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Related Experiment Videos

Empyema occurring in the multiply traumatized patient.

E S Caplan, N J Hoyt, A Rodriguez

    The Journal of Trauma
    |September 1, 1984
    PubMed
    Summary

    Nosocomial empyema developed in 31 multiply traumatized patients, often linked to chest tubes and prior infections. Early detection and management are crucial for improving outcomes in these high-risk patients.

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    Area of Science:

    • Infectious Diseases
    • Critical Care Medicine
    • Thoracic Surgery

    Background:

    • Nosocomial empyema is a serious complication in multiply traumatized patients.
    • Identifying risk factors and pathogens is essential for effective treatment.

    Purpose of the Study:

    • To investigate the incidence, risk factors, and causative pathogens of nosocomial empyema in multiply traumatized patients.

    Main Methods:

    • Retrospective analysis of 741 multiply traumatized patients over 11 months.
    • Definition of nosocomial empyema: purulent, culture-positive pleural fluid after 5 days of hospitalization.
    • Identification of pathogens and assessment of risk factors.

    Main Results:

    • 31 cases of nosocomial empyema identified in 29 patients.

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  • Common pathogens included Staphylococcus aureus and Gram-negative bacilli.
  • Chest tube insertion for pleural fluid was a significant risk factor, with 16% developing empyema.
  • Empyema following hemothorax was often S. aureus; following pneumothorax/serothorax, it was Gram-negative.

    • Conclusions:

    • Nosocomial empyema is a significant concern in multiply traumatized patients, particularly those with chest tubes.
    • Causative pathogens and timing of empyema onset vary depending on the initial pleural condition.
    • Further research into preventative strategies and early diagnostic markers is warranted.