Published on May 25, 2008
Community Acquired Nosocomial Pathogen Bacterial 70-80% 90% Streptococcus pneumoniae 60-75% 3-9% Hemophilus influenza 4-5% Legionella sp. 2-5% Up to 25% Staphylococcus aureus 1-5% 10-20% Gram-negative bacilli Rare 50% Atypical 10-20% Rare Mycoplasma pneumoniae 5-18% - Chlamydia psittaci 2-3% - Coxiella burnetii 1% - Virus 10-20% Rare Influenza - 8% Hantavirus - Rare
Pleural Effusion Fluids PH 6.5 Glucose 73 Protein 3.2 Albumin 1.2 LDH 1092 C+S No growth
TEST Result Normal HIV Negative Negative IgG 991 700 – 1600 IgG subtypes I – II – III Pending - IgM 75 40 – 230 IgA 472 70 – 400 C3 122 90 – 207 C4 21 17.4 – 52.2
Pleural fluid sample Color Cloudy - Orange WBC 350 Neut 93% Lymph 2% Mono 5% Glucose Not done PH Not done C+S No growth
Pleural Risk Pleural fluid Pleural fluid space Drainage Category of bacteriology chemistry anatomy outcome PH •Minima & Very C+S A0 & Bx Cx U/K 1 No l FF low unknown •<10mm •Small – moderate & PH Negative A1 & B0 C0 2 Low No FF >7.2 C+S •>10mm •Large Positive FF B1 3 Mod Yes C+S •Thick pleura OR PH A2 OR C1 •Hemi- <7.2 thorax B2 Pus 4 High Yes
Empyema associated with community-acquired pneumonia: A Pediatric Investigator's Collaborative Network on Infections in Canada (PICNIC) study
1. BMC Infect Dis. 2008 Sep 25;8:129. doi: 10.1186/1471-2334-8-129. Empyema associated with community-acquired pneumonia: a Pediatric Investigator's ...
Empyema seems to be an uncommon complication of community-acquired pneumonia with an incidence of 0.7%. • Clinical and laboratory features remain ...
Community-acquired pneumonia (CAP) refers to pneumonia (any of several lung diseases) contracted by a person with little contact with the healthcare system.
CLINICAL RESEARCH STUDY Thoracic Empyema in Patients with Community-Acquired Pneumonia Rabia A. Ahmed, MD, Thomas J. Marrie, MD, Jane Q. Huang, MSc
Pleural empyema was found in 0.7% of 3675 patients needing hospitalization for a community acquired pneumonia ... community acquired pleural empyema, ...
Empyema and Abscess Pneumonia. ... pneumonia to complicated pneumonia and empyema. ... to hospital with community-acquired pneumonia.
Empyema and Abscess Pneumonia Clinical ... admitted with community-acquired pneumonia who ... pneumonia, lung abscess and empyema.