Factors Affecting Postoperative Lung Expansion in Patients with Pyogenic Empyema

Ahn, Hye‐Jin; Cho, Jeong Su; Kim, Yeong‐Dae; Hoseok, I; Song, Seunghwan; Eom, Jung Seop; Mok, Jeongha

doi:10.1055/s-0038-1635085

Cited by 5 publications

(3 citation statements)

References 15 publications

(16 reference statements)

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“…This study’s observation of the rate of positive blood cultures in cases of pleural infection aligns with earlier researches indicating a blood culture positivity rate of 2–12 % among patients with pleural infections [ 2 , 25 , 26 ]. The 2010 recommendation from the British Thoracic Society suggests obtaining blood cultures from all suspected cases of pleural infection based on the MIST1 study [ 2 , 19 ].…”

Section: Discussionsupporting

confidence: 91%

Diagnostic and prognostic implications of bacteremia in patients with complicated pleural infection

Kim,

Park,

Cha

et al. 2024

Pleura and Peritoneum

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Objectives The clinical significance of bacteremia in patients with complicated pleural infection is still uncertain. We aimed to examine the incidence and clinical significance of bacteremia in patients with complicated pleural infection. Methods This retrospective study comprised of consecutive patients who received pleural drainage due to complicated parapneumonic effusion or empyema. The clinical, laboratory, and radiologic data and clinical outcome were compared between patients with and without bacteremia. Additionally, the factors associated with overall mortality were evaluated in these patients. Results Of 341 patients included in the analysis, 25 (7 %) had a positive blood culture. Blood culture testing added 2 % identification of causative pathogen compared to pleural fluid culture alone. By multivariable analysis, radiologic features of cavitary lesion, a RAPID score≥5, and a positive microbial culture in pleural fluid were independently associated with bacteremia. Despite these clinical distinctions, there was ultimately no significant difference in in-hospital mortality between patients with and without bacteremia (3 vs. 4 %, p=1.0). The only factor significantly associated with overall mortality among patients with complicated pleural infections was a higher RAPID score [HR=1.96 (95 % CI=1.35–2.84)]. Conclusions The rate of bacteremia in patients with complicated pleural infection was 7 %. Blood culture testing demonstrated limited diagnostic yield and had minimal impact on clinical outcomes compared to pleural fluid culture. Therefore, it seems that blood culture testing is more advantageous for specific patients with suspected pleural infection who have cavitary lesions or a RAPID score≥5.

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Section: Discussionsupporting

confidence: 91%

Diagnostic and prognostic implications of bacteremia in patients with complicated pleural infection

Kim,

Park,

Cha

et al. 2024

Pleura and Peritoneum

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“…Postoperative chest tube drainage and hospital stay was significantly longer in those with DM and sepsis. 30 Its proved in our studies as well. Revival of pulmonary Function is gradual but complete.…”

supporting

confidence: 48%

Minimally Invasive Lateral Thoracotomy (MILT) and Decortication: A Prospective Study on Chronic Organised Empyema and its Outcome

Haridas¹,

Bhat²

2018

IJCMR

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“…Stricter pre-and post-operative control of blood-sugar levels and adequate antibiotics are required to facilitate postoperative lung re-expansion. In patients with thickened pleurae, prolonged chest tube placement is unavoidable [25].…”

Section: Epidemiologymentioning

confidence: 99%

Surgical Treatment of Pleural Empyema in Children

Alcoholado Boye

2024

Challenges in Pleural Pathology - Diagnostics, Treatment and Research

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Pleural empyema is a common infectious pathology in pediatrics that requires timely treatment to achieve ad integrum recovery. The clinical understanding of the pathophysiological evolution of the disease and the knowledge of the methods of its imaging study allow the treating physician to add to the antibiotic treatment, such as drainage of the pleural space and/or thoracoscopy that has historically been performed. In recent years, many centers have replaced it with intrapleural injection of fibrinolytics with good results. Drainage and minimally invasive surgery procedures are detailed. The aim of the chapter is that the student has a comprehensive knowledge of the treatment and to keep in mind that both early diagnosis and timely treatment prevent the progressing of the disease and its possible complications.

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Factors Affecting Postoperative Lung Expansion in Patients with Pyogenic Empyema

Cited by 5 publications

References 15 publications

Diagnostic and prognostic implications of bacteremia in patients with complicated pleural infection

Diagnostic and prognostic implications of bacteremia in patients with complicated pleural infection

Minimally Invasive Lateral Thoracotomy (MILT) and Decortication: A Prospective Study on Chronic Organised Empyema and its Outcome

Surgical Treatment of Pleural Empyema in Children

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