The changing pathogens of complicated parapneumonic effusions or empyemas in a medical intensive care unit
To assess the incidence, pathogens, and outcome of complicated parapneumonic effusions or empyemas in a medical intensive care unit (MICU) patients with pleural effusions. Prospective study of febrile MICU patients with pleural effusion carried out in a tertiary care hospital between April 2001 and...
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| Veröffentlicht in: | Intensive care medicine 2006-04, Vol.32 (4), p.570-576 |
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| creator | TU, Chih-Yen HSU, Wu-Huei HSIA, Te-Chun CHEN, Hung-Jen CHIU, Kuo-Liang HANG, Liang-Wen SHIH, Chuen-Ming |
| description | To assess the incidence, pathogens, and outcome of complicated parapneumonic effusions or empyemas in a medical intensive care unit (MICU) patients with pleural effusions.
Prospective study of febrile MICU patients with pleural effusion carried out in a tertiary care hospital between April 2001 and September 2003.
The study included 175 patients with a temperature above 38 degrees for more than 8 h with evidence of pleural effusion confirmed by chest radiography and ultrasound.
Routine thoracentesis and effusion cultures.
The prevalence of complicated parapneumonic effusions or thoracic empyemas in febrile MICU patients with pleural effusions was 45% (78/175). A total of 78 micro-organisms were isolated from the pleural fluid of 58 patients (positive microbiological culture 74%) including aerobic Gram-negative (n=45), aerobic Gram-positive (n=23), anaerobic (n=5), Myobacterium tuberculosis (n=3), and Candida (n=2). The infection-related mortality rate of complicated parapneumonic effusions or empyemic patients in the MICU was 41% (32/78).
The development of complicated parapneumonic effusions or thoracic empyemas in MICU patients is a high-mortality disease. The increasing incidence of aerobic Gram-negative pathogens in empyema has become a more urgent problem. |
| doi_str_mv | 10.1007/s00134-005-0064-7 |
| format | Article |
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Prospective study of febrile MICU patients with pleural effusion carried out in a tertiary care hospital between April 2001 and September 2003.
The study included 175 patients with a temperature above 38 degrees for more than 8 h with evidence of pleural effusion confirmed by chest radiography and ultrasound.
Routine thoracentesis and effusion cultures.
The prevalence of complicated parapneumonic effusions or thoracic empyemas in febrile MICU patients with pleural effusions was 45% (78/175). A total of 78 micro-organisms were isolated from the pleural fluid of 58 patients (positive microbiological culture 74%) including aerobic Gram-negative (n=45), aerobic Gram-positive (n=23), anaerobic (n=5), Myobacterium tuberculosis (n=3), and Candida (n=2). The infection-related mortality rate of complicated parapneumonic effusions or empyemic patients in the MICU was 41% (32/78).
The development of complicated parapneumonic effusions or thoracic empyemas in MICU patients is a high-mortality disease. The increasing incidence of aerobic Gram-negative pathogens in empyema has become a more urgent problem.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/s00134-005-0064-7</identifier><identifier>PMID: 16479377</identifier><identifier>CODEN: ICMED9</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Bacterial Infections - epidemiology ; Bacterial Infections - etiology ; Bacterial Infections - physiopathology ; Bacteriology ; Biological and medical sciences ; Care and treatment ; Causes of ; Clinical death. Palliative care. Organ gift and preservation ; Diabetes ; Diagnosis ; Empyema ; Empyema, Pleural - epidemiology ; Empyema, Pleural - etiology ; Empyema, Pleural - physiopathology ; Female ; Gram-Negative Aerobic Bacteria - pathogenicity ; Hospitals ; Humans ; Intensive care ; Intensive care medicine ; Intensive Care Units ; Investigative techniques, diagnostic techniques (general aspects) ; Klebsiella Infections - epidemiology ; Klebsiella Infections - etiology ; Klebsiella Infections - physiopathology ; Lung diseases ; Male ; Medical sciences ; Middle Aged ; Mortality ; Outcome Assessment (Health Care) ; Pathogens ; Patients ; Pleural effusion ; Pleural effusions ; Pneumonia ; Prospective Studies ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Respiratory system ; Taiwan - epidemiology ; Thoracentesis ; Tuberculosis ; Ultrasonic imaging ; Ventilators</subject><ispartof>Intensive care medicine, 2006-04, Vol.32 (4), p.570-576</ispartof><rights>2006 INIST-CNRS</rights><rights>COPYRIGHT 2006 Springer</rights><rights>Springer-Verlag 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-c67f57bc534ecde8f6b3871f44a55173a38f7853e2f797d8431e1007327d089c3</citedby><cites>FETCH-LOGICAL-c461t-c67f57bc534ecde8f6b3871f44a55173a38f7853e2f797d8431e1007327d089c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17731937$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16479377$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TU, Chih-Yen</creatorcontrib><creatorcontrib>HSU, Wu-Huei</creatorcontrib><creatorcontrib>HSIA, Te-Chun</creatorcontrib><creatorcontrib>CHEN, Hung-Jen</creatorcontrib><creatorcontrib>CHIU, Kuo-Liang</creatorcontrib><creatorcontrib>HANG, Liang-Wen</creatorcontrib><creatorcontrib>SHIH, Chuen-Ming</creatorcontrib><title>The changing pathogens of complicated parapneumonic effusions or empyemas in a medical intensive care unit</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><description>To assess the incidence, pathogens, and outcome of complicated parapneumonic effusions or empyemas in a medical intensive care unit (MICU) patients with pleural effusions.
