Emerging concepts in pleural infection.

Abstract:

PURPOSE OF REVIEW:Pleural infection remains an important pulmonary disease, causing significant morbidity and mortality. There is a resurgence of disease burden despite introduction of antibiotics and pneumococcal vaccines. A revisit of the pathogenesis and update on intervention may improve the care of pleural infection. RECENT FINDINGS:Recent studies have uncovered the prognostic implication of the presence of a pleural effusion in patients with pneumonia. Identifying where the bacteria lives may have diagnostic and therapeutic implications. Over-exaggerated pleural inflammation may underlie development of parapneumonic effusion as indirect evidence and a randomized study in children raised a role of corticosteroids in parapneumonic pleural effusions, but data are lacking for adults. Optimization of the delivery regimen of intrapleural fibrinolytic and deoxyribonuclease therapy is ongoing. SUMMARY:The review aims to review the current practice and explore new directions of treatment on pleural infection.

journal_name

Curr Opin Pulm Med

authors

Chan KP,Fitzgerald DB,Lee YCG

doi

10.1097/MCP.0000000000000487

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

367-373

issue

4

eissn

1070-5287

issn

1531-6971

journal_volume

24

pub_type

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