scholarly journals Characteristics Of Patients Of Descending Necrotizing Mediastinitis Thoracic, Cardiac And Vascular Surgery Subsection Thoracic In Dr. Mohammad Hoesin From 1 November 2019 To 30 November 2020

2021 ◽  
Vol 4 (2) ◽  
pp. 344-353
Author(s):  
Arisma Putra ◽  
Gama Satria ◽  
Bermansyah ◽  
Ahmat Umar ◽  
Aswin Nugraha
Keyword(s):  
Mortality Rate ◽  
Intrathoracic Pressure ◽  
Operative Management ◽  
Percutaneous Catheter Drainage ◽  
Common Source ◽  
Reduce Mortality Rate ◽  
Descriptive Research ◽  
Source Of Infection ◽  
Percutaneous Catheter ◽  
Prompt Diagnosis

Background: Acute mediastinitis is an infection of the connective tissue of the interpleural mediastinal space. The infection may spread through the cervical spaces to the mediastinum, via negative intrathoracic pressure and gravity.1 Management of DNM with minimally invasive drainage, namely video-assisted thoracic surgical drainage (VATS),6 mediastinoscopy,7 and percutaneous catheter drainage,8,9 have been widely used. During early 1920s, data showed subsequent to broad-spectrum antibiotics, the mortality rate was about 40%.12 Furthermore, without prompt diagnosis and aggressive surgery, the mortality rate can reach up to 60%.13 Methods: This retrospective study has a descriptive research design. The number of samples is 19 subjects. Results: From January 1, 2019 to November 30, 2020 there were 19 DNM patients. In this study, most DNM patients were male, average age of 39 years, dental abscesses as the most common source of infection, neck exploration and sternotomy were the most common treatment option, most common outcome death, and the most common result of culture was Acinetobacter baumannii. Conclusion: Good non-operative and operative management can reduce mortality rate.

scholarly journals Clinicopathological, microbiological and radiological evaluation of deep neck spaces infections

2018 ◽  
Vol 4 (2) ◽  
pp. 409
Author(s):  
M. Santhosh Reddy ◽  
C. R. Vijay Bharath Reddy
Keyword(s):  
Common Source ◽  
Medical College ◽  
Biological Features ◽  
Space Infection ◽  
Source Of Infection ◽  
New Antibiotics ◽  
Deep Neck Space Infections ◽  
Deep Neck Infections ◽  
General Populations ◽  
Prompt Diagnosis

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">More and more use of antibiotics and development of new antibiotics have helped in reducing the morbidity associated with “deep neck infections”, but still their incidence is found in the general populations. Prompt diagnosis and early treatment are key. The objective of the study was to study deep neck infections regarding etiological factors, micro-biological features.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A total of 24 patients were identified and diagnosed at S.V.S Medical College and Hospital Mahabubnagar over a period of 3 years, among them 12 patients were picked up at random basis for detailed study.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">It has been observed that the incidence of deep neck space infection was 3% till June 2010 and then it reduced to 1.76% by June 2011 and remained constant till October 2011. Sub-mandibular abscess was the most common in 58.3% of the cases. The most common source of infection of deep neck space infections was odontogenic in 45.8% of the cases. Airway obstruction was seen in 29% of the cases and mediastinitis was seen in only two patients. The most commonly observed organism involved in the deep neck space infections was streptococcus pyogenes in 75% of the cases. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Deep neck space infections though rare, are associated with complications and most importantly antimicrobial resistance. Hence it is very important that these must not be neglected.</span></p>

Percutaneous catheter drainage of lung abscess

1993 ◽  
Vol 29 (5) ◽  
pp. 923
Author(s):  
Young Shin Kim ◽  
Kyung Ah Chun ◽  
Hyo Sun Choi ◽  
Hyun Kown Ha ◽  
Kyung Sub Shinn
Keyword(s):  
Lung Abscess ◽  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Percutaneous Catheter

CT follow-up of empyemas: pleural peels resolve after percutaneous catheter drainage.

