title: [Septic complications of the closed thoracic trauma].
abstract: 210 cases of septic complications after blunt thoracic injuries were analyzed. Pleura empyem was observed in 172 (1,34%) of 12874 patients (overall number of the injuried), lung abscess - in 48 (0,37%) cases, pericarditis was diagnosed in 33 (0,23%) patients, costal and sternal osteomyelitis - in 21 (0,16%) and mediastinitis - in 14 (0,1%), thoracic wall phlegmona in 50 (0,39%) patients. Overall frequency of septic complication was 2,96%. Main reasons of septic complications were: massive blood loss (55,7%), late diagnosis and hospitalization (54,8%), long - lasting and coagulated hemothorax (38,1%), pulmonary bleeding (20%) and secondary infection, including multiple (29%) and prolonged (10,5%)pulmonary drainage. Staphylococcus aureus was the most frequent microbe detected - 44,3%. Lethality rate was 13,8% (29 patients). Adequate drainage of the wound allowed curation of the majority of patients. Chronic purulent forms, requiring major surgical treatment were registered by the pleura empyem in 9,3%, and by the lung abscess in 10,4%, by costal ostheomyelitis - in 52,4% of cases.
authors.forename: Sh N
authors.initials: ShN
authors.lastname: Daneilian
authors.forename: M M
authors.initials: MM
authors.lastname: Abakumov
authors.forename: T V
authors.initials: TV
authors.lastname: Chernen'kaia
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004322:Drainage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018805:Sepsis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013898:Thoracic Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents