PSI was diagnosed according to IDSA guidelines by the presence of a sinus tract communicating with the prosthesis, histopathological analyses with the presence of inflammatory cells, visible purulence
surrounding the prosthesis, and/or identical microorganisms isolated from two or more cultures.
stopped, and the wound seemed to be healing.
VAP was diagnosed on clinical grounds based on the modified clinical pulmonary infection scoring system (CPIS) giving 0-2 points each for leukocyte count, fever, type of radiographic abnormality, oxygenation status, purulence
and quantity and of tracheal secretions and result of gram stain and sputum culture (table-I).
They were asked about their emergency department visits due to dyspnea, as well as the increases in amount and purulence
of their sputum in the last year.
Once fever, purulence
of sputum, or hypoxemia was detected, complete blood counts (CBCs) with differential, chest X-ray or computed tomography, airway secretions cultivation would be conducted.
Statistically insignificant difference was found between the dyspnea, sputum volume, sputum purulence
, cough, fever, common cold, wheezing, sore throat but for exacerbation, the difference was significant.
Patients with acute infection (presence of purulence
and advancing cellulitis with or without systemic signs of infection) were hospitalized; incision, drainage, and serial debridements were performed.
Consistent with this finding, all 4 head computed tomograms reported from patients in the outbreak were in nonrecipient nonsurvivors, and all showed evidence of subarachnoid hemorrhage (3 patients) or high attenuation material caused by subarachnoid hemorrhage or purulence
developed a composite clinical score, called the clinical pulmonary infection score (CPIS), based on six variables: temperature, blood leukocyte count, volume and purulence
of tracheal secretions, oxygenation, pulmonary radiography, and semi-quantitative culture of tracheal aspirate.
39] Type 1 exacerbations, which are considered to be severe, have all three cardinal symptoms: increasing dyspnoea, increasing sputum volume and sputum purulence
, while type 2 exacerbations (moderate exacerbations) have two of those three symptoms and type 3 exacerbations have one of the symptoms together with one other symptom such as URTI, fever, wheeze, cough, or increased respiratory or heart rate.
2,3 Acute exacerbation in COPD subjects is defined as progressive dyspnoea and increase in sputum volume and purulence
An open biopsy revealed apparent purulence
from the right hip joint; hence irrigation and debridement were performed.