Evidence map›Paper›PMID 40095674›Full record

ReviewJournal of clinical medicine2025

Pleural Infection: Diagnosis, Management, and Future Directions.

Catharine Pearce, Adele Crapnell, Eihab O Bedawi, Najib M Rahman, John P Corcoran

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Catharine PearceInterventional Pulmonology Service, Department of Respiratory Medicine, University Hospitals Plymouth NHS Trust, Plymouth PL6 8DH, UK.ORCID 0009-0009-3345-8134
Adele CrapnellInterventional Pulmonology Service, Department of Respiratory Medicine, University Hospitals Plymouth NHS Trust, Plymouth PL6 8DH, UK.
Eihab O BedawiDepartment of Respiratory Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2JF, UK.ORCID 0000-0001-9196-3934
Najib M RahmanUniversity of Oxford Respiratory Trials Unit, Churchill Hospital, Oxford OX3 7LE, UK.
John P CorcoranAcademic Department of Respiratory Medicine, Royal Devon and Exeter Hospital, Exeter EX2 5DW, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pleural infection represents a significant and ongoing challenge for patients, clinicians, and healthcare providers given the morbidity and mortality associated with this condition. Whilst our understanding of how pleural infection develops and how it should be treated has improved considerably over the past couple of decades, this has yet to translate into a meaningful positive impact on key outcomes. Making the diagnosis of pleural infection is not always straightforward, and the long-standing belief that it always occurs as a complication of lung parenchymal infection is being increasingly recognised as incorrect. Identifying the causative organism(s) is equally uncertain, with almost half of cases of pleural infection proving to be culture negative using traditional methods. Whilst we are now able to determine which patients are more likely to have a poor outcome from their pleural infection at the time of diagnosis, how this should affect their treatment pathway-including the role of more invasive strategies such as surgery or intrapleural enzyme therapy-is not yet known. This review article aims to summarise the existing evidence base and best clinical practice for the non-specialist, whilst highlighting recent research which has or will change the way we manage pleural infection, as well as those areas where further studies are still needed.

Indexed as

empyemaintrapleural fibrinolyticsparapneumonic effusionpleural infection

Identifiers

PMID40095674
PMCPMC11899816

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.