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Educational Articles

Aetiology of adult community-acquired lung abscess in Hong Kong

September 2025

Authors: Wai Cho Yu, Man Ying Ho, Ellen Lok-Man Yu, Carmen Li, Cindy Tse, Ka Pang Chan, Pik Shan Cheung, Kit Man Sin, Wai Man Johnny Chan, David Chi Leung Lam, Kah Lin Choo, Chi Kai Chow, Yu Hong Chan, Ming Chiu Chan, Kin Keung Kwong, Margaret Ip, on behalf of the Hong Kong Thoracic Society and Chest Delegation Hong Kong & Macau

Comment by Mark Lavercombe: Local bacteriology data is critical when empiric treatment of infection is required, and in this paper, the authors have collated data from all patients admitted to one of twenty-five public hospitals in Hong Kong over a nine-year period with community-acquired lung abscess. After exclusion of patients without lung abscess, insufficient data, hospital-acquired infection and mycobacterial or fungal infections, there were 744 cases of which 606 had specimens sent for microbiologic analysis. Several patterns of infection were identified, with patients groing aerobic streptococci more likely to be male and require abscess drainage, while patients growing anaerobes were more likely to have empyema, aspiration and need for surgery. Further patterns were also evident for patients with growth of Staphylococcus aureus, Klebsiella species, Pseudomonas aeruginosa and other gram-negative bacilli. These data can inform local clinical decision making while awaiting specimen testing and in patients who remain ‘culture negative’. 

Medical Education Editor for Respirology

Dr Mark Lavercombe was appointed in this specialist editor role in 2021 to further expand and strengthen Respirology’s contribution to medical education.
Located in Melbourne, Australia, he works as a clinician in respiratory health and sleep disorders at Western Health and is affiliated with The University of Melbourne as a distinguished expert in medical education.

He became a member of our Editorial Board in 2016 with the responsibility of selecting new Respirology publications with educational value, which has grown into a curated article selection featured on this page, as a benefit to APSR members.
Dr Lavercombe also authors a column in Respirology on his most recent choices and their specific value to continued medical education for our readers around the world.

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