"id":"https://openalex.org/I193662353","display_name":"Utrecht University","ror":"https://ror.org/04pp8hn57","country_code":"NL","type":"education","lineage":["https://openalex.org/I193662353"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Myrna M. T. de Rooij","raw_affiliation_strings":["Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands","institution_ids":["https://openalex.org/I193662353"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049247596","display_name":"Adam Meijer","orcid":"https://orcid.org/0000-0001-8074-7582","observed_orcids":["https://orcid.org/0000-0001-8074-7582"]},"institutions":[{"id":"https://openalex.org/I4210104433","display_name":"National Institute for Public Health and the Environment","ror":"https://ror.org/01cesdt21","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210104433"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Adam Meijer","raw_affiliation_strings":["National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands","institution_ids":["https://openalex.org/I4210104433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159384395","display_name":"Joris Yzermans","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108706","display_name":"Netherlands Institute for Health Services Research","ror":"https://ror.org/015xq7480","country_code":"NL","type":"funder","lineage":["https://openalex.org/I4210108706"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Joris Yzermans","raw_affiliation_strings":["Netherlands Institute for Health Services Research (Nivel), Utrecht, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Netherlands Institute for Health Services Research (Nivel), Utrecht, the Netherlands","institution_ids":["https://openalex.org/I4210108706"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110210420","display_name":"Joke W. B. van der Giessen","orcid":"https://orcid.org/0000-0003-0358-6417","observed_orcids":["https://orcid.org/0000-0003-0358-6417"]},"institutions":[{"id":"https://openalex.org/I4210104433","display_name":"National Institute for Public Health and the Environment","ror":"https://ror.org/01cesdt21","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210104433"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Joke W. B. van der Giessen","raw_affiliation_strings":["National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands","institution_ids":["https://openalex.org/I4210104433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007853216","display_name":"Lidwien A.M. Smit","orcid":"https://orcid.org/0000-0003-0292-0946","observed_orcids":["https://orcid.org/0000-0003-0292-0946"]},"institutions":[{"id":"https://openalex.org/I193662353","display_name":"Utrecht University","ror":"https://ror.org/04pp8hn57","country_code":"NL","type":"education","lineage":["https://openalex.org/I193662353"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Lidwien A. M. Smit","raw_affiliation_strings":["Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands","institution_ids":["https://openalex.org/I193662353"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109932738","display_name":"Arianne B. van Gageldonk\u2010Lafeber","orcid":"https://orcid.org/0000-0002-0342-2087","observed_orcids":["https://orcid.org/0000-0002-0342-2087"]},"institutions":[{"id":"https://openalex.org/I4210104433","display_name":"National Institute for Public Health and the Environment","ror":"https://ror.org/01cesdt21","country_code":"NL","type":"facility","lineage":["https://openalex.org/I4210104433"]}],"countries":["NL"],"is_corresponding":true,"raw_author_name":"Arianne B. van Gageldonk-Lafeber","raw_affiliation_strings":["National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands. rianne.van.gageldonk@rivm.nl"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands. rianne.van.gageldonk@rivm.nl","institution_ids":["https://openalex.org/I4210104433"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5109932738"],"corresponding_institution_ids":["https://openalex.org/I4210104433"],"apc_list":{"value":2690,"currency":"USD","value_usd":2690},"apc_paid":{"value":2690,"currency":"USD","value_usd":2690},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.81060896,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.9282000064849854,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.9282000064849854,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11688","display_name":"Microbial