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
- EP ID EP54057
- DOI -
- Views 125
- Downloads 0
Pancreatic ischemia with vasospasm in the early phase of severe acute pancreatitis and the role of continuous regional arterial infusion of a protease inhibitor and an antibiotic
Pancreatic ischemia with vasospasm precedes necrotic change of the pancreas in the early phase of acute necrotizing pancreatitis, and increase in coagulability accompanied by severe acute pancreatitis (SAP) may play a cr...
Otyłość a cukrzyca
Epidemia otyłości, będąca jednym z poważniejszych globalnych problemów zdrowotnych, nie pozostaje bez wpływu na równie gwałtowny wzrost zachorowań na cukrzycę typu 2. Otyłość jest czynnikiem indukującym rozwój cukrzycy t...
Analiza deficytów białkowych u osób hospitalizowanych z powodu biegunki związanej z Clostridium difficile
Wstęp. Zakażenia Clostridium difficile są jedną z dominujących przyczyn biegunki bakteryjnej, zwłaszcza wśród osób po 65. roku życia. Czas trwania hospitalizacji zależy nie tylko od nasilenia biegunki, ale zwłaszcza od d...
Age-related macular degeneration (AMD) – disease of ageing society
Age-related macular degeneration is the leading cause of blindness in elderly population. About 25 millions of individuals are affected with AMD. The most consistent risk factors associated with this ocular condition are...
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...