DIAGNOSIS DAN PENATALAKSANAN EMPIEMA

Hafis Herdiman

Abstract


Empiema merupakan salah satu infeksi pleura yang terjadi akibat kumpulan cairan eksudatif (pus) di rongga pleura. Secara epidemiologi, insidensi empyema meningkat pada anak dan dewasa. Empyema dapat disebabkan oleh infeksi paru, prosedur operasi, trauma, pneumotoraks spontan, torakosintesis, dan septikemia. Cairan pleura terakumulasi ketika laju pembentukannya melebihi laju absorpsi. Selain dari gejala klinis, diagnosis ditegakkan dengan menggunakan pemeriksaan cairan pleura, baik secara makroskopis dan mikroskopis, dan CT-scan.  Tatalaksana bertujuan untuk mengembalikan fungsi respirasi normal dan fungsi pengembangan paru dengan pemberian oksigen, pemberian cairan dan terapi awal meliputi antipiretik, analgesik dan antibiotik dan kemudian dilakukan drainase dengan menggunakan kateter, torakotomi terbuka atau menggunakan VATS.

 

Kata kunci: empyema, infeksi pleura, pemeriksaan cairan pleura, drainase pleura

 


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References


Ahmed, A. E. H., & Yacoub, T. E. (2010). Clinical Medicine Insights : Circulatory , Respiratory and Pulmonary Medicine. Respiratory and Pulmonary Medicine, 1–8.

Froudarakis, Μ. E., & Bouros, D. (2013). Management of Pleural Empyema : Don ’ t Miss the Point ! Respiration, 277–279. https://doi.org/10.1159/000353555

Gautam, A., Wiseman, G. G., Goodman, M. L., Ahmedpour, S., Lindsay, D., Heyer, A., … White, A. V. (2018). Paediatric thoracic empyema in the tropical North Queensland region of Australia : Epidemiological trends over a decade. Journal of Paediatric and Child Health, 1–6. https://doi.org/10.1111/jpc.13853

Grijalva, C. G., Zhu, Y., Nuorti, J. P., & Griffin, M. R. (2011). Emergence of parapneumonic empyema in the USA. Emergence, (66), 663–668. https://doi.org/10.1136/thx.2010.156406

Gupta DK, S. S. (2005). Management of empyema - Role of a surgeon. Journal of Indian Association of Pediatric Surgeons, 10(3), 142–146.

Hasan H, A. D. (2018). Empiema. Jurnal Respirasi, 4(1), 26–32.

Hilliard TN, Henderson AJ, L. H. S. (2019). Management of parapneumonic effusion and empyema. Archives of Disease in Childhood, 88(10), 915–917.

Hospital, P., Ospedaliero, A., Pisana, U., Hospital, E., Vermelha, H. C., Hospital, C. F., & Everard, P. (2015). EACTS expert consensus statement for surgical management of pleural empyema. European Journal of Cardio-Thoracic Surgery Advance, 1–12. https://doi.org/10.1093/ejcts/ezv272

Indonesia, P. D. P. (n.d.). PENGURUS PUSAT PANDUAN PRAKTIK KLINIK ( PPK ), (19).

Lai, S., Lin, C., & Liao, K. (2017). Population-based cohort study investigating the correlation of diabetes mellitus with pleural empyema in adults in Taiwan. Medicine, 36(March).

Lansley, S. M., & Waterer, G. W. (2010). Empyema thoracis: new insights into an old disease. Eur Resp Rev, 19(117), 220–228. https://doi.org/10.1183/09059180.00005610

Liese, J. G., Schoen, C., Linden, M. Van Der, Lehmann, L., Goettler, D., Keller, S., … Streng, A. (2019). Changes in the incidence and bacterial aetiology of paediatric parapneumonic pleural effusions / empyema in Germany , 2010 e 2017 : a nationwide surveillance study. Clinical Microbiology and Infection, 25(7), 857–864. https://doi.org/10.1016/j.cmi.2018.10.020

Light RW. (2013). Pleural Disease (6th ed.). Philadelphia: Williams & Willkins.

Light RW, L. Y. (2016). Textbook of Pleural Disease (3rd ed.). Boca Raton: Taylor and Francis Group.

Maskell NA, Laursen CB, Lee GYC, R. N. (2020). Pleural Disease. European Respiratory Society.

McCallum A, B. A. (2010). What are appropriate empiric antibiotics for empyema? International Child Health Review Collaboration, 1(1), 1–5.

Mccauley, L., & Dean, N. (2015). Pneumonia and empyema : causal , casual or unknown. Journal of Thoracic Disease, 2(6), 992–998. https://doi.org/10.3978/j.issn.2072-1439.2015.04.36

Nayak R, Brogly SB, Lajkosz K, Lougheed MD, P. D. (2020). Two Decades of Thoracic Empyema in Ontario , Canada. Chest, (May), 1114–1116. https://doi.org/10.1016/j.chest.2019.11.040

Pahissa, A. (2013). The increasing incidence of empyema. Pulmonary Medicine, 19(4), 350–356. https://doi.org/10.1097/MCP.0b013e3283606ab5

Periasamy, A. V. (2017). Outcome and mortality analysis in complicated parapneumonic effusion and empyema. International Journal of Clinical Trials, 4(4), 176–183.

Saleem, A. F., Shaikh, A. S., Khan, R. S., Khan, F., Faruque, A. V., Arif, M., & Khan, M. (2014). Empyema Thoracis in Children : Clinical Presentation , Management and Complications. Journal of the College of Physicians and Surgeons Pakista, 24(8), 573–576.

Shen, K. R., Bribriesco, A., Crabtree, T., Eby, J., Eiken, P., Jones, D. R., … Paul, S. (2017). AATS Consensus Guidelines for Management of Empyema. The Journal of Thoracic and Cardiovascular Surgery. https://doi.org/10.1016/j.jtcvs.2017.01.030

Singh, S., Bargaje, M. D., & Deoskar, R. B. (2017). Clinical Profile of Parapneumonic Effusion and Empyema at a Tertiary Center in Western India -“Changing Behavior of Microorganisms in Superbug Era. Journal of Pulmonary Medicine, 3(67), 1–6.

Tsai, Y., Gamper, N., Huang, T., & Lee, S. (2019). Predictors and Clinical Outcomes in Empyema Thoracis Patients Presenting to the Emergency Department Undergoing Video-Assisted Thoracoscopic Surgery. Journal of Clinical Medicine.

Tsang, K. Y., & Lin, A. W. L. (2007). Complicated parapneumonic effusion and empyema thoracis : microbiology and predictors of adverse outcomes. Hong Kong Medical Journal, 13(3), 178–186.




DOI: http://dx.doi.org/10.32883/hcj.v7i1.1569

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