CULTURE AND SENSITIVITY PATTERNS OF THE CAUSATIVE ORGANISMS ISOLATED FROM THE PATIENT OF EMPYEMA THORACIS

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Shafi Muhammad khuhawar
Jagdesh Kumar
Khalil Ahmed Sanghro
Bashir Ahmed Chandio
Murk kukreja

Keywords

Empyema Thoracis, antibiogram, antibiotics

Abstract

Background; empyema thoracis is defined as an accumulation of pus within the pleural space and has been associated with a high death rate. The aim of the study was to find out the Culture and sensitivity patterns of the causative organisms isolated from the patient of Empyema Thoracis.


Material and method; the current descriptive cross-sectional study was carried out at the department of Pulmonology, GMMMC hospital Sukkur from January 2023 to November 2023 after taking approval from the ethical committee of the institute.  A total of 224 individuals of both genders age ranged from 20-60 years were enrolled in this study. All the individuals were evaluated for empyema thoracis. Historical data on demographics was documented. Every patient had a tube tharacostomy pleural drainage surgery, and empiric antibiotics were started to treat the pleural infection. For antibiogram antibiotics used were Amoxicillin, Gentamicin, Amikacin,, Cefotaxime, Ciprofloxacin, Co-amoxiclav, and Moxifloxacin. Based on results, they were classified as sensitive or resistant. All the data was analyzed through SPSS.


Results; A total of 224 were examined. Out of the total patients 33.9% had culture positive results. Of the individuals who tested positive for culture, 48 were men and 26 were women. Culture sensitivity results evaluated that Out of the 224 individuals, 61 (27.2. %) showed sensitivity to cefotaxime, ceftriaxone, ciprofloxacin, and moxifloxacin; 58 (25.8%) to gentamycin; 57 (25.4%) to cephradine and Co-amoxiclav; and 48 (21.4%) to amoxicillin. 


Conclusion: From the current study it was concluded that Less than one-third of individuals with empyema thoracis have positive empyema fluid cultures and most of the organisms are sensitive to the majority of routinely used antibiotics.

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