Pleural infection is a term broadly used to describe the presence of bacteria within the pleural space, often encompassing conditions like complicated parapneumonic effusion (CPPE) and empyema.
Understanding Pleural Infection
Pleural infection indicates that bacteria are present in the space between the lung and the chest wall (pleural space). This can lead to a variety of complications if left untreated. According to provided reference, "Pleural infection" is a term used to encompass CPPE and empyema, referring to the likely presence of bacteria in the pleural space.
Key Components: CPPE and Empyema
- Complicated Parapneumonic Effusion (CPPE): A buildup of fluid in the pleural space associated with pneumonia. It's considered "complicated" when the fluid has characteristics that suggest infection, such as a low pH, low glucose level, and the presence of bacteria.
- Empyema: A collection of pus in the pleural space. This is a more advanced stage of pleural infection and typically requires more aggressive treatment.
Factors Indicating Pleural Infection:
- Presence of bacteria in the pleural fluid
- Low pH of the pleural fluid
- Low glucose level of the pleural fluid
Treatment Considerations
Effective management of pleural infection often involves a combination of approaches, including:
- Antibiotics: To combat the bacterial infection.
- Drainage: Removing the infected fluid from the pleural space, usually via a chest tube.
- Surgery: In more severe cases, surgery may be necessary to remove thickened pleural tissue or address persistent infection.
