Predictive factors, microbiology and outcome of patients with parapneumonic effusion

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Predictive factors, microbiology and outcome of patients with parapneumonic effusion.

We aimed to determine the incidence, clinical consequences and microbiological findings related to the presence of pleural effusion in community-acquired pneumonia, and to identify predictive factors for empyema/complicated parapneumonic effusion. We analysed 4,715 consecutive patients with community-acquired pneumonia from two acute care hospitals. Patients were classified into three groups: n...

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Evaluation of Predictive Factors of Empyema in Children with Parapneumonic Pleural Effusion

Background Empyema is a complication of bacterial pneumonia which has a particular importance due to its significant morbidity and mortality in children. The aim of this study was to investigate the prognostic factors of empyema in children with parapneumonic pleural effusion. Materials and Methods: This retrospective cross-section...

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Parapneumonic 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...

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PathoPhysIology of ParaPneumonIc effusIon

of large amount of pleural fluid with many polymorphonuclear leukocytes, bacteria and cellular debris. The pleural fluid becomes clottable due to leakage of plasma proteins and loss of fibrinolytic activity in pleural space resulting in the formation of thick layer of fibrin over parietal and visceral pleura. The migration of fibroblasts into pleural space leads to collagen deposition and along...

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Complicated 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...

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ژورنال

عنوان ژورنال: European Respiratory Journal

سال: 2011

ISSN: 0903-1936,1399-3003

DOI: 10.1183/09031936.00000211