Immediate drainage is not required for all patients with complicated parapneumonic effusions.

@article{Berger1990ImmediateDI,
  title={Immediate drainage is not required for all patients with complicated parapneumonic effusions.},
  author={Herbert A Berger and Melvin L. Morganroth},
  journal={Chest},
  year={1990},
  volume={97 3},
  pages={731-5}
}
We retrospectively investigated if the clinical course of complicated parapneumonic effusions was altered by treatment with immediate drainage plus antibiotics vs antibiotics alone. The two groups of patients had no significant differences in age, duration of symptoms prior to hospitalization, initial maximum temperature, WBC count, or characteristics of the pleural fluid. There were no differences in the duration of hospitalization, fever, elevated WBC count, intravenous antibiotic therapy, or… CONTINUE READING
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