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Clinical outcomes of indwelling pleural catheter-related pleural infections: an international multicenter study.

Authors
  • Fysh, Edward T H1
  • Tremblay, Alain2
  • Feller-Kopman, David3
  • Mishra, Eleanor K4
  • Slade, Mark5
  • Garske, Luke6
  • Clive, Amelia O7
  • Lamb, Carla8
  • Boshuizen, Rogier9
  • Ng, Benjamin J10
  • Rosenstengel, Andrew W11
  • Yarmus, Lonny3
  • Rahman, Najib M4
  • Maskell, Nick A7
  • Lee, Y C Gary12
  • 1 Pleural Diseases Unit, Sir Charles Gairdner Hospital, Perth, WA, Australia; Centre for Asthma, Allergy, and Respiratory Research, and the School of Medicine and Pharmacology, University of Western Australia, Perth, WA, Australia. , (Australia)
  • 2 Division of Respiratory Medicine, University of Calgary, Calgary, AB, Canada. , (Canada)
  • 3 Division of Pulmonary and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD.
  • 4 Oxford Respiratory Trials Unit, Churchill Hospital, Oxford, England.
  • 5 Department of Thoracic Oncology, Papworth Hospital, Cambridge, England.
  • 6 Princess Alexandra Hospital, Brisbane, QLD, Australia. , (Australia)
  • 7 Academic Respiratory Unit, School of Clinical Sciences, University of Bristol, Bristol, England.
  • 8 Lahey Clinic, Burlington, MA.
  • 9 Netherlands Cancer Institute, Amsterdam, The Netherlands. , (Netherlands)
  • 10 Nepean Hospital Lung Cancer Multidisciplinary Group, Sydney, NSW, Australia. , (Australia)
  • 11 Pleural Diseases Unit, Sir Charles Gairdner Hospital, Perth, WA, Australia. , (Australia)
  • 12 Pleural Diseases Unit, Sir Charles Gairdner Hospital, Perth, WA, Australia; Centre for Asthma, Allergy, and Respiratory Research, and the School of Medicine and Pharmacology, University of Western Australia, Perth, WA, Australia. Electronic address: [email protected] , (Australia)
Type
Published Article
Journal
CHEST Journal
Publisher
Elsevier
Publication Date
November 2013
Volume
144
Issue
5
Pages
1597–1602
Identifiers
DOI: 10.1378/chest.12-3103
PMID: 23828305
Source
Medline
License
Unknown

Abstract

The incidence of IPC-related pleural infection was low. The overall mortality risk from pleural infection in patients treated with IPC was only 0.29%. Antibiotics should cover S aureus and gram-negative organisms until microbiology is confirmed. Postinfection pleurodesis is common and often allows removal of IPC. Heterogeneity in management is common, and future studies to define the optimal treatment strategies are needed.

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