Table 1.
Clinical factors, predisposing risk factors, severity factors, treatment factors, and outcome in pleural infection, in patients with microbiology negative or known etiology according to the initial antibiotic regimen
Microbiology Negative | Known Etiology | p = § | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
PENI | CEFU | broad | All | p = * | PENI | CEFU | broad | All | p = * | ||
n=, (%) | 62 (31) | 101 (49) | 37 (20) | 200 | 57 (26) | 106 (49) | 49 (23) | 216 | |||
Age (years) | 59.7 | 62.9 | 57.7 | 60.8 | 0.27 | 63.5 | 65.5 | 62.5 | 64.3 | 0.37 | 0.02 |
para-pneumonic (%) | 93.5 | 89 | 92 | 90.5 | 0.90 | 86 | 90.7 | 85.7 | 88.4 | 0.01 | 0.43 |
Nosocomial (%) | 8.0 | 12 | 13.5 | 10.9 | 0.51 | 10.5 | 20 | 18.4 | 17.2 | 0.24 | 0.06 |
Risk factors (%) | 44# | 68# | 54 | 59 | 0.22 | 59 | 73 | 80 | 71 | 0.45 | 0.009 |
AB before hospital admittance (%) | 48 | 57 | 36 | 50.3 | 0.61 | 39 | 40 | 51 | 42.5 | 0.44 | 0.13 |
Severely ill (%) | 4.8 | 5.0 | 37 | 11.1 | < 0.001 | 10.7 | 5.7 | 32 | 13.2 | 0.0001 | 0.90 |
Thoracocentesis delay, median / mean (days) | 4.5 /6.3 | 1 /3.6 | 2 /2.9 | 2.5 /4.7 | 0.01 | 2 /4.7 | 1 /2.9 | 1 /3.4 | 1/3.5 | 0.07 | 0.004 |
AB before thoracocentesis (%) | 97# | 80# | 91 | 89.1 | 0.37 | 81 | 75 | 78 | 76.4 | 0.70 | 0.0008 |
AB treatment, median days | 38.5 | 34 | 34.5 | 35 | 0.48 | 38 | 39.5 | 36.5 | 38 | 0.49 | 0.30 |
Pleural drainage delay > 2 days (%) | 57 | 48 | 40 | 49 | 0.33 | 45 | 30 | 39 | 36 | 0.11 | 0.02 |
Fibrinolysis intrapleural (%) | 27 | 33 | 28 | 30 | 0.71 | 40 | 31 | 31 | 34 | 0.45 | 0.43 |
ICU admittance (%) | 4.8 | 2.0 | 18.9 | 5.9 | < 0.001 | 5.3 | 1.9 | 25 | 7.9 | < 0.0001 | 0.45 |
Mortality 30-day (%) | 1.6 | 8.0 | 18.9 | 7.9 | 0.025 | 7.0 | 7.5 | 12.2 | 8.8 | 0.55 | 0.76 |
Mortality 90-day (%) | 3.2 | 9.9 | 21.6 | 10.3 | 0.03 | 12.3 | 10.4 | 22.4 | 14.4 | 0.12 | 0.21 |
Surgery referral (%) | 8.1 | 14.9 | 10.8 | 14.3 | 0.41 | 15.8 | 7.5 | 20.4 | 14.8 | 0.06 | 0.88 |
LOS, median (days) | 15.5 | 15 | 19.5 | 16 | 0.25 | 19 | 18 | 19 | 18 | 0.49 | 0.22 |
AB antibiotics, ICU intensive care unit, LOS length of hospital stay
*comparing three treatment regimens. §comparing all etiology-negatives and etiology-positives