台灣東部地區膿胸的致病菌分析

Microbiological Analyses of Empyema Thoracis in Eastern Taiwan

李仁智(Jen-Jyh Lee) ； 楊治國(Gee-Gwo Yang) ； 蔡伯文(Bo-Wen Tsai)

《慈濟醫學雜誌》 5卷2期 (1993/06) Pp. 99-104

https://doi.org/10.6440/TZUCMJ.199306.0099

摘要

從民國75年12月到82年2月中，慈濟醫院診斷110例膿胸病例。17例(15.5%)的培養是陰性，其餘93例中，共培養出141種菌種(1.52菌種／膿胸)。最常見的致病菌是草綠色的鏈球菌，共28例，其次是克萊勃士桿菌，共16例。65例(69.9%)只培養出一種菌種，28例培養出多種菌種(混合感染)。以常用細菌分類法分析，革蘭陰性桿菌最常見佔37.6%，其次是鏈球菌屬(27.7%)，葡萄球菌屬(8.5%)，結核桿菌和腸球菌各佔7.8%，厭氧菌只佔6.4%。結核性膿胸的病例有13例。膿胸是台灣東部常見的臨床問題。

關鍵字

膿胸 ； 細菌學

並列摘要

One hundred and ten patients with empyema thoracis were diagnosed at Buddhist Tz’u-Chi General Hospital between December 1986 and February 1993. 17 patients (15.5%) had sterile cultures. There were 141 microbial isolates (1.52 isolates per case) among the 93 culture-positive patients. The organism most commonly isolated was Viridans Streptococcus (28 isolates), followed by Klebsiella (16 isolates). A single pathogen was identified from 65 patients (69.9%) and more than one species (mixed infection) were found in the other 28 patients. The gram-negative rods represented the largest group (37.6%), followed by Streptococcus (27.7%), Staphylococcus (8.5%), Enterococcus (7.8%), Tubercle bacilli (7.8%) and anaerobic bacteria (6.4%). There were 13 cases of tuberculosis empyema. Empyema thoracis remains a common clinical problem in Eastern Taiwan.

並列關鍵字

empyema thoracis ； bacteriology