[Pleuro-pulmonary infections : importance of anaerobic bacteria and therapeutic consequences (author's transl)].
A prospective study of bacteriology and therapeutic outcome in 14 cases of pleuro-pulmonary infections is reported. Bacteriologic results are based on transtracheal aspirates and empyema fluid. Appropriate anaerobic bacteriologic methods were employed. Anaerobic bacteria were recovered from 11 patients, and were the only pathogens isolated in 6 patients. Patients were treated by penicillin G. This was judged satisfactory in all cases, although 1 patient died from pneumococcal septicemia few hours after his admission to the hospital. The results indicate that with reliable specimen (pleural fluidand transtracheal aspirates) and optimal anaerobic culture methods, bacteriologic diagnosis can be established. Since anaerobes play a key role in most cases of pleuro-pulmonary infections, penicillin G is the prefered initial drug.
D000328:Adult; D000368:Aged; D005122:Exudates and Transudates / Q000382:microbiology; D005260:Female; D006089:Gram-Negative Anaerobic Bacteria / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D010994:Pleura; D011677:Punctures; D012141:Respiratory Tract Infections / Q000188:drug therapy / Q000382:microbiology*; D013396:Suction / Q000379:methods; D013492:Suppuration / Q000382:microbiology; D014132:Trachea
D010400:Penicillin G
Suppurations pleuro-pulmonaires : importance des germes anaérobies et conséquences thérapeutiques.