Radiology ◽  
1990 ◽  
Vol 176 (1) ◽  
pp. 195-197 ◽  
Author(s):  
C C Neff ◽  
E vanSonnenberg ◽  
D W Lawson ◽  
A S Patton
Keyword(s):  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Percutaneous Catheter

scholarly journals 284. Evaluation of Oral Step-Down Therapy for Enterobacteriaceae Bloodstream Infection

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S143-S143
Author(s):  
Sara Utley ◽  
Dawn Bouknight ◽  
Radha Patel ◽  
Kent Stock
Keyword(s):  
Bloodstream Infection ◽  
Oral Therapy ◽  
Common Source ◽  
Oral Antibiotic ◽  
Beta Lactam ◽  
Hospital System ◽  
Source Of Infection ◽  
Complete Treatment ◽  
Antibiotic Duration ◽  
Alternate Source

Abstract Background Oral antibiotic stepdown therapy for Gram-negative (GN) bloodstream infection (BSI) appears to be a safe option, though high bioavailability drugs like fluoroquinolones (FQ) and trimethoprim-sulfamethoxazole are often recommended without clear evidence demonstrating superiority. Due to increasing concerns of FQ resistance and collateral damage with an increasing community C. difficile rate, our organization sought to reduce overall FQ use and a shift toward oral beta-lactams (BL) was observed. A review was conducted to assess the outcomes of this shift. Methods This retrospective cohort included all patients within our 3-hospital system who had a positive GN blood culture and were transitioned to oral therapy to complete treatment outpatient for bacteremia between Jan 2017-Sept 2019. The primary outcome was recurrent BSI within 30 days of completing initial treatment. Secondary outcomes included 30-day mortality, 30-day recurrence of organism at an alternate source, 30-day readmission, and 90-day BSI relapse. Results Of 191 GN BSIs, 77 patients were transitioned to oral therapy. The mean age was 68 years, 60% were female. The most common source of infection was described as urine (39/77), intra-abdominal (16/77), unknown (13/77). Mean total antibiotic duration (IV plus PO) was 14 days (range 7–33). Patients received an average of 5 days IV prior to transitioning to PO therapy. The most common PO class was a 1st gen cephalosporin (29/77), followed by BL/BL inhibitor (16/77), and a FQ (13/77). There were no 30-day relapse BSIs observed in this cohort. There was 1 patient discharged to inpatient hospice, and no other 30-day mortality observed. There were 4 recurrent UTIs observed within 30 days, none of which required readmission. Of the twelve 30-day readmissions, 1 was considered by the investigators to be related to the initial infection. Conclusion An opportunity for education regarding duration of therapy was identified. Oral beta lactam use in our limited population appears to be a reasonable option to facilitate discharge. Results should be confirmed in additional, larger studies. Disclosures All Authors: No reported disclosures

scholarly journals Proactive percutaneous catheter drainage strategy during the step-up approach for (suspected) infected necrotizing pancreatitis

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e786
Author(s):  
J. van Grinsven ◽  
P. Timmerman ◽  
K.P. van Lienden ◽  
J.W. Haveman ◽  
D. Boerma ◽  
...  
Keyword(s):  
Necrotizing Pancreatitis ◽  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Percutaneous Catheter

Successful treatment of infected thoracoabdominal aortic graft by percutaneous catheter drainage

1991 ◽  
Vol 13 (4) ◽  
pp. 513-515 ◽  
Author(s):  
Philip J. Matley ◽  
Stephen J. Beningfield ◽  
Steven Lourens ◽  
Edward J. Immelman
Keyword(s):  
Successful Treatment ◽  
Percutaneous Catheter Drainage ◽  
Aortic Graft ◽  
Catheter Drainage ◽  
Percutaneous Catheter

Percutaneous catheter drainage in treatment of urinary extraversation

Urology ◽  
1984 ◽  
Vol 23 (1) ◽  
pp. 9-12 ◽  
Author(s):  
Steven H. Selman ◽  
Bon C. Koo ◽  
Kenneth A. Kropp ◽  
Jacob Zeiss
Keyword(s):  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Percutaneous Catheter
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