1999
DOI: 10.1046/j.1440-1843.1999.00170.x
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Community acquired parapneumonic thoracic empyema: Predictors of outcome

Abstract: The objective of this study was to determine those factors which are predictive of outcome in cases of thoracic empyema that are solely community acquired. All patients admitted with a diagnosis of thoracic empyema in the Auckland region between 1993 and 1995 were reviewed retrospectively. Both clinical and radiological outcomes were determined at 3-6 month follow up. Radiological outcomes were scored on admission, discharge and follow up by blinded chest radiograph review based on lung field opacification, ex… Show more

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Cited by 46 publications
(40 citation statements)
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“…The median duration of hospital stay in our series was 17 days, and was similar to that described in other studies [12][13][14] . Ferguson et al [12] analyzed 119 patients with purulent fl uid, mean age 54.8 years; the median time to discharge was 21 days when tube drainage or aspiration was successful while the median time to discharge was 26 days when treatment was unsuccessful.…”
Section: Discussionsupporting
confidence: 90%
“…The median duration of hospital stay in our series was 17 days, and was similar to that described in other studies [12][13][14] . Ferguson et al [12] analyzed 119 patients with purulent fl uid, mean age 54.8 years; the median time to discharge was 21 days when tube drainage or aspiration was successful while the median time to discharge was 26 days when treatment was unsuccessful.…”
Section: Discussionsupporting
confidence: 90%
“…The duration of hospitalisation increased in patients with UPE, and both mortality and duration of hospitalisation were increased in patients with E/CPE. These findings have been described by others; in fact, pleural effusion was already included in the score for predicting the mortality risk in the PSI [4,6,28].…”
Section: Discussionsupporting
confidence: 77%
“…Thus, while those with UPE are treated with antibiotics alone, patients with E/CPE require pleural drainage with or without fibrinolytics or thoracic surgery [2,3]. In addition, the latter also have a worse prognosis, particularly when the adequate management is delayed [4]. Despite the relevance of this event, few studies have focused on analysing and comparing the characteristics of these subgroups of patients.…”
mentioning
confidence: 99%
“…Series from the UK, Canada and New Zealand all demonstrate that Streptococcus milleri is the most common isolate in adults with community-acquired empyema, with proportions ranging between 32 and 50% of cases [4,37,38]. The other common isolated organisms of empyema are Streptococcus pneumoniae and anaerobes for community-acquired pleural infection and S. aureus (including methicillin-resistant S. aureus (MRSA)) for hospital-acquired cases [36].…”
Section: Microbiologymentioning
confidence: 99%