Keywords:
Trauma, Infection, Computer Applications-Detection, diagnosis, CT, Thorax, Emergency
Authors:
V. Miele1, V. Di Giacomo1, I. Di Giampietro1, S. Ianniello1, G. Menichini2, B. sessa2, M. Trinci3; 1Rome/IT, 2Roma/IT, 3Roma, ITALY/IT
DOI:
10.1594/ecr2013/C-0589
Results
In our study,
45/302 (15%) major trauma patients have depeloved infectious thoracic patterns,
clinically confirmed.
All 45 patients affected by lung infections were intubated and receiving mechanical ventilation during hospitalization.
18/45 (40%)Patients showed ground- glass pattern,
1/45 (2,2%) reticular pattern,
6/45 (13,3%) micronodular pattern,
8/45 (17,8%) lobar consolidation,
12/45 (26,7%) disomogenous consolidation.
The time median value of pattern appearance,
respect to time 0,
was of 3 days for ground glass pattern,
5 days for reticular pattern,
7days for the lobar consolidation and 9 days for the disomogeneous consolidations.
After the chest trauma 160/302 Patients required chest drainage and 31/45 Patients with pulmonary infections.
Pneumatocele and hematocele was found in 30/45 (66,7%) patients,
abscess in 3/45 (6,7%) ,
empiema in 4/45 (8,9%).
Haemophilus influenza is the bacteria most frequently identified in Early Onset Pneumonia (EOP).