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    Contemporary surgical management of thoracic empyema

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    Authors
    Makdisi, Tony
    Makdisi, George
    UMass Chan Affiliations
    Department of Medicine, Division of Hospital Medicine
    Document Type
    Editorial
    Publication Date
    2018-09-01
    Keywords
    Bacterial Infections and Mycoses
    Diagnosis
    Pathological Conditions, Signs and Symptoms
    Respiratory Tract Diseases
    Surgery
    Surgical Procedures, Operative
    Therapeutics
    
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186646/
    Abstract
    In the USA, one million patients diagnosed with pneumonia are admitted each year and among these, 32,000 patients develop empyema (1,2). Empyema is associated with a high morbidity and mortality (2,3). Empyema was first described by Hippocrates 2,400 years ago. He also performed the first pleural drainage when he created a burr hole to drain the infected fluids and performed daily irrigation (4). Thoracic empyema is defined as either presence of bacterial organisms and/or presence of grossly purulent fluid in the pleural cavity. A positive culture is not required for diagnosis of patients previously on antibiotics. As well, in the case when a sampling was taken of the inflammatory fluid from around the infected empyema fluid, or in anaerobic bacterial infections which are difficult to be cultured.
    Source

    J Thorac Dis. 2018 Sep;10(Suppl 26):S3069-S3070. doi: 10.21037/jtd.2018.08.55. Link to article on publisher's site

    DOI
    10.21037/jtd.2018.08.55
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/40796
    PubMed ID
    30370082
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.21037/jtd.2018.08.55
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