Intrapleural Streptokinase in the Management of Pleural Empyema
نویسنده
چکیده
thoracic surgery with poor prognosis unless treated properly. It can cause sepsis and other complications which may increase morbidity and mortality. The treatment of choices in pleural empyema are thoracentesis, intercostal tube or pleural catheter drainage, video-assisted thoracic surgery (VATS) and open surgery (1, 2). Tube drainage often fails if the empyema is loculated with fibrinous adhesions, hence surgical treatment becomes necessary. Enzymatic debridement using intrapleural instillation of streptokinase is a minimally invasive option for loculated empyema and an alternative approach to surgery.
منابع مشابه
A study of empyema thoracis and role of intrapleural streptokinase in its management
BACKGROUND Clinical spectrum, microbiology and outcome of empyema thoracis are changing. Intrapleural instillation of fibrinolytic agents is being increasingly used for management of empyema thoracis. The present study was carried out to describe the clinical profile and outcome of patients with empyema thoracis including those with chronic empyema and to study the efficacy and safety of intrap...
متن کاملNon surgical treatment of empyema thoracis with intrapleural streptokinase in a patient with AIDS.
After unsuccessful treatment with intercostal tube drainage and antibiotics intrapleural streptokinase was used to treat successfully an empyema in a man with AIDS and advanced cutaneous Kaposi's sarcoma who was unfit for surgical decortication. The role of this technique in the management of HIV positive patients with empyema is discussed.
متن کاملAnalysis of Outcome of Intraplueral Streptokinase in Pediatric Empyema Thoracis even in Advanced Stages: A Prospective Study
BACKGROUND Empyema thoracis in children causes significant morbidity. Standard treatment of Empyema thoracis includes tube drainage and antibiotics. But the tube drainage often fails. Intrapleural Streptokinase has been used in empyema thoracis with good success rate. OBJECTIVES We evaluated the efficacy of intra-pleural Streptokinase in management of empyema thoracis even in advanced stages....
متن کاملIntrapleural streptokinase in the management of empyema.
BACKGROUND Significant morbidity and mortality result from the ineffective evacuation of empyema. Failure of conventional first line treatment with closed intercostal tube drainage and antibiotic therapy may result in fibrin deposition and loculated empyema. Enzymatic debridement using intrapleural instillation of streptokinase is a non-invasive therapeutic option which may obviate the need for...
متن کاملEmpyema Thoracis
Epmyema thoracis is associated with high mortality ranging between 6% to 24%. The incidence of empyema is increasing in both children and adults; the cause of this surge is unknown. Most cases of empyema complicate community- or hospital-acquired pneumonia but a proportion results from iatrogenic causes or develops without pneumonia. Parapneumonic effusions (PPE) develop in about one half of th...
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