Diagnosis of pleural infection: state-of-the-art

被引：0

作者：

Tobin, Claire L. ^{[2
]}

Porcel, Jose M. ^{[3
]}

Wrightson, John M. ^{[4
,5
]}

Waterer, Grant W. ^{[6
]}

Light, Richard W. ^{[7
]}

Lee, Y. C. Gary ^{[1
]}

机构：

[1] Univ Dept Med, 4-F,G Block,QE 2 Med Ctr, Perth, WA 6009, Australia

[2] Sir Charles Gairdner Hosp, Resp Med Dept, Nedlands, WA 6009, Australia

[3] Arnau Vilanova Univ Hosp, Inst Recerca Biomed Lleida, Dept Internal Med, Pleural Dis Unit, Lleida, Spain

[4] Churchill Hosp, Oxford Ctr Resp Med, Oxford Pleural Unit, Oxford, England

[5] Univ Oxford, NIHR Oxford Biomed Res Ctr, Oxford, England

[6] Univ Western Australia M570, Royal Perth Hosp Unit, Sch Med & Pharmacol, Crawley, WA 6009, Australia

[7] Vanderbilt Univ, Nashville, TN 37235 USA

来源：

CURRENT PULMONOLOGY REPORTS | 2012年 / 1卷 / 02期

关键词：

Pleural infection; Empyema; Pneumonia; Pneumococcus; Procalcitonin; pH; Culture;

D O I：

10.1007/s13665-012-0011-3

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Pleural infection remains a major healthcare problem in the 21st century. It is responsible for significant morbidity and mortality in both adults and children across developed as well as developing countries. Its incidence continues to rise globally despite the introduction of the pneumococcal conjugate vaccine in 2000 and modern advances in medical care. The pathobiology of empyema remains relatively poorly understood and its changing bacteriology over time is important to recognize as it is likely to have future implications in terms of patient management, outcome, and healthcare costs. Many questions still remain regarding the diagnosis and management of pleural infection. This paper reviews current data on biomarkers, bacterial tests, and imaging modalities, in addition to discussing potential future directions on research in the field.

引用

页码：101 / 110

页数：10

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