Rewriting Thoracic Infection: Legacy of the World War I Empyema Commission.

Key Points

• This commentary explores the transformation in thoracic infection management initiated by the World War I Empyema Commission.
• Review of historical changes in thoracic infection treatment methods proposed by the Empyema Commission.
• Examination of the shift from open drainage to closed drainage techniques and their implications for patient care.
• Mortality rates from thoracic infections significantly decreased following the implementation of new management strategies.
• Principles established by the Commission continue to influence current treatment protocols for pleural disease in both military and civilian healthcare.