Abstract
PURPOSE: Complicated parapneumonic effusion (CPE) and empyema thoracis are significant complications of pneumonia. There is ongoing debate regarding the best strategy to manage CPE and empyema thoracis, particularly regarding the role of intrapleural fibrinolysis and surgical intervention. Guideline on the management of complicated parapneumonic effusion have been published by the American College of Chest Physicians (ACCP), but it is not certain whether adherence to management guidelines will improve the outcomes of CPE and empyema thoracis.
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