Pleural Infection

Laura E. Gleeson, Deirdre B. Fitzgerald, Natalia D. Popowicz, Y. C.Gary Lee

Research output: Chapter in Book/Conference paperEntry for encyclopedia/dictionarypeer-review


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.

Original languageEnglish
Title of host publicationEncyclopedia of Respiratory Medicine, Second Edition
Number of pages16
ISBN (Electronic)9780081027240
ISBN (Print)9780081027233
Publication statusPublished - 1 Jan 2021


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