infections and disease research","score":0.06289999932050705,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11243","display_name":"Respiratory viral infections research","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/community-acquired-pneumonia","display_name":"community-acquired pneumonia","score":0.8679999709129333},{"id":"https://openalex.org/keywords/respiratory-pathogens","display_name":"respiratory pathogens","score":0.9589999914169312},{"id":"https://openalex.org/keywords/goat-farming","display_name":"goat farming","score":0.765999972820282},{"id":"https://openalex.org/keywords/rural-residents","display_name":"rural residents","score":0.4359999895095825},{"id":"https://openalex.org/keywords/streptococcus-pneumoniae","display_name":"Streptococcus pneumoniae","score":0.8619999885559082},{"id":"https://openalex.org/keywords/moraxella-catarrhalis","display_name":"Moraxella catarrhalis","score":0.9819999933242798},{"id":"https://openalex.org/keywords/haemophilus-influenzae","display_name":"Haemophilus influenzae","score":0.9089999794960022},{"id":"https://openalex.org/keywords/staphylococcus-aureus","display_name":"Staphylococcus aureus","score":0.9819999933242798},{"id":"https://openalex.org/keywords/rhinovirus","display_name":"rhinovirus","score":0.8529999852180481},{"id":"https://openalex.org/keywords/salmonella","display_name":"Salmonella","score":0.6309999823570251},{"id":"https://openalex.org/keywords/coxiella-burnetii","display_name":"Coxiella burnetii","score":0.9120000004768372},{"id":"https://openalex.org/keywords/bacterial-colonization","display_name":"bacterial colonization","score":0.5040000081062317},{"id":"https://openalex.org/keywords/zoonotic-exposure","display_name":"zoonotic exposure","score":0.5320000052452087},{"id":"https://openalex.org/keywords/general-practice-patients","display_name":"general practice patients","score":0.49000000953674316}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6628000140190125},{"id":"https://openalex.org/C2781318095","wikidata":"https://www.wikidata.org/wiki/Q33127638","display_name":"General practice","level":2,"score":0.6531999707221985},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.5236999988555908},{"id":"https://openalex.org/C2776012195","wikidata":"https://www.wikidata.org/wiki/Q754447","display_name":"Respiratory tract infections","level":3,"score":0.3431999981403351},{"id":"https://openalex.org/C2779958979","wikidata":"https://www.wikidata.org/wiki/Q3473027","display_name":"Rural health","level":3,"score":0.3352000117301941},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.33250001072883606},{"id":"https://openalex.org/C2994082534","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural population","level":3,"score":0.3172999918460846},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.30559998750686646},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2994999885559082},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.2939999997615814},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2809999883174896},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.27480000257492065},{"id":"https://openalex.org/C547646559","wikidata":"https://www.wikidata.org/wiki/Q162297","display_name":"Hygiene","level":2,"score":0.263700008392334},{"id":"https://openalex.org/C2911094336","wikidata":"https://www.wikidata.org/wiki/Q2622199","display_name":"Upper respiratory infections","level":2,"score":0.2632000148296356},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.2630999982357025},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.26080000400543213},{"id":"https://openalex.org/C118518473","wikidata":"https://www.wikidata.org/wiki/Q11451","display_name":"Agriculture","level":2,"score":0.257099986076355}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1186/s41479-026-00211-4","doi":"https://doi.org/10.1186/s41479-026-00211-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s41479-026-00211-4","pdf_url":"https://link.springer.com/content/pdf/10.1186/s41479-026-00211-4.pdf","source":{"id":"https://openalex.org/S4210187308","display_name":"Pneumonia","issn_l":"2200-6133","issn":["2200-6133"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pneumonia","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13695891","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13695891/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13695891/pdf/41479_2026_Article_211.