Annals of Tropical Medicine and Public Health
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Year : 2009  |  Volume : 2  |  Issue : 1  |  Page : 4-6

Bacteriology of empyema

Department of Microbiology, Lokmanya Tilak Municipal Medical College General Hospital, Sion-400002, Mumbai, India

Correspondence Address:
V P Baradkar
Lecturer, Department of Microbiology, L.T.M.M.C and L.T.M.G.H, Sion, Mumbai- 400022
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Source of Support: None, Conflict of Interest: None

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Parapneumonic effusions and empyema are common clinical problems with varying prognosis and treatment options based upon the organism isolated. A total of 448 clinically suspected cases of empyema were analyzed by retrospective analysis. The male:female ratio was 1.87:1. Most common presenting symptoms were fever (90%), cough (80%), chest pain (60%), expectoration (60%), and dyspnea (60%). The most common underlying predisposing factor was chronic obstructive pulmonary disease (COPD) in 60% of cases. Culture was positive in 11.16% (50/448) of cases. Most common isolate was methicillin-resistant Staphylococcus aureus (MRSA) (24/70) followed by methicillin-sensitive Staphylococcus aureus (MSSA) (8/70), Klebsiella pneumoniae (8/70), Pseudomonas aeruginosa (8/70), and Acinetobacter species (7/70). Five patients from whom multi drug resistant Gram-negative bacilli were isolated expired.

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