Recent developments in the management of pleural infection: A comprehensive review.

The Clinical Respiratory Journal
Eihab O BedawiN M Rahman

Abstract

Pleural infection is a condition commonly encountered by the respiratory physician. This review aims to provide the reader with an update on the most recent data regarding the epidemiology, microbiology, and the management of pleural infection. Medline was searched for articles related to pleural infection using the terms "pleural infection," "empyema," and "parapneumonic." The search was limited to the years 1997-2017. Only human studies and reports in English were included. A rise in the incidence of pleural infection is seen worldwide. Despite the improvement in healthcare practices, the mortality from pleural infection remains high. The role of oral microflora in the etiology of pleural infection is firmly established. A concise review of the recent insights on the pathogenesis of pleural infections is presented. A particular focus is made on the role of tPA, DNAse and similar substances and their interaction with inflammatory cells and how this affects the pathogenesis and treatment of pleural infection. Pleural infection is a common disease with significant morbidity and mortality, as well as a considerable economic burden. The role of medical management is expanding thanks to the widespread use of newer treatments.

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Citations

Feb 2, 2019·Expert Review of Respiratory Medicine·Eihab O BedawiNajib M Rahman
Jun 30, 2019·The European Respiratory Journal·Maged HassanNajib M Rahman
Aug 9, 2019·The European Respiratory Journal·Tamsin N CargillNajib M Rahman
Oct 17, 2019·BMJ Case Reports·Ahmed GoharMohamed Abdallah
May 16, 2020·Clinical Medicine : Journal of the Royal College of Physicians of London·Avinash AujayebKevin Conroy
Aug 2, 2020·Expert Review of Respiratory Medicine·Maged HassanCyrus Daneshvar
Jul 3, 2020·Respirology : Official Journal of the Asian Pacific Society of Respirology·Rajesh ThomasY C Gary Lee
Oct 22, 2020·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Charalampos VarsamasFoteini Malli
Dec 10, 2020·Pulmonary Therapy·Anand SundaralingamNajib M Rahman
Dec 22, 2020·Open Medicine·Kuang-Ming LiaoTe-Chun Shen
Dec 17, 2020·Risk Management and Healthcare Policy·Ling GongXiaoping Tang
Apr 22, 2021·BMC Pulmonary Medicine·Michele MondoniGiovanni Sotgiu
Jul 23, 2021·International Journal of General Medicine·Maged HassanJosé M Porcel

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