Pleural empyema risk factors

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

Common risk factors in the development of empyema include:[1] Bacterial pneumonia, thoracic surgery[2] NSAIDs use during acute viral infection is associated with an increased risk of empyema in children,[3] Lung abscess, chest trauma,[4] and post-thoracostomy drainage.[5]

Risk Factors

Common risk factors in the development of empyema include:[1]

  • Bacterial pneumonia
  • Lung abscess
  • Thoracic surgery[2]
  • NSAIDs use during acute viral infection is associated with an increased risk of empyema in children[3][6]
  • Chest trauma[4]
  • Following tube thoracostomy drainage[5]
  • Poor dental hygiene individuals[7]
  • Alcoholics[7]
  • Unconciousness leading to aspiration of gastric contents[7]

References

  1. 1.0 1.1 Giubergia V, Alessandrini F, Barrias C, Giuseppucci C, Reusmann A, Barrenechea M; et al. (2017). "Risk factors for morbidities and mortality in children following pneumonectomy". Respirology. 22 (1): 187–191. doi:10.1111/resp.12867. PMID 27511212.
  2. 2.0 2.1 Yang Y, Gao W, Zhao H, Yang Y, Shi J, Sun Y; et al. (2016). "Risk factors and consequences of perioperative reoperation in patients undergoing pulmonary resection surgery". Surgery. 159 (2): 591–601. doi:10.1016/j.surg.2015.07.030. PMID 26365946.
  3. 3.0 3.1 Le Bourgeois M, Ferroni A, Leruez-Ville M, Varon E, Thumerelle C, Brémont F; et al. (2016). "Nonsteroidal Anti-Inflammatory Drug without Antibiotics for Acute Viral Infection Increases the Empyema Risk in Children: A Matched Case-Control Study". J Pediatr. 175: 47–53.e3. doi:10.1016/j.jpeds.2016.05.025. PMID 27339249.
  4. 4.0 4.1 Danielian ShN, Abakumov MM, Vil'k AP, Saprin AA, Tatarinova EV (2015). "[Risk factors of suppurative complications in case of thoracic injury]". Khirurgiia (Mosk) (7): 13–9. PMID 26271559.
  5. 5.0 5.1 Wells BJ, Roberts DJ, Grondin S, Navsaria PH, Kirkpatrick AW, Dunham MB; et al. (2015). "To drain or not to drain? Predictors of tube thoracostomy insertion and outcomes associated with drainage of traumatic hemothoraces". Injury. 46 (9): 1743–8. doi:10.1016/j.injury.2015.04.032. PMID 25983221.
  6. Little P (2017). "Ibuprofen use in viral infection is associated with subsequent empyema". J Pediatr. 180: 291–294. doi:10.1016/j.jpeds.2016.10.058. PMID 28010797.
  7. 7.0 7.1 7.2 Bartlett JG, Gorbach SL, Thadepalli H, Finegold SM (1974). "Bacteriology of empyema". Lancet. 1 (7853): 338–40. PMID 4131173.


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