BACTERIOLOGY OF EMPYEMA

John G. Bartlett, Haragopal Thadepalli, Sherwood L. Gorbach, Sydney M. Finegold

Research output: Contribution to journalArticlepeer-review

121 Scopus citations

Abstract

The bacteriology of empyema fluid was studied in three hospitals equipped with anaerobic research laboratories. Acceptable cases were restricted to adult patients who had not received antimicrobial therapy nor undergone previous thoracic surgery. Anaerobic bacteria were recovered in 63 of 83 (76%) cases studied, and these were the exclusive isolates in 29 (35%). The predominant microorganisms, in order of prevalence, were anaerobic or microaerophilic gram-positive cocci, Staphylococcus aureus, Fusobacterium nucleatum, Bacteroides melaninogenicus, B. fragilis, clostridia, Escherichia coli and Pseudomonas aeruginosa. These results demonstrate the need for careful transport and processing of pleural-fluid specimens to ensure recovery of oxygen-sensitive forms.

Original languageEnglish (US)
Pages (from-to)338-340
Number of pages3
JournalThe Lancet
Volume303
Issue number7853
DOIs
StatePublished - Mar 2 1974
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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