علاج الدَّبيلة الجنبية في العدوى المكتسبة من المجتمع مع تاريخ حساسية من البنسلين

References

DOI: 10.1183/20734735.0146-2023

1. In the community-acquired infection setting, treatment should target both Gram-positive aerobes and anaerobes until results of cultures become available.
2. For patients that are penicillin-allergic, clindamycin alone, or in combination with ciprofloxacin or a cephalosporin, is likely to provide a good alternative.
3. Immediate management with intercostal drainage is recommended.
4. Current British Thoracic Society guidelines recommend stepping down from intravenous to oral antibiotics when there has been "clinical improvement", which is defined as cessation of pyrexia, resolution of inflammatory markers, and radiological improvement.
5. Usually, 5–7 days of intravenous antibiotics are sufficient to achieve these criteria in most cases.