Management of Empyema Thoracis in Low-Resource Settings

被引：1

作者：

Bekele, Abebe ^{[1
,2
]}

Alayande, Barnabas Tobi ^{[1
,3
]}

机构：

[1] Univ Global Hlth Equ Kigali Hts, Plot 772,KG 7 Ave,5th Floor,POB 6955, Kigali, Rwanda

[2] Addis Ababa Univ, Sch Med, Addis Ababa, Ethiopia

[3] Harvard Med Sch, Program Global Surg & Social Change, Boston, MA 02115 USA

来源：

THORACIC SURGERY CLINICS | 2022年 / 32卷 / 03期

关键词：

Empyema thoracis (thoracic empyema); Low-resource settings (LRS); Chest tube; Thoracotomy; Decortication; PLEURAL EFFUSIONS; STATEMENT;

D O I：

10.1016/j.thorsurg.2022.02.004

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Most cases of empyema thoracis are sequelae of severe pneumonia, but chest trauma and complications of chest tube insertion as cause are not uncommon in low-resource settings. Diagnosis is usually delayed due to delayed presentation to health care facilities, low index of suspicion among health care professionals, and inability to properly stage the disease with the available diagnostic tools. Early use of antibiotics and appropriate-sized and well-placed chest tube drainage is associated with good outcomes at a decreased cost. Surgical management of empyema thoracis is indicated when chest tube drainage and antibiotic treatment fail to achieve complete resolution. Copyright © 2022 Elsevier Inc. All rights reserved.

引用

页码：361 / 372

页数：12

共 38 条

[1] EMPYEMA OF THE THORAX IN ADULTS - ETIOLOGY, MICROBIOLOGIC FINDINGS, AND MANAGEMENT [J].

ALFAGEME, I ;

MUNOZ, F ;

PENA, N ;

UMBRIA, S .

CHEST, 1993, 103 (03) :839-843

[2]

ANDREWS NC, 1962, AM REV RESPIR DIS, V85, P935

[3]

[Anonymous], 1997, J PEDIATR SURG

[4]

[Anonymous], INTR US TISS PLASM A, DOI [10.1056/NEJMoa1012740., DOI 10.1056/NEJMOA1012740]

[5]

[Anonymous], CHEST TUB INS, DOI [10.1056/nejmvcm071974, DOI 10.1056/NEJMVCM071974]

[6]

Ayad S., 2021, EUR J CASE REP INTER, V8, P002706, DOI [10.12890/2021_002706, DOI 10.12890/2021_002706]

[7] Epidemiology and prognostic factors of pleural empyema [J].

Bobbio, Antonio ;

Bouam, Samir ;

Frenkiel, Jerome ;

Zarca, Kevin ;

Fournel, Ludovic ;

Canny, Emelyne ;

Icard, Philippe ;

Porcher, Raphael ;

Alifano, Marco .

THORAX, 2021, 76 (11) :1117-1123

[8] The increasing incidence of empyema [J].

Burgos, Joaquin ;

Falco, Vicenc ;

Pahissa, Albert .

CURRENT OPINION IN PULMONARY MEDICINE, 2013, 19 (04) :350-356

[9] A systematic review of comorbidities and outcomes of adult patients with pleural infection [J].

Cargill, Tamsin N. ;

Hassan, Maged ;

Corcoran, John P. ;

Harriss, Elinor ;

Asciak, Rachelle ;

Mercer, Rachel M. ;

McCracken, David J. ;

Bedawi, Eihab O. ;

Rahman, Najib M. .

EUROPEAN RESPIRATORY JOURNAL, 2019, 54 (03)

[10] Pleura space anatomy [J].

Charalampidis, Charalampos ;

Youroukou, Andrianna ;

Lazaridis, George ;

Baka, Sofia ;

Mpoukovinas, Ioannis ;

Karavasilis, Vasilis ;

Kioumis, Ioannis ;

Pitsiou, Georgia ;

Papaiwannou, Antonis ;

Karavergou, Anastasia ;

Tsakiridis, Kosmas ;

Katsikogiannis, Nikolaos ;

Sarika, Eirini ;

Kapanidis, Konstantinos ;

Sakkas, Leonidas ;

Korantzis, Ipokratis ;

Lampaki, Sofia ;

Zarogoulidis, Konstantinos ;

Zarogoulidis, Paul .

JOURNAL OF THORACIC DISEASE, 2015, 7 :S27-S32

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