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<title lang=en>Prise en charge des épanchements parapneumoniques compliqués : état des lieux des pratiques en France [The management of complicated parapneumonic effusions in France.]</title>
<creator>Bénézit, F.</creator>
<creator>Letheulle, J.</creator>
<creator>Kerjouan, M.</creator>
<creator>Desrues, B.</creator>
<creator>Jouneau, S.</creator>
<contributor>Service de pneumologie ; Hôpital Pontchaillou - CHU Pontchaillou [Rennes]</contributor>
<contributor>Service de réanimation médicale ; Hôpital Pontchaillou</contributor>
<contributor>Service de pneumologie ; Université de Rennes 1 (UR1) - CHU Pontchaillou [Rennes]</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<description>International audience</description>
<source>Revue Des Maladies Respiratoires</source>
<identifier>hal-01146851</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01146851</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01146851</source>
<source>Revue Des Maladies Respiratoires, 2015, 32 (9), pp.936-940. 〈10.1016/j.rmr.2015.01.001〉</source>
<identifier>DOI : 10.1016/j.rmr.2015.01.001</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.rmr.2015.01.001</relation>
<identifier>PUBMED : 25725981</identifier>
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<language>en</language>
<subject>[SDV] Life Sciences [q-bio]</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>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 AND METHODS: 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.</description>
<date>2015</date>
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