Clinical characteristics and decortication outcomes of bacterial, tuberculous and fungal pleural infection.

IF 3.4 3区医学 Q2 INFECTIOUS DISEASES International Journal of Tuberculosis and Lung Disease Pub Date : 2024-11-01 DOI:10.5588/ijtld.24.0146

Ch-M Lin, Y-L Chen, Y-F Cheng, Ch-Y Cheng, Ch-L Huang, W-H Hung, B-Y Wang

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Abstract

BACKGROUNDPleural infection leading to empyema is a severe condition marked by accumulated infected fluid in the pleural space. Pneumonia with parapneumonic effusion is its most common precursor. The global incidence of pleural infections has increased significantly, with existing literature mainly focusing on bacterial empyema, leaving a gap in comparative analyses.METHODA retrospective review was conducted on 561 cases of bacterial, tuberculous, and fungal empyema over a 10-year period. The study compared and analysed overall survival rates, 30-day mortality rates after surgery, and clinical characteristics.RESULTSThe three empyema groups displayed distinct clinical characteristics. Fungal empyema had the worst overall survival compared to bacterial and tuberculous empyema, which had similar survival rates based on 30-day and 2-year mortality. Fungal empyema, advanced age, and high Charlson Comorbidity Index (CCI) score were independent predictors of poor prognosis.CONCLUSIONFungal empyema has the highest mortality rate post-decortication surgery. Advanced age and high CCI score are independent predictors of poor prognosis..

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细菌性、结核性和真菌性胸膜感染的临床特征和解痉效果。

背景胸膜感染导致的肺水肿是一种以胸膜腔内积聚感染性液体为特征的严重疾病。肺炎伴肺旁积液是其最常见的前兆。全球胸膜感染的发病率显著增加，现有文献主要关注细菌性肺水肿，因此在比较分析方面存在空白。方法对 10 年间 561 例细菌性、结核性和真菌性肺水肿病例进行了回顾性研究。研究对总体存活率、术后 30 天死亡率和临床特征进行了比较和分析。结果三组肺水肿显示出不同的临床特征。根据30天和2年死亡率计算，细菌性和结核性肺水肿的存活率相似，而真菌性肺水肿的总存活率最差。真菌性肺水肿、高龄和夏尔森综合症指数（CCI）评分高是预后不良的独立预测因素。高龄和高CCI评分是预后不良的独立预测因素。

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来源期刊

International Journal of Tuberculosis and Lung Disease 医学-传染病学

CiteScore

4.90

自引率

20.00%

发文量

266

审稿时长

2 months

期刊介绍： The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.