Cargando…
Clinical, Radiological and Bacteriological Profile of Lung Abscess - An Observational Hospital Based Study
BACKGROUND: The incidence of lung abscess acquired in the community is unknown, but this is a common clinical problem encountered in developing countries. The incidence of lung abscess was high in the pre-antibiotic era but the advent of susceptible antibiotics it has reduced with an equal fall in m...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Republic of Macedonia
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182528/ https://www.ncbi.nlm.nih.gov/pubmed/30337980 http://dx.doi.org/10.3889/oamjms.2018.374 |
_version_ | 1783362585427443712 |
---|---|
author | Mohapatra, Madhusmita Mohanty Rajaram, Manju Mallick, Archana |
author_facet | Mohapatra, Madhusmita Mohanty Rajaram, Manju Mallick, Archana |
author_sort | Mohapatra, Madhusmita Mohanty |
collection | PubMed |
description | BACKGROUND: The incidence of lung abscess acquired in the community is unknown, but this is a common clinical problem encountered in developing countries. The incidence of lung abscess was high in the pre-antibiotic era but the advent of susceptible antibiotics it has reduced with an equal fall in mortality to 8.7%. With the emerging antibiotic resistance and change in the trends of bacteriological profile causing lung abscess, it is the need of time to reevaluate lung abscess. AIM: The study aimed to determine the clinical, radiological and bacteriological profile of lung abscess. MATERIAL AND METHOD: The study was a non-randomized prospective observational study conducted in the department of pulmonary medicine for 18 months. In the study, patients > 15 years of age with clinical features of lung abscess were recruited and were subjected to chest X-ray, routine blood test. Sputum gram stain and culture, as well as antibiotic sensitivity according to the organism, were evaluated. Reports of all investigations along with patient characteristics and risk factors were analysed statistically using SPSS 20.0. RESULTS: Forty-six cases of lung abscess were included, and the majority of patients were found to be adults with a mean age of 42.9 years with a male to female ratio of 6.6:1. The most common predisposing factor was an unhygienic oral cavity in 28% of cases with alcohol ingestion being the most important risk factor in 22% of cases. The most common organism found in lung abscess cases was Klebsiella pneumoniae, and they were sensitive to ceftazidime. CONCLUSION: Our study shows that Klebsiella pneumoniae should be considered an important pathogen in community-acquired lung abscesses. |
format | Online Article Text |
id | pubmed-6182528 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Republic of Macedonia |
record_format | MEDLINE/PubMed |
spelling | pubmed-61825282018-10-18 Clinical, Radiological and Bacteriological Profile of Lung Abscess - An Observational Hospital Based Study Mohapatra, Madhusmita Mohanty Rajaram, Manju Mallick, Archana Open Access Maced J Med Sci Clinical Science BACKGROUND: The incidence of lung abscess acquired in the community is unknown, but this is a common clinical problem encountered in developing countries. The incidence of lung abscess was high in the pre-antibiotic era but the advent of susceptible antibiotics it has reduced with an equal fall in mortality to 8.7%. With the emerging antibiotic resistance and change in the trends of bacteriological profile causing lung abscess, it is the need of time to reevaluate lung abscess. AIM: The study aimed to determine the clinical, radiological and bacteriological profile of lung abscess. MATERIAL AND METHOD: The study was a non-randomized prospective observational study conducted in the department of pulmonary medicine for 18 months. In the study, patients > 15 years of age with clinical features of lung abscess were recruited and were subjected to chest X-ray, routine blood test. Sputum gram stain and culture, as well as antibiotic sensitivity according to the organism, were evaluated. Reports of all investigations along with patient characteristics and risk factors were analysed statistically using SPSS 20.0. RESULTS: Forty-six cases of lung abscess were included, and the majority of patients were found to be adults with a mean age of 42.9 years with a male to female ratio of 6.6:1. The most common predisposing factor was an unhygienic oral cavity in 28% of cases with alcohol ingestion being the most important risk factor in 22% of cases. The most common organism found in lung abscess cases was Klebsiella pneumoniae, and they were sensitive to ceftazidime. CONCLUSION: Our study shows that Klebsiella pneumoniae should be considered an important pathogen in community-acquired lung abscesses. Republic of Macedonia 2018-09-23 /pmc/articles/PMC6182528/ /pubmed/30337980 http://dx.doi.org/10.3889/oamjms.2018.374 Text en Copyright: © 2018 Madhusmita Mohanty Mohapatra, Manju Rajaram, Archana Mallick. http://creativecommons.org/licenses/CC BY-NC/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). |
spellingShingle | Clinical Science Mohapatra, Madhusmita Mohanty Rajaram, Manju Mallick, Archana Clinical, Radiological and Bacteriological Profile of Lung Abscess - An Observational Hospital Based Study |
title | Clinical, Radiological and Bacteriological Profile of Lung Abscess - An Observational Hospital Based Study |
title_full | Clinical, Radiological and Bacteriological Profile of Lung Abscess - An Observational Hospital Based Study |
title_fullStr | Clinical, Radiological and Bacteriological Profile of Lung Abscess - An Observational Hospital Based Study |
title_full_unstemmed | Clinical, Radiological and Bacteriological Profile of Lung Abscess - An Observational Hospital Based Study |
title_short | Clinical, Radiological and Bacteriological Profile of Lung Abscess - An Observational Hospital Based Study |
title_sort | clinical, radiological and bacteriological profile of lung abscess - an observational hospital based study |
topic | Clinical Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182528/ https://www.ncbi.nlm.nih.gov/pubmed/30337980 http://dx.doi.org/10.3889/oamjms.2018.374 |
work_keys_str_mv | AT mohapatramadhusmitamohanty clinicalradiologicalandbacteriologicalprofileoflungabscessanobservationalhospitalbasedstudy AT rajarammanju clinicalradiologicalandbacteriologicalprofileoflungabscessanobservationalhospitalbasedstudy AT mallickarchana clinicalradiologicalandbacteriologicalprofileoflungabscessanobservationalhospitalbasedstudy |