Emerging concepts in pleural infection

Research output: Contribution to journalReview article

3 Citations (Scopus)

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. © 2018 Wolters Kluwer Health, Inc. All rights reserved.

Original languageEnglish
Pages (from-to)367-373
JournalCurrent Opinion in Pulmonary Medicine
Volume24
Issue number4
DOIs
Publication statusPublished - Jul 2018

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