Parapneumonic effusion and thoracic empyema in adults. Clinical aspects, microbiology and frequency of surgical outcome.

Autor:	Báez-Saldaña R; Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, México.; División de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México. Ciudad de México, México., Molina-Corona H; Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, México.; División de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México. Ciudad de México, México., Martínez-Rendón ME; Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, México.; División de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México. Ciudad de México, México., Iñiguez-García M; Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, México., Escobar-Rojas A; División de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México. Ciudad de México, México., Fortoul-Vandergoes T; División de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México. Ciudad de México, México.
Jazyk:	angličtina
Zdroj:	Cirugia y cirujanos [Cir Cir] 2021; Vol. 89 (1), pp. 63-70.
DOI:	10.24875/CIRU.19001532
Abstrakt:	Background: To date, information about the outcome of patients with parapneumonic effusion and empyema is limited. Objective: To describe the clinical characteristics, the microbiological study and the frequency and type of surgical treatment in adult patients with parapneumonic effusion or empyema. Method: A prospective cross-sectional study of patients admitted with parapneumonic effusion or empyema, from August 2011 to July 2014, in a reference hospital for respiratory diseases in Mexico City, was conducted. Clinical characteristics, microbiology, risk categories for poor prognosis in empyema and frequency and type of surgical treatment were studied. Results: We studied 284 patients whose median age was 47 years, 75% were men, and 57.7% were transferred from other hospitals. In 38.5% of the cases a microorganism was identified and there was a predominance of Gram negative. 153 (53.9%) required surgical treatment, of which 90% were thoracotomy with decortication. Hospital mortality was 5.63%. Conclusions: Most of the patients arrived in advanced stages of the disease, so more than half required surgery, of which 90% was decortication. It is desirable to favor mechanisms for early diagnosis and treatment to reduce the need for surgical treatment. (Copyright: © 2021 Permanyer.)
Databáze:	MEDLINE
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