Microbiological results and clinical diagnosis in patients with pleural effusion hospitalized in IGiChP during 01.01.2002-31.12.2010

Journal Title: Postępy Nauk Medycznych - Year 2011, Vol 24, Issue 10

Abstract

Introduction. In health pleural cavity is a closed, sterile space that becomes readily colonized when the fluid accumulates. Provides the ideal environment for the development and spread of in both aerobic and anaerobic bacterial infections.The aim of this study was a retrospective analysis of microbial species isolated from the pleural fluid of patients treated in IGiChP during 01.01.2002-31.12.2010 and to determine their drug resistance profile in conjunction with medical diagnosis.Material and methods. We analyzed the results of bacteriological cultures of 2512 pleural fluid. Pleural fluid samples were incubated at blood culture bottles in aerobic and anaerobic condition. The examinations were conducted in compliance with the current procedures, generally accepted in microbiological laboratories. The study includes the specificity of IGiChP departments on which the patients were treated.Results. In 547 (21.8%) of pleural fluid samples the pathogenic microorganisms were isolated. Analysis of results showed a predominance of Gram-positive aerobic flora. The most frequently isolated cocci were: Staphylococcus aureus (20.3%), Staphylococcus coagulase-negative (19.5%) and Streptococcus viridans group (15.3%). Enterobacteriaceae and non-fermenting gram-negative bacilli occurred as follows: 16.3 and 12.1%. Anaerobic bacteria were isolated only from 13 patients. MRSA phenotype (22 strains) and ESBLs (14 strains) occurred only on the surgical wards. Sixteen strains of non-fermenting bacilli were resistant to carbapenems. We observed six strains of Streptococcus spp. with reduced susceptibility to penicillin.Conclusions. Our analysis of drug resistance strains of bacteria allows the use and apply the results obtained in the empirical treatment of pleural infection in IGiChP departments.

Authors and Affiliations

Joanna Nowak, Agnieszka Pacholczyk, Elżbieta Radzikowska, Robert Jagiełło, Zofia Zwolska, Ewa Augustynowicz-Kopeć

Keywords

Related Articles

Epidemiologia i diagnostyka mikrobiologiczna inwazyjnej choroby grzybiczej

Inwazyjna choroba grzybicza (ang. invasive fungal disease – IFD) jest zakażeniem narządowym o etiologii grzybiczej rozwijającym się zazwyczaj u pacjentów w stanie immunosupresji. Najczęstszymi postaciami mikrobiologiczny...

Screening for diagnosis of early stages of diabetic kidney disease

Early diagnosis of diabetic nephropathy seems to be an important part of the evaluation of patients with diabetes. It allows early nephroprotective treatment and makes possible resulting decrease of chronic kidney diseas...

Prostate cancer screening due to early detection in 21st century

Prostate cancer (PCa) is one of the most importanrt epidemiologic problems in many countries. The discussion concerning legitimacy of screening aiming at early detection of PCa is conducted for many years. It has been re...

Changes in serum levels of zinc, selenium, copper and magnesium in individuals with chronic alcoholic and chronic idiopathic pancreatitis

The aim of the study. To investigate serum levels of copper, zinc, magnesium and selen in chronic idiopathic and alcoholic pancreatitis. The Severiny of morphologic changes asseses according to Cambridge classification.M...

Porównanie testów IGRA i próby tuberkulinowej w rozpoznaniu utajonego zakażenia prątkiem gruźlicy

Wstęp. Jedna trzecia ludności świata jest zakażona Mycobacterium tuberculosis. Tak duża populacja zakażonych osób stanowi poważną przeszkodę w nadzorze nad gruźlicą. Ze względu na ryzyko progresji od zakażenia utajonego...

Download PDF file
  • EP ID EP54057
  • DOI -
  • Views 155
  • Downloads 0

How To Cite

Joanna Nowak, Agnieszka Pacholczyk, Elżbieta Radzikowska, Robert Jagiełło, Zofia Zwolska, Ewa Augustynowicz-Kopeć (2011). Microbiological results and clinical diagnosis in patients with pleural effusion hospitalized in IGiChP during 01.01.2002-31.12.2010. Postępy Nauk Medycznych, 24(10), -. https://europub.co.uk/articles/-A-54057