Research Article

Culture results on chest tube thoracostomy water-sealed drainage in patients with pneumothorax at Sanglah General Hospital, Bali-Indonesia

Putu Bagus Anggaraditya , Arland Chandra

Putu Bagus Anggaraditya
Emergency Department, Bali Mandara General Hospital, Sanur, Bali-Indonesia. Email:

Arland Chandra
Post Graduate Surgery Resident, Faculty of Medicine, Udayana University-Sanglah General Hospital, Bali-Indonesia
Online First: March 01, 2019 | Cite this Article
Anggaraditya, P., Chandra, A. 2019. Culture results on chest tube thoracostomy water-sealed drainage in patients with pneumothorax at Sanglah General Hospital, Bali-Indonesia. Intisari Sains Medis 10(1). DOI:10.15562/ism.v10i1.431

Introduction: Thoracic trauma is one type of trauma with a high incidence that causes morbidity and mortality after head trauma and extremity. The act of installing a thoracostomy has become one of the standard management of thoracic injury. Infection is a complication that can occur during treatment. This study aimed to provide an overview of the results of thoracostomy tube water-sealed drainage (WSD) culture in pneumothorax patients at Sanglah Hospital.

Method: The study design used a cross sectional descriptive method. The subjects of the study were blunt thoracic trauma patients with pneumothorax who came to the emergency department of Sanglah Hospital to indicate the installation of a thoracostomy hose during the period January to December 2018.

Results: From 40 study samples there were 32 subjects with positive culture results, then from all subjects with positive culture results found 10 people (25%) with culture results of staphylococcal aureus bacteria, based on rib fractures more samples with rib fractures less than two bones ( 62.5%), based on the duration of WSD installation there were more samples with the duration of WSD installation more than 7 days (75%).

Conclusion: The high positive culture results which are dominated by pyogenic skin bacteria, namely Stapylokokus aureus is a challenge for surgeons in managing the complications of tube thoracostomy (TT) installation in patients with pneumothorax.


Lugo VW, et al. Chest Trauma: An Overview. Journal of Anesthesia & Critical Care. 2015;3(1):1-11.

Guitron J, Huffman LC, Howinton JA, LoCicero J. Blunt and penetrating injuries of the chest wall, pleura and lungs. In: Shields TW, LoCicero J, Reed CE, Feins RH, eds. General Thoracic Surgery. Seventh Edition. Philadelphia: Lippincott Williams & Wilkins. 2009. p. 891-902.

Eckstein M, Handerson SO. Rosen's Emergency Medicine Concepts and Clinical Practice. 8th ed. Philadelphia: Elsevier Saunders. 2014.

Clark D and Fantus R. National Trauma Data Bank, American College of Surgeons Annual Report. American College of Surgeons. 2007;6(2):61-64.

Mefire AC, et al. Analysis of epidemiology, lesions,treatment and outcome of 354 consecutive cases of blunt and penetrating trauma tothe chest in an African setting. South African Journal Of Surgery. 2010;7(2):90-93.

Brims FJH, Maskell NA. Ambulatory treatment in the management of pneumothorax: a systematic review of the literature. Thorax. 2013;68:664-669.

Kuhajda I, et al. Review Article: Tube thoracostomy; chest tube implantation and follow up. J Thorac Dis. 2014;6(S4):S470-S479.

Hewett FC. Thoracentesis: the plan of continuous aspiration,The British Medical Journal. 1876;17(9):317-321.

Collop NA, Kim S, Sahn SA. Analysis of tube thoracostomy performed by pulmonologist at a teaching hospital. CHEST. 1997;112:703-13.

Hsu SP, Wang HC, Huang IT, Chu KA, Chang HC. Tube thoracostomy-related necrotizing fasciitis: a case report. Kaohsiung J Med Sci. 2006;22:636-40.

Brims F, Rosentengal A, Yogendran, et al. The bacteriology of pleural infection in western Australia. Am J Respir Crit Care Med. 2014;189:A5427.

Fysh ETH, Tremblay A, Kopman DF, Mishra EK, Slade M, Garske L, et al. Clinical outcomes of indwelling pleural catheter-related pleural infection. CHEST. 2013;144(5):1597-1602.

Corcoran JP, Wrighston JM, Belcher E, DeChamp MM, Kopman DF, Rahman NM. Pleural infection: past present, and future direction. The Lancet. 2015;3:563-577.

Seville R, Riha RL, Rahman N. Pleural infection. Respiratory Medicine CME. 2009;2:107-110.

Sukrama DM, Wihandani DM, Manuaba AM. Topical binahong (Anredera cordifolia) leaf extract increase inteleukin-6 and VEGF (vascular endothelial growth factor) during burn wound healing in wistar rats infected with pseudomonas aureginosa. Biol Med (Aligarth). 2017;9(1):369. DOI: 10.4172/0974-8369.1000369.

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