NDLI: Les épanchements pleuraux parapneumoniques: épidémiologie, diagnostic, classification, traitement.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Letheulle, J. Kerjouan, M. Bénézit, F. De Latour, B. Tattevin, P. Piau, C. Léna, H. Desrues, B. Le Tulzo, Y. Jouneau, S.
Description	Author Affiliation: Letheulle J ( Service de maladies infectieuses et réanimation médicale, hôpital Pontchaillou, université de Rennes 1, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France. Electronic address: julien.letheulle@chu-rennes.fr.); Kerjouan M ( Service de pneumologie, hôpital Pontchaillou, université de Rennes 1, 35033 Rennes cedex 9, France.); Bénézit F ( Service de pneumologie, hôpital Pontchaillou, université de Rennes 1, 35033 Rennes cedex 9, France.); De Latour B ( Service de chirurgie thoracique, hôpital Pontchaillou, université de Rennes 1, 35033 Rennes cedex 9, France.); Tattevin P ( Service de maladies infectieuses et réanimation médicale, hôpital Pontchaillou, université de Rennes 1, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.); Piau C ( Laboratoire de bactériologie, hôpital Pontchaillou, université de Rennes 1, 35033 Rennes cedex 9, France.); Léna H ( Service de pneumologie, hôpital Pontchaillou, université de Rennes 1, 35033 Rennes cedex 9, France.); Desrues B ( Service de pneumologie, hôpital Pontchaillou, université de Rennes 1, 35033 Rennes cedex 9, France.); Le Tulzo Y ( Service de maladies infectieuses et réanimation médicale, hôpital Pontchaillou, université de Rennes 1, 2, rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.); Jouneau S ( Service de pneumologie, hôpital Pontchaillou, université de Rennes 1, 35033 Rennes cedex 9, France)
Abstract	Parapneumonic pleural effusions represent the main cause of pleural infections. Their incidence is constantly increasing. Although by definition they are considered to be a 'parapneumonic' phenomenon, the microbial epidemiology of these effusions differs from pneumonia with a higher prevalence of anaerobic bacteria. The first thoracentesis is the most important diagnostic stage because it allows for a distinction between complicated and non-complicated parapneumonic effusions. Only complicated parapneumonic effusions need to be drained. Therapeutic evacuation modalities include repeated therapeutic thoracentesis, chest tube drainage or thoracic surgery. The choice of the first-line evacuation treatment is still controversial and there are few prospective controlled studies. The effectiveness of fibrinolytic agents is not established except when they are combined with DNase. Antibiotics are mandatory; they should be initiated as quickly as possible and should be active against anaerobic bacteria except for in the context of pneumococcal infections. There are few data on the use of chest physiotherapy, which remains widely used. Mortality is still high and is influenced by underlying comorbidities.
File Format	HTM / HTML
ISSN	07618425
Issue Number	4
Volume Number	32
e-ISSN	17762588
Journal	Revue des Maladies Respiratoires
Language	French
Publisher	Elsevier
Publisher Date	2015-04-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Discipline Pulmonary Medicine Pleural Effusion Disease Management Drainage Methods Humans Classification Diagnosis Epidemiology Therapy Thoracentesis English Abstract Journal Article Review
Alternative Title	Parapneumonic pleural effusions: Epidemiology, diagnosis, classification and management
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in