Prospective study of febrile MICU patients with pleural effusion carried out in a tertiary care hospital between April 2001 and September 2003.
The study included 175 patients with a temperature above 38 degrees for more than 8 h with evidence of pleural effusion confirmed by chest radiography and ultrasound.
Routine thoracentesis and effusion cultures.
The prevalence of complicated parapneumonic effusions or thoracic empyemas in febrile MICU patients with pleural effusions was 45% (78/175). A total of 78 micro-organisms were isolated from the pleural fluid of 58 patients (positive microbiological culture 74%) including aerobic Gram-negative (n=45), aerobic Gram-positive (n=23), anaerobic (n=5), Myobacterium tuberculosis (n=3), and Candida (n=2). The infection-related mortality rate of complicated parapneumonic effusions or empyemic patients in the MICU was 41% (32/78).
The development of complicated parapneumonic effusions or thoracic empyemas in MICU patients is a high-mortality disease. The increasing incidence of aerobic Gram-negative pathogens in empyema has become a more urgent problem.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Bacterial Infections - epidemiology</subject><subject>Bacterial Infections - etiology</subject><subject>Bacterial Infections - physiopathology</subject><subject>Bacteriology</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Causes of</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Diabetes</subject><subject>Diagnosis</subject><subject>Empyema</subject><subject>Empyema, Pleural - epidemiology</subject><subject>Empyema, Pleural - etiology</subject><subject>Empyema, Pleural - physiopathology</subject><subject>Female</subject><subject>Gram-Negative Aerobic Bacteria - pathogenicity</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive care medicine</subject><subject>Intensive Care Units</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Klebsiella Infections - epidemiology</subject><subject>Klebsiella Infections - etiology</subject><subject>Klebsiella Infections - physiopathology</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Pleural effusion</subject><subject>Pleural effusions</subject><subject>Pneumonia</subject><subject>Prospective Studies</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Respiratory system</subject><subject>Taiwan - epidemiology</subject><subject>Thoracentesis</subject><subject>Tuberculosis</subject><subject>Ultrasonic imaging</subject><subject>Ventilators</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptksuKFDEUhoMoTjv6AG4kKLqrMancqpfD4A0G3IzrkE6ddKepSsqkSpi39xTdMChNEkKS7__JuRDylrMbzpj5XBnjQjaMKVxaNuYZ2XAp2oa3ontONkzItpFatlfkVa1HpI1W_CW54lqarTBmQ44PB6D-4NI-pj2d3HzIe0iV5kB9HqchejdDjw_FTQmWMafoKYSw1JhXrFAYp0cYXaUxUUdH6FEy4GFGm_gHzV0BuqQ4vyYvghsqvDnv1-TX1y8Pd9-b-5_fftzd3jdeaj43XpugzM4rIcH30AW9E53hQUqnFDfCiS6YTglog9mavpOCw5oN0ZqedVsvrsmnk-9U8u8F6mzHWD0Mg0uQl2q1MUYoqRF8_x94zEtJ-Dfbct3yFidCH07Q3g1gYwp5Ls6vjvaWK8G3XJqVai5QmEkobsgJQsTrf_ibCzyOHsboLwr4SeBLrrVAsFOJoyuPljO7hm9PzWCxGezaDNag5t05vmWHdXlSnKuPwMcz4CoWLRSXfKxPHCIcQfEXkEu6Dw</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>TU, Chih-Yen</creator><creator>HSU, Wu-Huei</creator><creator>HSIA, Te-Chun</creator><creator>CHEN, Hung-Jen</creator><creator>CHIU, Kuo-Liang</creator><creator>HANG, Liang-Wen</creator><creator>SHIH, Chuen-Ming</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>The changing pathogens of complicated parapneumonic effusions or empyemas in a medical intensive care unit</title><author>TU, Chih-Yen ; HSU, Wu-Huei ; HSIA, Te-Chun ; CHEN, Hung-Jen ; CHIU, Kuo-Liang ; HANG, Liang-Wen ; SHIH, Chuen-Ming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-c67f57bc534ecde8f6b3871f44a55173a38f7853e2f797d8431e1007327d089c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Bacterial Infections - epidemiology</topic><topic>Bacterial Infections - etiology</topic><topic>Bacterial Infections - physiopathology</topic><topic>Bacteriology</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Causes of</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Diabetes</topic><topic>Diagnosis</topic><topic>Empyema</topic><topic>Empyema, Pleural - epidemiology</topic><topic>Empyema, Pleural - etiology</topic><topic>Empyema, Pleural - physiopathology</topic><topic>Female</topic><topic>Gram-Negative Aerobic Bacteria - pathogenicity</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intensive care