Percutaneous transthoracic catheter drainage for lung abscess: a systematic review and meta-analysis

Lee, Jong Hyuk; Hong, Hyunsook; Tamburrini, Mario; Park, Chang Min

doi:10.1007/s00330-021-08149-5

Cited by 17 publications

(26 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The yield of blood cultures in our cases was negative. Currently, the increase in the interventional approach might increase the yield of pathogens responsible for lung abscess from 30% to potentially 60% [ 10 , 13 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Chest radiography is often the diagnostic method of choice as in our cases [ 3 ]; however, chest CT is often indicated in suboptimal response prior to intervention, differentiating lung abscess from empyema and ruling out potential lung malformation [ 12 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment with IV antibiotics can fail if the abscess is larger than 6 cm or if the patient has other contributing factors [ 17 ]. The next treatment option is surgical intervention, which ranges from chest tube insertion, pigtail catheter placement, video-assisted thoracoscopy, or lobectomy [ 5 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Lung Abscess Case Series and Review of the Literature

Yousef

Al-Shamrani

2022

Children

View full text Add to dashboard Cite

(1) Background: Lung abscess is a lung infection that leads to the destruction of the lung parenchyma, resulting in a cavity formation and central necrosis filled with purulent fluids. It is an uncommon pediatric problem, and there is a paucity of literature reviews on this subject, especially for the pediatric age group. Lung abscess is commonly divided into those considered primary in previously well children or secondary in those with predisposing co-morbidities. The predominant pathogens isolated from primary lung abscesses are the aerobic organisms, including streptococcal species, Staphylococcus aureus, and Klebsiella pneumoniae, while anaerobic bacteria such as Bacteroides species are predominant in secondary groups. Children usually present with fever, cough, shortness of breath, chest pain, and sputum. While physical examination may reveal diffuse crackles on auscultation, the diagnosis is usually confirmed by chest X-ray. (2) Methods: We report four different cases with lung abscesses from both primary and secondary group with similar presentations and radiological findings, but the approach was different in each according to the underlining cause. (3) Conclusions: Conservative therapies with a prolonged course of antibiotics remain the cornerstone of therapy for both primary and secondary lung abscesses. The underlying cause should be considered when there is a suboptimal response. However, invasive intervention is becoming more popular with better yield, shorter duration of antibiotics and admission, and excellent prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lung Abscess Case Series and Review of the Literature

Yousef

Al-Shamrani

2022

Children

View full text Add to dashboard Cite

show abstract

“…The diagnosis of a pulmonary abscess is based on the clinical symptoms, laboratory tests, and pulmonary imaging ( Feki et al, 2019 ; Hecker et al, 2012 ). Appropriate and timely antibiotic treatments ( Tan et al, 2020 ; Zhang et al, 2021 ) together adequate drainage are critical for the disease control ( Abu-Awwad et al, 2015 ; Kelogrigoris et al, 2011 ; Lee et al, 2021 ; Liu, Wang & Xu, 2019 ; Marra, Hillejan & Ukena, 2015 ; Wali, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with length of hospital stay and medical expenses in pulmonary abscess patients: retrospective study

Zhu¹,

Yang²,

Lü³

2023

PeerJ

View full text Add to dashboard Cite

Background Pulmonary abscess carries a high mortality and requires long-term managements. A better understanding of the risk factors associated with the prolonged hospital stay and high medical expenses in these patients can improve the management strategy in individual patient and optimize the overall healthcare resources. Methods We performed a retrospective study and reviewed the medical records on consecutive patients hospitalized at the Department of Respiratory Medicine of the General Hospital of Northern Theater Command, Shenyang, Liaoning, China, between January 1, 2015, and December 31, 2020. Demographics, comorbidity, clinical symptoms, laboratory tests, length of hospital stay, and medical expenses were recorded. Their relationships with the length of hospital stay and medical expenses in pulmonary abscess patients were analyzed. Results There were 190 patients with the pulmonary abscess and 12,189 patients without the pulmonary abscess. Compared with patients without the pulmonary abscess, patients with the pulmonary abscess had longer hospital stays (21.8 ± SD vs 12.8 ± SD, P < 0.01), In patients with the pulmonary abscess, the mean length of hospital stay was 5.3 days longer in male vs female patients (P = 0.025). Multivariate linear regression analyses showed that extrapulmonary disease and clinical symptoms were associated with the length of hospital stay and medical expenses, respectively. In addition, anemia was associated with both the length of hospital stay and medical expenses. Sex and hypoproteinemia were associated with the medical expenses. Conclusions The mean length of hospital stay was longer in patients with the pulmonary abscess than those without the pulmonary abscess. The length of hospital stay and medical expense were associated with sex, clinical symptoms, extrapulmonary disease, and abnormal laboratory tests in patients with the pulmonary abscess.

show abstract

“…Typical imaging ndings indicating a pulmonary abscess include hollow damage with a visible liquid level [7,8]. Appropriate and timely antibiotic treatment [9,10] together with good drainage are critical for disease control [11][12][13][14][15][16]. The incidence of patients with a pulmonary abscess has reduced at the end of the 20th century due to improvement of medical conditions and the oral hygiene among the population.…”

Section: Introductionmentioning

confidence: 99%

Analysis of risk factors associated with average hospitalization duration and cost in pulmonary abscess patients

Zhu

Yang

Lü

2022

Preprint

View full text Add to dashboard Cite

Background: This study aimed to explore the differences of average hospitalization duration and cost in various groups of pulmonary abscess patients. Methods: The hospitalization durations and costs of 190 patients with a pulmonary abscess in our department during the past five years were retrospectively analyzed.Results: Regardless of the patient’s sex or age, the average hospitalization duration of the pulmonary abscess patients was longer than that of the overall patient population by 9 days (P < 0.05). Among the hospitalized patients with a pulmonary abscess, the average hospitalization duration of male patients was 5.3 days longer than that of female patients. Also, the average inpatient cost was 15,726.4 RMB higher than that of female patients (P < 0.05). Moreover, the existence of underlying diseases was associated with a significantly longer hospitalization duration among inpatients with a pulmonary abscess (P < 0.05). Furthermore, the patients with concomitant symptoms had a significantly longer hospitalization duration than those without concomitant symptoms (P < 0.05). Conclusions: The hospitalization duration was longer for patients with a pulmonary abscess compared to those without one in the Respiratory Department of our hospital during the same period. In addition, the male sex as well as the coexistence of underlying conditions and concomitant symptoms were risk factors for a prolonged hospitalization stay among patients with a pulmonary abscess. The male sex was also a risk factor for a higher hospitalization cost among pulmonary abscess patients. Our findings suggest the importance of early detection and good control of basic diseases for certain populations of pulmonary abscess patients.

show abstract

Percutaneous transthoracic catheter drainage for lung abscess: a systematic review and meta-analysis

Cited by 17 publications

References 38 publications

Lung Abscess Case Series and Review of the Literature

Lung Abscess Case Series and Review of the Literature

Risk factors associated with length of hospital stay and medical expenses in pulmonary abscess patients: retrospective study

Analysis of risk factors associated with average hospitalization duration and cost in pulmonary abscess patients

Contact Info

Product

Resources

About