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pneumonia (Nathan)","raw_type":"Text"},{"id":"pmid:42926196","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42926196","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pneumonia (Nathan Qld.)","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:c9adcbb7ee1a4c7d8adf9199ba8cc361","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/c9adcbb7ee1a4c7d8adf9199ba8cc361","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Pneumonia, Vol 18, Iss 1 (2026)","raw_type":"article"},{"id":"pmh:oai:dspace.library.uu.nl:1874/492660","doi":null,"is_oa":true,"landing_page_url":"https://dspace.library.uu.nl/handle/1874/492660","pdf_url":null,"source":{"id":"https://openalex.org/S4306401649","display_name":"Utrecht University Repository (Utrecht University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I193662353","host_organization_name":"Utrecht University","host_organization_lineage":["https://openalex.org/I193662353"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"}],"best_oa_location":{"id":"doi:10.1186/s41479-026-00211-4","doi":"https://doi.org/10.1186/s41479-026-00211-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s41479-026-00211-4","pdf_url":"https://link.springer.com/content/pdf/10.1186/s41479-026-00211-4.pdf","source":{"id":"https://openalex.org/S4210187308","display_name":"Pneumonia","issn_l":"2200-6133","issn":["2200-6133"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","poland-20","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pneumonia","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223450150.pdf","grobid_xml":"https://content.openalex.org/works/W7223450150.grobid-xml"},"referenced_works_count":67,"referenced_works":["https://openalex.org/W873725352","https://openalex.org/W1588999779","https://openalex.org/W1791730235","https://openalex.org/W1907046813","https://openalex.org/W1985870423","https://openalex.org/W2003312939","https://openalex.org/W2003445899","https://openalex.org/W2016167068","https://openalex.org/W2026899867","https://openalex.org/W2029101395","https://openalex.org/W2060546648","https://openalex.org/W2093582996","https://openalex.org/W2116077610","https://openalex.org/W2116733480","https://openalex.org/W2127298193","https://openalex.org/W2140193130","https://openalex.org/W2145762452","https://openalex.org/W2147619046","https://openalex.org/W2158474810","https://openalex.org/W2173343255","https://openalex.org/W2329219625","https://openalex.org/W2586352357","https://openalex.org/W2603984876","https://openalex.org/W2730652723","https://openalex.org/W2767457916","https://openalex.org/W2783465946","https://openalex.org/W2787636909","https://openalex.org/W2794519236","https://openalex.org/W2804185903","https://openalex.org/W2884761740","https://openalex.org/W2899033430","https://openalex.org/W2911887304","https://openalex.org/W2944819583","https://openalex.org/W2965991929","https://openalex.org/W2980239426","https://openalex.org/W3001195213","https://openalex.org/W3008113809","https://openalex.org/W3040013734","https://openalex.org/W3082739290","https://openalex.org/W3091242960","https://openalex.org/W3104807753","https://openalex.org/W3112505683","https://openalex.org/W3120993302","https://openalex.org/W3126225059","https://openalex.org/W3154471852","https://openalex.org/W3167225459","https://openalex.org/W3176643945","https://openalex.org/W3216745646","https://openalex.org/W4210697473","https://openalex.org/W4212888373","https://openalex.org/W4297255518","https://openalex.org/W4301047481","https://openalex.org/W4307723991","https://openalex.org/W4308196204","https://openalex.org/W4309475174","https://openalex.org/W4383199122","https://openalex.org/W4385851125","https://openalex.org/W4386413268","https://openalex.org/W4399608013","https://openalex.org/W4401830175","https://openalex.org/W4401865588","https://openalex.org/W4408489219","https://openalex.org/W4410099869","https://openalex.org/W4414149979","https://openalex.org/W4414853112","https://openalex.org/W4415582525","https://openalex.org/W7128384198"],"related_works":["https://openalex.org/W3216745646","https://openalex.org