CHARACTERISTICS CLINICAL AND LENGTH OF HOSPITAL STAY IN PATIENTS WITH EMPYEMA WHO WERE HOSPITALIZED IN THE PULMONOLOGY SERVICE OF THE HOSPITAL COMPLEX DR. ARNULFO ARIAS MADRID, FROM NOVEMBER 2016 TO NOVEMBER 2017
Article Sidebar
Main Article Content
Abstract
Empyema is the accumulation of pus in the pleural space. Associated with complicated pneumonia and multiple comorbidities. The initial handling is drainage, culture taking and initiation of empirical antibiotic therapy. In Panama there are no records updated since 2006 of the incidence of cases and the epidemiological description of patients.
Oajective: To determine clinical characteristics and length of hospital stay in patients with empyema who were hospitalized in the Pulmonology Service of the Doctor Arnulfo Hospital Complex. Arias Madrid, from November 2016 to November 2017.
Methodology: A non-experimental, cross-sectional, descriptive and retrospective study was carried out through the pre-selection by reviewing the book of procedures in the Pulmonology Service and the subsequent review of clinical files. A pre-prepared survey was applied according to the study variables to each file from November 2016 to November 2017.
Results: 11 cases were registered, with an average age of 67.7 years. With a predominance of 9 men (80%). And appearance of symptoms in an average of 7-14 days. Only germs were isolated in 3 patients (intermediate streptococcus, S. pmeumonia, S. pseudoporcino). Only one required the use of fribrinolysis and one decortication. On average, they completed 2.8 weeks of antibiotic therapy and a hospital stay of 19 days.
Discussion: The behavior of the population studied is comparable with the international literature.
Downloads
Article Details
Issue
Section
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
1. K. Robert Shen, MD, Alejandro Bribriesco, MD, Traves Crabtree, MD, Chad Denlinger, MD, JoshuaEby, MD, Patrick Eiken, MD, David R. Jones, MD, Shaf Keshavjee, MD, MSc.2017. The American Association for Thoracic Surgery consensus guidelines for the management of empiema. 2017.
2. Grijalva CG, Zhu Y, Nuorti JP, et al. Emergence of parapneumonic empiema in the USA. Thorax .2011.
3. Lorena Noriega. Revista Médica Broncopulmonar. Publicación Oficial de la Federación Centroamericana y del Caribe de Neumología y Cirugía de Tórax. Volumen 3, Número1.2006.Enfermedad Pleural de Panamá.
4. Incidence, Length of Stay, and Prognosis of Hospitalized Patients With Pleural Empyema A 15-Year Danish Nationwide Cohort Study.2014.CHEtáST.Vol45.
5. http://www.sact.org.ar/docs/relato_2014_empiema.pdf
6. Thomas F. Molnar. European Journal of Cardio –Thoracic Surgery. 2007.
7. http://www.gorgas.gob.pa/wp-content/uploads/2017/03/ Agenda-Nacional-de-Prioridades-de-Investigación.pdf
8. Chambers A, Routledge T, Dunning J, Scarci M. Is video-assisted thoracoscopic surgical decortication superior to open surgery in the management of adults with primary empyema? Interact Cardiovasc Thorac Surg. 2010;11:171-7.
9. Misthos P, Sepsas E, Konstantinou M, Athanassiadi K, Skottis I, Lioulias A. Early use of intrapleural fibrinolytics in the management of postpneumonic empyema. A prospective study. Eur J Cardio-Thorac Surg. 2005.
10. Tuncozgur B, Ustunsoy H, Sivrikoz MC, Dikensoy O, Topal M, Sanli M, et al.Intrapleural urokinase in the management of parapneumonic empyema: a randomized controlled trial. Int J ClinPract. 2001.
11. Rahman NM, Maskell NA,West A, Teoh R, Arnold A, Mackinlay C, et al. Intrapleural use of tissue plasminogen activator and DNase in pleural infection. NEngl J Med. 2011.
12. Osman Ahmed, M.D.1 and Steven Zangan, M.D. Emergent Management of Empyema. Semin Intervent Radiol. 2012 Sep.
13. Ahmed RA, Marrie TJ, Huang JQ. Thoracic empyema in patients with community-acquired pneumonia. Am J Med 2006; Lin YC, Tu CY, Chen W, et al. An urgent problem of aerobic Gram-negative pathogen infection in complicated parapneumonic effusions or empyemas. Intern Med 2007.
14. Tu CY, Hsu WH, Hsia TC, et al. The changing pathogens of complicated parapneumonic effusions or empyemas in a medical intensive care until Intensive Care Med. 2006.
15. DAVID P. BREEN AND CYRUS DANESHVAR. Role
of interventional pulmonology in the management of complicated parapneumonic pleural effusions and empiema.2014.
