Original language | English |
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Title of host publication | Encyclopedia of Respiratory Medicine, Second Edition |
Publisher | CPS/Elsevier |
Pages | 243-258 |
Number of pages | 16 |
Volume | 4 |
Edition | 2 |
ISBN (Electronic) | 9780081027240 |
ISBN (Print) | 9780081027233 |
DOIs | |
Publication status | Published - 1 Jan 2021 |
Abstract
Pleural effusion complicates over 20% of pneumonias, with incidence growing in both adult and pediatric populations. Mortality rates are high in adults with pleural infection, especially in the elderly and in hospital-acquired cases. Bacteriology can be complex with substantial differences between community-acquired and hospital-acquired infections. Bedside ultrasound now allows prompt and accurate assessment of pleural effusion in pneumonia patients. Fluid drainage and antimicrobial treatment remain the cornerstone of management. Advent of minimally invasive surgery and intrapleural fibrinolytic/deoxyribonuclease therapy have dramatically improved management. New prognostic scores (e.g. RAPID) have been verified.