Medical thoracoscopy versus intrapleural fibrinolytic therapy in complicated parapneumonic effusion and empyema
نویسندگان
چکیده
منابع مشابه
Intrapleural therapy in management of complicated parapneumonic effusions and empyema
Empyema thoracis causes high mortality, and its incidence is increasing in both children and adults. Parapneumonic effusions (PPEs) develop in about one-half of patients hospitalized with pneumonia, and their presence increases mortality by about four-fold. PPEs can be divided into simple PPEs, complicated PPEs, and frank empyema. Two guideline statements on the management of PPEs in adults hav...
متن کاملComplicated parapneumonic effusion and empyema in children.
BACKGROUND AND PURPOSE Parapneumonic effusion and empyema are recognized complications of bacterial pneumonia. Optimal management in children, especially the duration of parenteral antibiotics and the role of surgery, is controversial. This study analyzed the clinical characteristics, management, outcome, and bacterial etiology of 59 patients with complicated parapneumonic effusion and empyema ...
متن کاملTreatment of complicated parapneumonic pleural effusion and pleural parapneumonic empyema
BACKGROUND We performed this observational prospective study to evaluate the results of the application of a diagnostic and therapeutic algorithm for complicated parapneumonic pleural effusion (CPPE) and pleural parapneumonic empyema (PPE). MATERIAL/METHODS From 2001 to 2007, 210 patients with CPPE and PPE were confirmed through thoracocentesis and treated with pleural drainage tubes (PD), fi...
متن کاملIntrapleural fibrinolytic agents for empyema and complicated parapneumonic effusions: a meta-analysis.
BACKGROUND Randomized controlled trials have shown conflicting findings about the role of intrapleural fibrinolytic therapy for the treatment of empyema and complicated parapneumonic effusions in adult patients. OBJECTIVES To assess the clinical efficacy and summarize the current evidence of intrapleural fibrinolytic use in patients with empyema and complicated parapneumonic effusions in adul...
متن کاملUpdate on the role of intrapleural fibrinolytic therapy in the management of complicated parapneumonic effusions and empyema.
A parapneumonic effusion is the collection of exudative fluid in the pleural space associated with a concurrent pulmonary infection. Parapneumonic effusions account for approximately one-third of all effusions, and about 40% of patients with pneumonia develop a concomitant effusion. Patients with pneumonia who develop an effusion have an increased risk of morbidity and mortality. Some of the ex...
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ژورنال
عنوان ژورنال: Egyptian Journal of Chest Diseases and Tuberculosis
سال: 2014
ISSN: 0422-7638
DOI: 10.1016/j.ejcdt.2014.05.004