STUDY OF THE CLINNICAL CHARACTERISTICS AND OUTCOMES OF EXUDATIVE PLEURAL EFFUSION: IMPROVING CLINICAL DECISION MAKING IN RESOURCE LIMITED SETTING

• DOI: 10.3126/saarctb.v14i1.17727
• Publication Date: 2017-07-12T08:25:15Z
• Authors: Deebya Raj Mishra; N Bhatta; P Koirala; RH Ghimire; B Bista; N Shah
• Keywords: Parapneumonic effusion

Introduction: In the background of resource limited setting like Nepal, we set out to identify if specific clinical characteristics and basic lab parameters would guide differentiation Tuberculous from other causes exudative pleural effusion.Methodology: Retrospective study 109 consecutive patients with effusion.Results: Compared Tubercular effusions (41.3%), increased age, duration symptom pack years statistically favoured a diagnosis Malignant effusion(21.1%), whereas presence fever, cough ADA levels effusions. With regards Parapneumonic (26.6%), shorter symptom, smaller effusions, higher Neutrophils, lower lymphocyte neutrophil ratio as compared effusions.Conclusions: The appreciation important biochemical differences between major aids in improved decision making minimal resources settings ours.SAARC J TUBER LUNG DIS HIV/AIDS, 2017; XIV(1), page: 33-39