Long-term sequelae after lung abscess in children – Two tertiary centers' experience

Wojsyk‐Banaszak, Irena; Krenke, Katarzyna; Jończyk‐Potoczna, Katarzyna; Ksepko, K; Wielebska, Alicja; Mikoś, Marcin; Bręborowicz, Anna

doi:10.1016/j.jiac.2017.12.020

Cited by 14 publications

(20 citation statements)

References 25 publications

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“…We observed radiographical sequelae in 47% of patients. This high rate is close to the one (49%) recently published in children [36]. Radiological sequelae were more frequently observed in patients with bronchogenic abscesses and when spontaneous discharge occurred.…”

Section: Discussionsupporting

confidence: 86%

Pyogenic Lung Abscess in an Infectious Disease Unit, a 20-year Retrospective Study

Maitre

Câlin

et al. 2020

Preprint

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Rationale: Pyogenic lung abscesses are rare and poorly described infections. This study aimed to describe their prognostic factors.Methods: We retrospectively included all patients hospitalized between January 1st, 1998 and June 1st, 2018, with a IDC-10 diagnosis of pyogenic lung abscess, from the Diamm ® based medical records (Micro6, Nancy; France). Parasitic, mycological, or mycobacterial lung abscesses were excluded.Results: A total of 64 patients were included. Abscesses were associated with immunosuppression in 28 patients, including HIV infection and immunosuppressive therapy for 8 and 12 patients, respectively. Bacterial identification was obtained for 36 patients. Nine patients (14%) developed lung abscesses after haematogenous dissemination. They differed from bronchogenic abscesses by their younger age (p=0.03), the absence of smoking or emphysema (p=0.05), S. aureus (p=0.001) or Streptococcus spp (p=0.05) isolation, and the smaller size of their abscess (p=0.02). Overall, evolution was marked by radiological sequelae, relapse, and death. Radiological sequelae occurred more frequently during the course of bronchogenic abscesses (p=0.02), particularly when they spontaneously discharged (p=0.04). Relapses were more frequent in patients with emphysema (p=0.04) and when H. influenzae was isolated (p=0.04). In multivariate analysis, poor outcomes, including death, sequelae, and relapse occurred more frequently in patients who had bronchogenic abscess (p=0.02), and in those who received antibiotics during less than 6 weeks (p=0.05). Conclusion: Duration of antibiotic treatment of less than six weeks and bronchogenic presentation were globally associated with poor outcome of pyogenic lung abscesses. These data should be considered when proposing guidelines for the care of pyogenic lung abscesses.

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Section: Discussionsupporting

confidence: 86%

Pyogenic Lung Abscess in an Infectious Disease Unit, a 20-year Retrospective Study

Maitre

Câlin

et al. 2020

Preprint

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“…Tai reta VĮVP komplikacija, dažniausiai nustatoma vaikams, sergantiems gretutinėmis lėtinėmis ligomis, kai yra didelė aspiracijos rizika [2,3]. Streptokokai ir auksinis stafilokokas, rečiauanaerobiniai mikroorganizmai -vieni svarbiausių patogenų, randamų šios komplikacijos atveju [2,22].…”

Section: Plaučio Abscesasunclassified

“…Šiuo atveju krūtinės ląstos KT yra svarbiausias tyrimas, kuris padeda diferencijuoti abscesą nuo kitų pneumonijos komplikacijų: pneumotorakso, pneumatocelės arba destrukcinės pneumonijos [2,3]. Nors plaučių ultragarsinis tyrimas padeda atskirti pleuros empiemą nuo plaučių absceso, tačiau šis metodas labiau rekomenduojamas pokyčių dinamikai vertinti nei diagnostikai [2,22].…”

Section: Plaučio Abscesasunclassified

“…Nustatyta, kad ankstyvas chirurginis plaučio absceso gydymas prailgina gydymo trukmę [2,22], todėl maži ir vidutinio dydžio abscesai nedrenuojami -laukiama, kol absecas spontaniškai atsivers į apatinius kvėpavimo takus [3]. Kartais, kai atsakas į antibakterinį gydymą nepakankamas, dažniausiai 5-7 gydymo dieną, atliekama absceso turinio aspiracija, paimama medžiagos mikrobiologiniam pasėliui [3].…”

Section: Plaučio Abscesasunclassified

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Visuomenėje įgytos vaikų pneumonijos komplikacijų diagnostika ir gydymas

Liakaitienė¹,

Grigaliūnaitė²,

Kojelienė³

et al. 2020

PIA

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Pastaraisiaismetais daugėja pranešimų apie tai, kad sergamumas sunkiomis ir komplikuotomis visuomenėje įgytomis vaikų pneumonijomis (VĮVP) įvairiose šalyse didėja, nors sergamumas pneumonija sumažėjo. Nepaisant skiepijimo pneumokokiniais skiepais, Streptococcus pneumoniae yra dažniausias bakterinės pneumonijos sukėlėjas, ypač – jo serotipai, neįeinantys į pneumokokinius skiepus. VĮVP komplikacijas galima skirstyti į plautines ir sistemines. Dažniausios jų – parapneumoninis pleuritas, pleuros empiema, abscesas, nekrozinė pneumonija, taip pat sepsis ir hemolizinis ureminis sindromas. Komplikuotą VĮVP reikėtų įtarti, kai būklė staigiai blogėja arba nėra teigiamo atsako per 48 val. po skirto adekvataus gydymo bei progresuoja kvėpavimo nepakankamumas. Plaučių rentgenograma bei ultragarsinis tyrimas – tai dažniausi ir paprasčiausi tyrimo metodai komplikuotų pneumonijų diagnostikai, tačiau apie 20 proc. atvejų pokyčiai gali būti nematomi. Tokiu atveju, kai yra indikacijų, rekomenduojama atlikti krūtinės ląstos kompiuterinę tomografiją. Visi vaikai, sergantys sunkia komplikuota pneumonija, turi būti gydomi III lygio arba jam prilygstančiame stacionare, kur yra vaikų intensyviosios terapijos skyrius, galimybė nuodugniam tyrimui ir daugiadalykei priežiūrai.

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“…The physiology of the inspiration movement is described in a lot of books about respiratory system and in articles [6,8,9]. In the expiration mode there are a few disorders mainly restrictive diseases as bronquiectasias and lung abscess [4,6,10,11]. The physiology concerning to the expiration movement is done by some literature [6,8,9].…”

Section: Introductionmentioning

confidence: 99%

Respiratory Disorders: Physiology and Patient Problems

Santos-Filho¹

2018

Anat Physiol

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Respiratory disorders are worldwide studied. The aim of this study was to verify in scientific publications founded in PubMed database the disorders more common that affected the respiratory system and to evaluate the problems concerning to the patients. The methodology was using the words "respiratory disorders", patient, problems, in the PubMed to find the publications that treat these words. We founded 3620 publications of "respiratory disorders", 1422 were associated with patient, 94 publications were associated with the last research with problems. It was founded that out of 38 publications in last ten years 28 were associated with humans. The prevalence of respiratory disorders, like breathing and asthma problems, due to the difficulties faced by patients, were co-related with obesity and smoke mainly.

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Long-term sequelae after lung abscess in children – Two tertiary centers' experience

Cited by 14 publications

References 25 publications

Pyogenic Lung Abscess in an Infectious Disease Unit, a 20-year Retrospective Study

Pyogenic Lung Abscess in an Infectious Disease Unit, a 20-year Retrospective Study

Visuomenėje įgytos vaikų pneumonijos komplikacijų diagnostika ir gydymas

Respiratory Disorders: Physiology and Patient Problems

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