PARAPNEUMONIC EFFUSION (PPE) DENGAN CONGESTIVE HEART FAILURE (CHF) PADA PASIEN YANG DI RAWAT DI BAGIAN JANTUNG

yulia helexandra

Abstract


ABSTRACT

Parapneumonic effusion (PPE) is a pleural effusion that results from infection with pneumonia (community-acquired pneumonia or nosocomial pneumonia). All patients with pneumonia should be evaluated for the presence or absence of PPE, and thoracentesis should be performed without delay if fluid levels are more than minimal and sufficient. Pleural fluid analysis will provide valuable diagnostic information and guide therapy management. Patients with CHF can develop PPE because CHF is a risk factor for pneumonia, due to the presence of fluid in the alveoli, thus inhibiting clearance of microbes and an increased risk of bacterial infection.

Keywords: Parapneumonic pleural effusion, Congestive Heart Failure,

 

ABSTRAK

Parapneumonic effusion (PPE) merupakan suatu efusi pleura yang timbul akibat dari infeksi pneumonia (community-acquired pneumoni maupun nosocomial pneumonia). Semua pasien dengan pneumonia harus dievaluasi ada tidaknya PPE, dan thoracentesis harus dilakukan tanpa penundaan jika jumlah cairan lebih dari minimal dan mencukupi. Analisis cairan pleura akan memberikan informasi diagnostik yang berharga dan sebagai  panduan dalam manajemen terapi. Pasien dengan CHF dapat terjadi PPE dikarenakan CHF merupakan faktor resiko terjadi nya pneumonia yang disebabkan terdapat nya cairan pada alveolus sehingga menghambat pembersihan dari mikroba dan peningkatan resiko infeksi bakteri.

Kata kunci : Parapneumonic pleural effusion, Congestive Heart Failure

Full Text:

PDF

References


Kamran Boka. (2018). Pleural Effusion. [Internet]. Medscape. [cited 8 February 2021]. Available from: https://emedicine.medscape.com/article/299959-overview

Light RW. (2013). Approach to the patient. In: Light RW, ed. Pleural Disease. 6th ed. philadelphia: Lippincott Williams & Wilkins, 128-139.

Sahn SA. (2007). Diagnosis and Management of Parapneumonic Effusions and Empyema. CIL : 45 : 1480-6.

Putu N, Pranita N. (2020). Diagnosis dan tatalaksana terbaru penyakit pleura. Wellness and healthy magazine. ;2(1):69–78.

Philip A. Masters. (2018). Pulmonary and Critical Care Medicine. Clinical Content Development Medical Education Division American College of Physicians. USA.

Ewingsa. (2009). Efusi Pleura. [Internet].Repository UI. Available from: http://repository.ui.ac.id/contents/ koleksi/11/efusipleura.pdf

Stephen Chapman. (2014). Oxford Handbook of Respiratory Medicine. third Edition. Oxford University, United States of America. 53: 343-59

Sato T. (2006). Different Diagnosis of Pleural Effusion. Japan Medical Association. 49 : 315-6

Martin Diaz E. (2002). Thoracentesis for the assessment of lung cancer with pleural effusion. Arch Bronconeumol, 38: 479-84.

McGrath E.E, Anderson P.B., (2011). Diagnosis of Pleural Effusiom: a Systemic Approach. American Journal of Critical Care. 20: 120-30.

Atikun Limsukon. (2018). Parapneumonic Pleural Effusions and Empyema Thoracis. [Internet]. Medscape. [cited 8 February 2021]. Available from: https://emedicine.medscape.com/article/298485-overview

Anil Mor, Reimar W. Thomsen, Sinna P. Ulrichsen, Henrik Toft Sørensen. (2013). Chronic heart failure and risk of hospitalization with pneumonia: A population-based study. Elsevier. 24 : 349–53




DOI: http://dx.doi.org/10.32883/hcj.v7i1.1567

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 HUMAN CARE JOURNAL
Published by Universitas Fort De Kock, Bukittinggi, Indonesia
© Human Care Journal  e-ISSN : 2528-665X P-ISSN : 2685-5798

View Human Care Journal Stats