Clinical Profile and Management of Empyema Thoracis: Experience from Eastern Nepal

• DOI: 10.3126/saarctb.v16i1.23242
• Publication Date: 2019-03-27T12:21:51Z
• Authors: D.R. Mishra; N. Bhatta; P. Koirala; R.H. Ghimire; B. Bista; N.A. Shah
• Keywords: Etiology; Pleural cavity

Introduction: The management of Empyema Thoracis is challenging. It requires specialist medical and surgical care at the same time. There are lack data regarding clinical profile steps day to management, hence this study aims identify these parameters focus on gaps in that commonplace our setting representative other resource limited settings as well.
 Methods: Clinical profile, etiological agents, hospital course outcome 30 patients with empyema thoracis treated from 2012 2014 B.P. Koirala Institute Health Sciences was analyzed. All were diagnosed basis aspiration frank pus pleural cavity.
 Results: 28 cases (93.3%) Male mean age 42.07±18.28 years. 73.3% Right sided 60% classified medium sized 40% small sized. smokers. 80% case bacterial infection whereas 20% presumed tubercular responded treatment. Fever commonest presentation followed by shortness breath (66.7%), cough (60%), chest pain (53.3%) sputum production (20%). On investigation, pH not measured fear clogging ABG machine. Pleural fluid glucose below 40 mg/dl all cases. median ADA value 54.30 (15-350) higher than U/l 10 non-tubercular empyema. managed Chest tube insertion antibiotics. Four had be referred for BPF closure five decortications. In requiring decortications, a “pleural peel” could identified Xrays. Since being different units ascertained.
 Conclusion: starts inappropriate early treatment, inadequate diagnostic facilities, delayed referral appropriate intervention. factors combine increased morbidity mortality associated thoracis.