medicine</topic><topic>Intensive Care Units</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Klebsiella Infections - epidemiology</topic><topic>Klebsiella Infections - etiology</topic><topic>Klebsiella Infections - physiopathology</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pathogens</topic><topic>Patients</topic><topic>Pleural effusion</topic><topic>Pleural effusions</topic><topic>Pneumonia</topic><topic>Prospective Studies</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Respiratory system</topic><topic>Taiwan - epidemiology</topic><topic>Thoracentesis</topic><topic>Tuberculosis</topic><topic>Ultrasonic imaging</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TU, Chih-Yen</creatorcontrib><creatorcontrib>HSU, Wu-Huei</creatorcontrib><creatorcontrib>HSIA, Te-Chun</creatorcontrib><creatorcontrib>CHEN, Hung-Jen</creatorcontrib><creatorcontrib>CHIU, Kuo-Liang</creatorcontrib><creatorcontrib>HANG, Liang-Wen</creatorcontrib><creatorcontrib>SHIH, Chuen-Ming</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TU, Chih-Yen</au><au>HSU, Wu-Huei</au><au>HSIA, Te-Chun</au><au>CHEN, Hung-Jen</au><au>CHIU, Kuo-Liang</au><au>HANG, Liang-Wen</au><au>SHIH, Chuen-Ming</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The changing pathogens of complicated parapneumonic effusions or empyemas in a medical intensive care unit</atitle><jtitle>Intensive care medicine</jtitle><addtitle>Intensive Care Med</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>32</volume><issue>4</issue><spage>570</spage><epage>576</epage><pages>570-576</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>To assess the incidence, pathogens, and outcome of complicated parapneumonic effusions or empyemas in a medical intensive care unit (MICU) patients with pleural effusions.
Prospective study of febrile MICU patients with pleural effusion carried out in a tertiary care hospital between April 2001 and September 2003.
The study included 175 patients with a temperature above 38 degrees for more than 8 h with evidence of pleural effusion confirmed by chest radiography and ultrasound.
Routine thoracentesis and effusion cultures.
The prevalence of complicated parapneumonic effusions or thoracic empyemas in febrile MICU patients with pleural effusions was 45% (78/175). A total of 78 micro-organisms were isolated from the pleural fluid of 58 patients (positive microbiological culture 74%) including aerobic Gram-negative (n=45), aerobic Gram-positive (n=23), anaerobic (n=5), Myobacterium tuberculosis (n=3), and Candida (n=2). The infection-related mortality rate of complicated parapneumonic effusions or empyemic patients in the MICU was 41% (32/78).
The development of complicated parapneumonic effusions or thoracic empyemas in MICU patients is a high-mortality disease. The increasing incidence of aerobic Gram-negative pathogens in empyema has become a more urgent problem.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>16479377</pmid><doi>10.1007/s00134-005-0064-7</doi><tpages>7</tpages></addata></record> |
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| ispartof | Intensive care medicine, 2006-04, Vol.32 (4), p.570-576 |
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| subjects | Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Bacterial Infections - epidemiology Bacterial Infections - etiology Bacterial Infections - physiopathology Bacteriology Biological and medical sciences Care and treatment Causes of Clinical death. Palliative care. Organ gift and preservation Diabetes Diagnosis Empyema Empyema, Pleural - epidemiology Empyema, Pleural - etiology Empyema, Pleural - physiopathology Female Gram-Negative Aerobic Bacteria - pathogenicity Hospitals Humans Intensive care Intensive care medicine Intensive Care Units Investigative techniques, diagnostic techniques (general aspects) Klebsiella Infections - epidemiology Klebsiella Infections - etiology Klebsiella Infections - physiopathology Lung diseases Male Medical sciences Middle Aged Mortality Outcome Assessment (Health Care) Pathogens Patients Pleural effusion Pleural effusions Pneumonia Prospective Studies Radiodiagnosis. Nmr imagery. Nmr spectrometry Respiratory system Taiwan - epidemiology Thoracentesis Tuberculosis Ultrasonic imaging Ventilators |
| title | The changing pathogens of complicated parapneumonic effusions or empyemas in a medical intensive care unit |
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