[The management of complicated parapneumonic effusions in France]. / Prise en charge des épanchements parapneumoniques compliqués : état des lieux des pratiques en France.
Rev Mal Respir
; 32(9): 936-40, 2015 Nov.
Article
en Fr
| MEDLINE
| ID: mdl-25725981
ABSTRACT
INTRODUCTION:
There are no French guidelines for the management of complicated parapneumonic effusions. A national observational study was carried out to assess the main features of current clinical practice for this condition. MATERIAL ANDMETHODS:
A questionnaire was sent by email to the 1500 members of the Société de Pneumologie de Langue Française (SPLF) between 15th November and 15th December 2012.RESULTS:
There were 92 responders, i.e. a response rate of 6%. Of these, 87 physicians mentioned that they were involved in the management of patients with complicated parapneumonic effusions with a median number of cases of 10 per year (IQR 5-20). Chest tube drainage was the main approach used for pleural fluid aspiration (n=51/87), followed by repeated thoracentesis (n=29/87) and early surgery (1/87). Five physicians answered both chest tube drainage or repeated thoracentesis and one physician either chest tube drainage or early surgery. Pleural fibrinolytics were never used by 20% of physicians, only in case of loculations by 70% and by 10% of respondents in all cases. Only 3 physicians combined fibrinolytics with DNAse. A double antibiotic dose was used by one third of physicians. All the physicians used respiratory physiotherapy during hospitalization and to aid recovery. Follow-up practices were heterogeneous.CONCLUSIONS:
The management of complicated parapneumonic effusions varies significantly in France. National guidelines may be helpful to define best practice and aid in its implementation.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Derrame Pleural
/
Pautas de la Práctica en Medicina
Tipo de estudio:
Guideline
/
Observational_studies
/
Qualitative_research
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
Fr
Revista:
Rev Mal Respir
Año:
2015
Tipo del documento:
Article
Pais de publicación:
FR
/
FRANCE
/
FRANCIA
/
FRANÇA