Uncomplicated parapneumonic effusion
Generally resolves with treatment of pneumonia and does not require modification of pneumonia therapy
Complicated parapneumonic effusion
Light’s criteria for exudative effusions
Uncomplicated Parapneumonic Effusion
Complicated Parapneumonic Effusion
Community Acquired Organisms
Hospital Acquired Organisms
Guideline originally sourced from Island Health and adapted by Joseph Brant Hospital
Shen KR, et al. The American Association for Thoracic Surgery consensus guidelines for the management of empyema. J Thorac Cardiovasc Surg 2017;153:e129–e146.
Colice GL, Curtis A, Deslauriers J, et al. Medical and surgical treatment of parapneumonic effusions: an evidence-based guideline. Chest 2000;118:1158-71.
Sinai Health System & UHN Antimicrobial Stewardship Programs. Empyema Treatment Guideline. (No Date) Accessed April 2020 from: www.antimicrobialstewardship.com/empyema
The Johns Hopkins University (2020) John Hopkins ABX Guide (1.27) [Mobile App] Retrieved from: www.hopkinsguides.com
Antimicrobial Therapy Inc (2020) The Sanford Guide (4.2) [Mobile App] Retrieved from: www.sanfordguide.com/
Approval & Revision Dates
Approved: April 2020