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- W4248389430 abstract "Pleural effusions occur when an influx of fluid into the pleural space exceeds its removal. An exudative effusion, which results from leaky barriers, is often associated with infections. Parapneumonic effusions are exudative pleural effusions adjacent to pulmonary infections. Most parapneumonic effusions are sterile and resolve with treatment of the underlying pneumonia. They may, however, evolve through the exudative, fibrinopurulent, and organizing phases of empyema formation. Empyema occurs when frank pus occupies the pleural space and requires drainage. For parapneumonic process, antibiotic selection is similar to that for pneumonia and should target the underlying infectious organism according to culture and susceptibility results. Initial empiric therapy should take into account local antibiotic policies, resistance patterns, and should include anaerobic coverage. In some cases, after antibiotics and thoracentesis are initiated, surgical intervention may be necessary. Timely drainage of complicated parapneumonic effusions or empyema is critical." @default.
- W4248389430 created "2022-05-12" @default.
- W4248389430 creator A5048258153 @default.
- W4248389430 date "2016-11-01" @default.
- W4248389430 modified "2023-10-17" @default.
- W4248389430 title "Pleural Effusions (Parapneumonic Process and Empyema)" @default.
- W4248389430 doi "https://doi.org/10.1093/med/9780199976805.003.0024" @default.
- W4248389430 hasPublicationYear "2016" @default.
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