LUNG ABSCESS - ANALYSIS OF 66 CASES FROM 1979 TO 1991

被引：34

作者：

MORI, T

EBE, T

TAKAHASHI, M

ISONUMA, H

IKEMOTO, H

OGURI, T

机构：

[1] Division of Infectious Diseases, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo

[2] Cinical Laboratory, Juntendo University Hospital, Tokyo

来源：

INTERNAL MEDICINE | 1993年 / 32卷 / 04期

关键词：

COMMUNITY-ACQUIRED INFECTION; NOSOCOMIAL INFECTION; ISOLATED ORGANISM; PROGNOSIS;

D O I：

10.2169/internalmedicine.32.278

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Sixty-six patients with bacterial lung abscess were treated between 1979 and 1991 in our hospital. Among these patients, death occurred in one of the 42 cases of community-acquired infection (mortality rate: 2.4%) and in 16 of the 24 cases of nosocomial infection (mortality rate: 66.7%). Of all 66 cases, 55 were culture-positive, and the etiologic agents isolated from 24 of the culture-positive cases were found to be anaerobic bacteria. The most common aerobes isolated from the foci were identified as Staphylococcus aureus, Klebsiella spp. and Pseudomonas aeruginosa, while the most common anaerobes were Bacteroides spp., Peptostreptococcus, Fusobacterium spp., micro-aerophilic Streptococcus and Veillonella. The mortality was higher in the cases with P. aeruginosa, Klebsiella spp. and Candida spp. than in those with other bacteria. The prognosis of lung abscess patients proved to depend on the presence of underlying diseases and on superinfection with aerobes.

引用

页码：278 / 284

页数：7

共 16 条

[1]

Grinan N.P., Lucena F.M., Romero J.V., Et al., Yield of percutaneous needle lung aspiration in lung abscess, Chest, 97, (1990)

[2]

Harber P., Terry P.B., Fatal lung abscesses

[3]

review of 11 years' experience, South Med J, 74, (1981)

[4]

Sosenko A., Glassroth J., Fiberoptic bronchoscopy in the evaluation of lung abscesses, Chest, 87, (1985)

[5]

Bartlett J.G., Anaerobic bacterial infections of the lung, Chest, 91, (1987)

[6]

Bartlett J.G., Gorbach S.L., Tally F.P., Finegold S.M., Bacteriology and treatment of primary lung abscess, Am Rev Respir Dis, 109, (1974)

[7]

Bartlett J.G., Gorbach S.L., Finegold S.M., The bacteriology of aspiration pneumonia, Am J Med, 56, (1974)

[8]

Groskin S.A., Panicek D.M., Ewing D.K., Et al., Bacterial lung abscess

[9]

a review of the radiographic and clinical features of 50 cases, J Thorac Imaging, 6, (1991)

[10]

Bartlett J.G., Finegold S.M., Anaerobic infections of the lung and pleural space, Am Rev Respir Dis, 110, (1974)

← 1 2 →