Yield of Percutaneous Needle Lung Aspiration in Lung Abscess

Griñán, N. Peña; Lacena, Francisco Muñoz; Romero, J. Vargas; Michavila, Inmaculada Alfageme; Domínguez, S. Umbría; Alia, Carmen Florez

doi:10.1378/chest.97.1.69

Cited by 59 publications

(22 citation statements)

References 16 publications

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“…Peptostreptococcus species, Fusobacterium species, Prevotella species, and Veillonella species have been reported to be the most common etiologic microorganisms of lung abscess due to anaerobes [1,7,8,9,13], and the results of the present study are consistent with these reports.…”

Section: Discussionsupporting

confidence: 92%

“…Mortality from lung abscess is reported to be from 2.0 to 38.2% [2,3,4,5,6,7,8,9,10,11,12,13]. In our study, mortality was only 1.0%.…”

Section: Discussioncontrasting

confidence: 44%

“…G. morbillorum was classified into the Streptococcus species before 1988 and had been called S. morbillorum . This microorganism was a reported cause of lung abscess [28], but in a previous study that investigated the etiologies of lung abscess, this microorganism was not included as an etiologic pathogen, except by Peña Griñan et al [7]. The first report of G. haemolysans as an etiologic pathogen of lung abscess was published in 2000 [29].…”

Section: Discussionmentioning

confidence: 99%

“…Patients requiring surgical procedures account for 5.1–41.2% of all patients with lung abscess [5,6,7,11,12,13]. Pulmonary resection is required in patients with failure to improve, suspicion of cancer and hemoptysis.…”

Section: Discussionmentioning

confidence: 99%

“…Antimicrobial use has improved the prognosis, but mortality was estimated at 2.0–38.2% in previous reports published from 1969 to 2005 [2,3,4,5,6,7,8,9,10,11,12,13], and lung abscess remains an important respiratory disease. Anaerobes comprise 60–80% of lung abscess etiologic pathogens, and anaerobes and microaerophilic streptococci account for the majority of these microorganisms [1].…”

Section: Introductionmentioning

confidence: 99%

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Etiology and Outcome of Community-Acquired Lung Abscess

et al. 2010

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Background: Anaerobes are the first and Streptococcus species the second most common cause of community-acquired lung abscess (CALA) in the West. The etiologic pathogens of this disease have changed in Taiwan, with Klebsiella pneumoniae being reported as the most common cause of CALA. Objective: To determine the etiologies of community-acquired lung abscess. Methods: We retrospectively reviewed the records of 205 Japanese adult patients with CALA to evaluate etiologies and outcomes. We used not only traditional microbiological investigations but also percutaneous ultrasonography-guided transthoracic needle aspiration and protected specimen brushes. Results: Of these 205 patients, 122 had documented bacteriological results, with 189 bacterial species isolated. Pure aerobic, mixed aerobic and anaerobic, and pure anaerobic bacteria were isolated in 90 (73.8%), 17 (13.9%), and 15 (12.3%) patients, respectively. The four most common etiologic pathogens were Streptococcus species (59.8%), anaerobes (26.2%), Gemella species (9.8%), and K. pneumoniae (8.2%). Streptococcus mitis was the most common among the Streptococcus species. Mean duration of antibiotic administration was 26 days. Six patients (2.9%, 3 with actinomycosis and 3 with nocardiosis) were treated with antibiotics for 76–189 days. Two patients with anaerobic lung abscess died. Conclusions: The first and second most common etiologic pathogens of CALA in our hospital were Streptococcus species and anaerobes, respectively. The etiologies in our study differ from those in Taiwan and are similar to those in the West with the exception that Streptococcus species were the most common etiologic pathogens in our study whereas anaerobes are the most frequent etiologic pathogens in Western countries. S. mitis and Gemella species are important etiologic pathogens as well. The identification of Actinomyces and Nocardia is important in order to define the adequate duration of antibiotic administration.

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