/W4404301273","https://openalex.org/W7149222749","https://openalex.org/W4383199122","https://openalex.org/W2980239426","https://openalex.org/W2603984876","https://openalex.org/W7110617012","https://openalex.org/W2884761740","https://openalex.org/W2274753212","https://openalex.org/W4414853112"],"abstract_inverted_index":{"BACKGROUND:":[0],"Residents":[1],"living":[2],"near":[3],"goat":[4,47,74,132,235,287,322,325],"farms":[5],"(<":[6],"2000":[7],"m)":[8],"in":[9,98,109,147,188,200,242,251,263],"the":[10,21,31,142,148,277,296,310,342,345],"Netherlands":[11],"have":[12],"consistently":[13],"shown":[14],"an":[15],"elevated":[16],"risk":[17,300,348],"of":[18,33,139,141,212,239,258,276,309,319],"pneumonia,":[19],"yet":[20],"pathogens":[22,144,163,241,248,279,292],"underlying":[23,344],"this":[24],"association":[25],"remain":[26],"unknown.":[27],"This":[28,51],"study":[29,53],"assessed":[30,112],"presence":[32],"33":[34],"respiratory":[35],"pathogens,":[36,203],"including":[37,204,333],"bacteria,":[38,101],"viruses,":[39],"and":[40,73,82,87,92,104,128,134,156,174,180,193,215,224,237,244,265,324,336],"fungi,":[41],"across":[42],"rural":[43,65],"populations":[44],"with":[45,221,283],"different":[46],"farm":[48,75],"exposures.":[49],"METHODS:":[50],"cross-sectional":[52],"included":[54],"general":[55],"practitioner":[56],"(GP)-diagnosed":[57],"pneumonia":[58,68,299,347],"patients":[59],"(PP;":[60],"n":[61,70,78],"=":[62,71,79],"108),":[63],"non-farming":[64,303],"residents":[66],"without":[67],"(NFR;":[69],"200),":[72],"workers":[76],"(GFW;":[77],"91).":[80],"Oropharyngeal":[81],"nasopharyngeal":[83],"swabs":[84],"were":[85,111,120,165,183,196,207,218,229,249,260],"collected":[86],"analyzed":[88],"by":[89,113,153],"a":[90,306,320],"multiplex":[91],"two":[93],"additional":[94],"PCR":[95],"test":[96],"targeting":[97],"total":[99],"12":[100],"20":[102],"viruses":[103],"1":[105],"fungus.":[106],"Between-group":[107],"differences":[108],"detection":[110,127,238],"Fisher's":[114],"exact":[115],"tests.":[116],"Logistic":[117],"regression":[118],"analyses":[119],"performed":[121],"to":[122,131,234,286,340],"assess":[123],"associations":[124,228],"between":[125,231],"pathogen":[126],"residential":[129,232,284],"proximity":[130,233,285],"farming":[133,236,326],"other":[135,216],"covariates.":[136],"RESULTS:":[137],"Presence":[138],"any":[140],"examined":[143,278],"was":[145,280],"highest":[146],"PP":[149],"group":[150],"(94.5%),":[151],"followed":[152],"GFW":[154,264],"(88.8%),":[155],"NFR":[157,243],"(70%).":[158],"The":[159],"most":[160],"frequently":[161,198],"detected":[162,187,199,250],"overall":[164],"Haemophilus":[166],"influenzae,":[167],"Staphylococcus":[168],"aureus,":[169],"Streptococcus":[170],"pneumoniae,":[171],"Moraxella":[172],"catarrhalis,":[173],"rhinovirus.":[175],"Of":[176],"these,":[177],"M.":[178],"catarrhalis":[179],"S.":[181,194],"pneumoniae":[182],"significantly":[184,219],"more":[185,197],"often":[186],"PP,":[189,254],"whereas":[190],"Salmonella":[191],"spp.":[192],"aureus":[195],"GFW.":[201],"Eight":[202],"Coxiella":[205],"burnetii,":[206],"not":[208,281,294],"detected.":[209],"Age,":[210],"season":[211],"sampling,":[213],"smoking":[214],"covariates":[217],"associated":[220,282],"certain":[222],"bacteria":[223],"viruses.":[225],"However,":[226],"no":[227],"identified":[230],"specific":[240],"PP.":[245],"CONCLUSIONS:":[246],"Respiratory":[247],"nearly":[252],"all":[253],"while":[255],"substantial":[256,307],"proportions":[257],"positives":[259],"also":[261],"observed":[262,297],"NFR,":[266],"likely":[267],"reflecting":[268],"(transient)":[269],"colonization":[270],"rather":[271],"than":[272],"active":[273],"infection.":[274],"Detection":[275],"farms,":[288],"suggesting":[289],"that":[290],"these":[291],"do":[293],"explain":[295],"increased":[298,346],"among":[301,349],"nearby":[302,350],"residents.":[304,351],"As":[305],"proportion":[308],"Dutch":[311],"population":[312],"(~":[313],"7%)":[314],"lives":[315],"within":[316],"2,000":[317],"m":[318],"commercial":[321],"farm,":[323],"is":[327],"expanding":[328],"globally,":[329],"further":[330],"research":[331],"efforts,":[332],"microbiologic":[334],"diagnostics":[335],"surveillance,":[337],"are":[338],"needed":[339],"elucidate":[341],"mechanisms":[343]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-25T00:00:00"}
