Subdural empyema natural history, complications and prognosis: Difference between revisions
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There may be identified some prognostic factors associated with subdural empyema: <ref name="AgrawalTimothy2007">{{cite journal|last1=Agrawal|first1=Amit|last2=Timothy|first2=Jake|last3=Pandit|first3=Lekha|last4=Shetty|first4=Lathika|last5=Shetty|first5=J.P.|title=A Review of Subdural Empyema and Its Management|journal=Infectious Diseases in Clinical Practice|volume=15|issue=3|year=2007|pages=149–153|issn=1056-9103|doi=10.1097/01.idc.0000269905.67284.c7}}</ref> | There may be identified some prognostic factors associated with subdural empyema: <ref name="AgrawalTimothy2007">{{cite journal|last1=Agrawal|first1=Amit|last2=Timothy|first2=Jake|last3=Pandit|first3=Lekha|last4=Shetty|first4=Lathika|last5=Shetty|first5=J.P.|title=A Review of Subdural Empyema and Its Management|journal=Infectious Diseases in Clinical Practice|volume=15|issue=3|year=2007|pages=149–153|issn=1056-9103|doi=10.1097/01.idc.0000269905.67284.c7}}</ref> | ||
{| class="wikitable" | |||
|style="border-style:solid; border-width: 1px; border-color: #4479BA; text-align:center; width: 350px; background: #A1BCDD; color: white;" | '''Unfavorable Prognostic Factors''' | |||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Presenting with encephalopathy or coma | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Younger than 10 years or elderly | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Late start of antibiotics | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-bottom: 0px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Sterile cultures | ||
|- | |- | ||
|style="border-style:solid; border-width: 1px; border-color: #4479BA; text-align:center; color: white; width: 350px; background:#A1BCDD;" | '''Favorable prognostic factors''' | |||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Craniotomy instead of burr holes as surgical procedure | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Early treatment | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Young age (optimal between 10-20 years) | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Patient presents awake, alert and oriented | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Source of infection: paranasal sinuses | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Aerobic streptococci isolated in culture | ||
|- | |- | ||
| style="background: #4479BA; | |style="border-style:solid; border-width: 1px; border-color: #4479BA; width: 350px; background: #4479BA; color: white;" | ▸ Aerobic streptococci as single pathogen | ||
|} | |} | ||
==References== | ==References== |
Revision as of 01:00, 1 March 2014
Subdural empyema Microchapters |
Diagnosis |
Treatment |
Case Studies |
Subdural empyema natural history, complications and prognosis On the Web |
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Risk calculators and risk factors for Subdural empyema natural history, complications and prognosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Natural History
Complications
Prognosis
The outcome will depend on: [1]
- preoperative level of consciousness
- start time of the treatment
- treatment aggressiveness
- progress of the disease
There may be identified some prognostic factors associated with subdural empyema: [1]
Unfavorable Prognostic Factors |
▸ Presenting with encephalopathy or coma |
▸ Younger than 10 years or elderly |
▸ Late start of antibiotics |
▸ Sterile cultures |
Favorable prognostic factors |
▸ Craniotomy instead of burr holes as surgical procedure |
▸ Early treatment |
▸ Young age (optimal between 10-20 years) |
▸ Patient presents awake, alert and oriented |
▸ Source of infection: paranasal sinuses |
▸ Aerobic streptococci isolated in culture |
▸ Aerobic streptococci as single pathogen |