Interventional Management of Pleural Infections
Pleural infections represent an important group of disorders that is characterized by the invasion of pathogens into the pleural space and the potential for rapid progression to frank empyema. Previous epidemiologic studies have indicated that empyema is increasing in prevalence, which underscores t...
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| Veröffentlicht in: | Chest 2009-10, Vol.136 (4), p.1148-1159 |
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| creator | HEFFNER, John E KLEIN, Jeffrey S HAMPSON, Christopher |
| description | Pleural infections represent an important group of disorders that is characterized by the invasion of pathogens into the pleural
space and the potential for rapid progression to frank empyema. Previous epidemiologic studies have indicated that empyema
is increasing in prevalence, which underscores the importance of urgent diagnosis and effective drainage to improve clinical
outcomes. Unfortunately, limited evidence exists to guide clinicians in selecting the ideal drainage intervention for a specific
patient because of the broad variation that exists in the intrapleural extent of infection, presence of locules, comorbid
features, respiratory status, and virulence of the underlying pathogen. Moreover, many patients experience delays in both
the recognition of infected pleural fluid and the initiation of appropriate measures to drain the pleural space. The present
review provides an update on the pathogenesis and interventional therapy of pleural infections with an emphasis on the unique
role of image-guided drainage with small-bore catheters. |
| doi_str_mv | 10.1378/chest.08-2956 |
| format | Article |
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space and the potential for rapid progression to frank empyema. Previous epidemiologic studies have indicated that empyema
is increasing in prevalence, which underscores the importance of urgent diagnosis and effective drainage to improve clinical
outcomes. Unfortunately, limited evidence exists to guide clinicians in selecting the ideal drainage intervention for a specific
patient because of the broad variation that exists in the intrapleural extent of infection, presence of locules, comorbid
features, respiratory status, and virulence of the underlying pathogen. Moreover, many patients experience delays in both
the recognition of infected pleural fluid and the initiation of appropriate measures to drain the pleural space. The present
review provides an update on the pathogenesis and interventional therapy of pleural infections with an emphasis on the unique
role of image-guided drainage with small-bore catheters.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.08-2956</identifier><identifier>PMID: 19809058</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: American College of Chest Physicians</publisher><subject>Biological and medical sciences ; Cardiology. Vascular system ; Disease Progression ; Drainage ; Empyema - etiology ; Fibrinolytic Agents - therapeutic use ; Humans ; Medical sciences ; Pleural Effusion - classification ; Pleural Effusion - complications ; Pleural Effusion - therapy ; Pneumology ; Thoracoscopy ; Thoracotomy</subject><ispartof>Chest, 2009-10, Vol.136 (4), p.1148-1159</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-453474abc2446df2d08d43d233ae8a65b9de88a0c13907f7648b61ed9f0225bc3</citedby><cites>FETCH-LOGICAL-c467t-453474abc2446df2d08d43d233ae8a65b9de88a0c13907f7648b61ed9f0225bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22001905$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19809058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HEFFNER, John E</creatorcontrib><creatorcontrib>KLEIN, Jeffrey S</creatorcontrib><creatorcontrib>HAMPSON, Christopher</creatorcontrib><title>Interventional Management of Pleural Infections</title><title>Chest</title><addtitle>Chest</addtitle><description>Pleural infections represent an important group of disorders that is characterized by the invasion of pathogens into the pleural
space and the potential for rapid progression to frank empyema. Previous epidemiologic studies have indicated that empyema
is increasing in prevalence, which underscores the importance of urgent diagnosis and effective drainage to improve clinical
outcomes. Unfortunately, limited evidence exists to guide clinicians in selecting the ideal drainage intervention for a specific
patient because of the broad variation that exists in the intrapleural extent of infection, presence of locules, comorbid
