Complicated parapneumonic effusion and empyema thoracis: Microbiologic and therapeutic aspects
نویسندگان
چکیده
منابع مشابه
Complicated parapneumonic effusion and empyema in children.
BACKGROUND AND PURPOSE Parapneumonic effusion and empyema are recognized complications of bacterial pneumonia. Optimal management in children, especially the duration of parenteral antibiotics and the role of surgery, is controversial. This study analyzed the clinical characteristics, management, outcome, and bacterial etiology of 59 patients with complicated parapneumonic effusion and empyema ...
متن کاملTreatment of complicated parapneumonic pleural effusion and pleural parapneumonic empyema
BACKGROUND We performed this observational prospective study to evaluate the results of the application of a diagnostic and therapeutic algorithm for complicated parapneumonic pleural effusion (CPPE) and pleural parapneumonic empyema (PPE). MATERIAL/METHODS From 2001 to 2007, 210 patients with CPPE and PPE were confirmed through thoracocentesis and treated with pleural drainage tubes (PD), fi...
متن کاملComplicated parapneumonic effusion and empyema thoracis: microbiology and predictors of adverse outcomes.
OBJECTIVES To describe the microbiological characteristics of a cohort of patients with complicated parapneumonic effusion and empyema thoracis, and to identify the potential risk factors for adverse outcomes, with particular reference to the choice of empirical antibiotics, intrapleural fibrinolytics, adherence to management guidelines, and input from pulmonologists. DESIGN Retrospective rev...
متن کاملParapneumonic effusion and empyema.
Parapneumonic effusions account for about one third of all pleural effusions. Approximately 40% of patients with pneumonia develop a concomitant effusion, which is associated with an increased morbidity and mortality. In order to select the most appropriate therapy for the individual patient, the effusion should be categorized as being in the exudative, fibropurulent, or organizational stage, a...
متن کاملParapneumonic pleural effusion and empyema.
At least 40% of all patients with pneumonia will have an associated pleural effusion, although a minority will require an intervention for a complicated parapneumonic effusion or empyema. All patients require medical management with antibiotics. Empyema and large or loculated effusions need to be formally drained, as well as parapneumonic effusions with a pH <7.20, glucose <3.4 mmol/l (60 mg/dl...
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ژورنال
عنوان ژورنال: Respiratory Medicine
سال: 2006
ISSN: 0954-6111
DOI: 10.1016/j.rmed.2005.05.018