16. John E. Heffner, MD, FCCP; Jeffrey S. Klein, MD, FCCP; and Christopher Hampson, MD. Interventional Management of Pleural Infections. CHEST.2009.
17. BTS Pleural Disease Guideline. British Thoracic Society Pleural Disease Guideline Group.2010.
18. Pintos Pascual, P. Laguna del Estal, A. Anula Morales, J.
A. Alonso Morís, G.M. Lledó Ibáñez, J. Montoro Lara, P. Ríos Garcés, A. Arias MillaServicio de Medicina Interna. Hospital Universitario Puerta de Hierro Majadahonda. Majadahonda (Madrid). DERRAME PLEURAL PARANEUMÓNICO Y EMPIEMA PLEURAL. 2013.
19. Ilan Bar, MD, David Stav, MD, Gershon Fink, MD, Amir Peer, MD,TsiliaLazarovitch, MD, Michael Papiashvilli, MD. Asian Cardiovasc Thorac Ann. Thoracic Empyema in High-Risk Patients: Conservative Management or Surgery? 2010.
20. Hsieh MJ, Liu YH, Chao YK, Lu MS, Liu HP, Wu YC, Lu HI, Chu Y. Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan. Risk factors in surgical management of thoracic empyema in elderly patients. 2008.
21. R.Bravo. Jover. M. Pascual Pérez Medicina Interna. Hospital de Elda Virgen de la Salud. Elda (Alicante). ESTUDIO DE LOS FACTORES ASOCIADOS PARA EL DESARROLLO DE EMPIEMA EN UN HOSPITAL GENERAL.2016.
22. Joaquín Burgos, Vicenc¸ Falco´, and Albert Pahissa. The increasing incidence of empyema.Lippincott Williams & Wilkins. Volumen 19. Número 4 .2013
23. Maskell NA, Davies CW, Nunn AJ, et al. U. K. Controlled trial of intrapleural streptokinase for pleural infection. N Engl J Med 2005.
24. Grijalva CG, Zhu Y, Nuorti JP, et al. Emergence of parapneumonic empiema in the USA. Thorax 2011.
25. Diacon AH, Theron J, Schuurmans MM, Van de Wal BW, Bolliger CT. Intrapleural streptokinase for empyema and complicated parapneumonic effusions. Am J Respir Crit Care Med. 2004.
26. Light RW, Lee YCG,Shetty S, John J, Idell S. Pleural fibrosis. In: Light RW, Lee YCG, eds. Textbook of Pleural Diseases. 2nd Edn. London, Hodder Arnold, 2009.
27. BTS Pleural Disease Guideline 2010.
28. Kocijancic I, Vidmar K, Ivanovi-Herceg Z. Chest sonography versus lateral decubitus radiography in the diagnosis of small pleural effusions. J Clin Ultrasound. 2003.
29. Carmen Delgado Lozano .Protocolo de enfermería para la administración de fibrinolíticos vía intrapleural. Enfermera de la Unidad de Neumología. Hospital Universitario Virgen de la Victoria. Málaga. 2014.
30. Arturo Cortés-Telles,² Blanca Patricia Laguna,† Adriana Vázquez-Callejas Derrame paraneumónico y empiema. A propósito de una revisión integral. www.medigraphic.org. mx. Enero – Marzo 2014.
31. Guía de Referencia Rápida Catálogo Maestro de Guías de Práctica Clínica: IMSS-243-09 Diagnóstico y Tratamiento del DERRAME PLEURAL.2016
32. Clínica Dam. Empiema.2017.
33. JoséM.MierGildardoCortés-JuliánJuanBerrios MejíaZotésVíctor-Valdivia. Beneficios del drenaje torácico digital en pleurodecorticación por empiema. Estudio prospectivo, comparativo aleatorizado. Academia Mexicana de Cirugía .2017.
34. Camacho S., Yeniree Y. Tratamiento con estreptoquinasa intrapleural en hemotorax complicado del Servicio de Cirugía General Hospital Central de Maracay período octubre 2014 – junio. Universidad de Carabobo Facultad de Ciencias de la Salud.Maracay. Octubre 2015.
35. César Henriquez Camacho. Ecografía a pie de cama en Enfermedades Infecciosas.2015.
36. César Pedraza-Hervert, Mario Alamilla-Sánchez, Carlos Enrique Hermida-Escobedo, Ana Lilia Nolasco-de la Rosa.Empiema necessitatis por Staphylococcus aureus.Centro Médico, Instituto de Seguridad Social del Estado de México y Municipios, Ecatepec (ISSEMYM).2014.
37. Alfonso García Luna, Víctor Hugo Nez Esquivel, Jorge Magaña Reyes, Luis Gerardo Domínguez Carrillo. Empiema necessitates. Medigraphic. 2016.
38. Ronaldo A. Gismondi, M.D., Ph.D., and Luiz F.F. de Souza, M.D.Empyema Necessitatis.NEJM.2017