DOI: 10.36347/sjams.2019.v07i12.063

Pages: 4147-4150

Parapneumonic effusions and empyema are usually due to infective etiology. Many bacterial infections can causing them, can be gram positive and gram negative organisms. Appropriate interventions like aspiration of the pleural fluids, culture, specific antibiotics go a long away in good cure. Necessary drainage and appropriate antibiotics leads to excellent prognosis. A Total of 100 cases of clinically diagnosed cases of empyema and Para pneumonic effusions were studied for bacteriological profile, antibiotic resistance .Incidence of empyema was more common in males. Age group of 25-45. In our total 100 cases 25 were culture positive, 75 were sterile on routine culture, but when inoculated in BHI Broth 40 were culture positive. There was a 15% increase in the bacterial yield. ‘Pseudomonas is the commonest organism causing empyema followed by Kliebsiella. Gram positive organisms responded to vancomycin while Gram Negative organisms to Imipenum.