features, respiratory status, and virulence of the underlying pathogen. Moreover, many patients experience delays in both
the recognition of infected pleural fluid and the initiation of appropriate measures to drain the pleural space. The present
review provides an update on the pathogenesis and interventional therapy of pleural infections with an emphasis on the unique
role of image-guided drainage with small-bore catheters.</description><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Disease Progression</subject><subject>Drainage</subject><subject>Empyema - etiology</subject><subject>Fibrinolytic Agents - therapeutic use</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Pleural Effusion - classification</subject><subject>Pleural Effusion - complications</subject><subject>Pleural Effusion - therapy</subject><subject>Pneumology</subject><subject>Thoracoscopy</subject><subject>Thoracotomy</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0E1PwyAYwHFiNG5Oj17NLnpj460Ujsb4smRGD3omlMLWhbYTWo3fXmYbPZGH_PIQ_gBcYrTANBdLs7WxWyABicz4EZhiSTGkGaPHYIoQJpBySSbgLMYdSjOW_BRMsBRIokxMwXLVdDZ82qar2kb7-bNu9MbWaZ63bv7qbR_S7apx1hxEPAcnTvtoL8ZzBt4f7t_unuD65XF1d7uGhvG8gyyjLGe6MIQxXjpSIlEyWhJKtRWaZ4UsrRAaGUwlyl3OmSg4tqV0iJCsMHQGboa9-9B-9OmLqq6isd7rxrZ9VDzngghJEoQDNKGNMVin9qGqdfhWGKlDIfVbSCGhDoWSvxoX90Vty389JkngegQ6Gu1d0I2p4p8jJFVMMDk0uG212X5VwapYa-_TWjo8uWv7kJJiyhVTGDNBfwBY3n9q</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>HEFFNER, John E</creator><creator>KLEIN, Jeffrey S</creator><creator>HAMPSON, Christopher</creator><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091001</creationdate><title>Interventional Management of Pleural Infections</title><author>HEFFNER, John E ; KLEIN, Jeffrey S ; HAMPSON, Christopher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-453474abc2446df2d08d43d233ae8a65b9de88a0c13907f7648b61ed9f0225bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Disease Progression</topic><topic>Drainage</topic><topic>Empyema - etiology</topic><topic>Fibrinolytic Agents - therapeutic use</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Pleural Effusion - classification</topic><topic>Pleural Effusion - complications</topic><topic>Pleural Effusion - therapy</topic><topic>Pneumology</topic><topic>Thoracoscopy</topic><topic>Thoracotomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HEFFNER, John E</creatorcontrib><creatorcontrib>KLEIN, Jeffrey S</creatorcontrib><creatorcontrib>HAMPSON, Christopher</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HEFFNER, John E</au><au>KLEIN, Jeffrey S</au><au>HAMPSON, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interventional Management of Pleural Infections</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>136</volume><issue>4</issue><spage>1148</spage><epage>1159</epage><pages>1148-1159</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>Pleural infections represent an important group of disorders that is characterized by the invasion of pathogens into the pleural
space and the potential for rapid progression to frank empyema. Previous epidemiologic studies have indicated that empyema
is increasing in prevalence, which underscores the importance of urgent diagnosis and effective drainage to improve clinical
outcomes. Unfortunately, limited evidence exists to guide clinicians in selecting the ideal drainage intervention for a specific
patient because of the broad variation that exists in the intrapleural extent of infection, presence of locules, comorbid
features, respiratory status, and virulence of the underlying pathogen. Moreover, many patients experience delays in both
the recognition of infected pleural fluid and the initiation of appropriate measures to drain the pleural space. The present
review provides an update on the pathogenesis and interventional therapy of pleural infections with an emphasis on the unique
role of image-guided drainage with small-bore catheters.</abstract><cop>Northbrook, IL</cop><pub>American College of Chest Physicians</pub><pmid>19809058</pmid><doi>10.1378/chest.08-2956</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Chest, 2009-10, Vol.136 (4), p.1148-1159 |
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| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Cardiology. Vascular system Disease Progression Drainage Empyema - etiology Fibrinolytic Agents - therapeutic use Humans Medical sciences Pleural Effusion - classification Pleural Effusion - complications Pleural Effusion - therapy Pneumology Thoracoscopy Thoracotomy |
| title | Interventional Management of Pleural Infections |
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