To assess the etiology, underlying disease, treatment procedures, and mortality rate of lung abscesses by dividing the patients into community-acquired lung abscess (CALA) and nosocomial lung abscess (NLA) subgroups. Materials and methods: We reviewed and analyzed data on 62 adult cases of CALA and NLA treated during 2000-2011 at a tertiary university hospital in Turkey. Results: Of these 62 patients, 44 had CALA and 18 had NLA. Etiologic microorganisms were isolated in 20 of the 44 patients (45.4%) in the CALA group and in 15 of the 18 patients (83.3%) in the NLA group. Among these patients, Staphylococcus aureus (20.0%) and Pseudomonas aeruginosa (26.7%) were the most common microorganisms in the CALA and NLA groups, respectively. Computed tomography-guided drainage was performed in 20 patients in the study and the abscess was cured in 17 (85%) patients. The overall mortality rate was 12.9%. It was 4.5% and 33.3% in the CALA and NLA groups, respectively (P < 0.05). Conclusion: Lung abscess continues to be a significant cause of morbidity and mortality despite appropriate treatment. Medical therapy is started empirically, and so it is important to separate patients into subgroups of CLA or NLA.
Lung abscess, etiology, treatment, percutaneous drainage
TUTAR, NURİ; OYMAK, FATMA SEMA; KANBAY, ASİYE; BÜYÜKOĞLAN, HAKAN; YILDIRIM, AFRA; YILMAZ, İNSU; DOĞAN, SUAT ALİ; GÜLMEZ, İNCİ; and DEMİR, RAMAZAN
"Lung abscess: analysis of the results as community-acquired or nosocomial,"
Turkish Journal of Medical Sciences: Vol. 43:
2, Article 13.
Available at: https://journals.tubitak.gov.tr/medical/vol43/iss2/13