An Urgent Problem of Aerobic Gram-Negative Pathogen Infection in Complicated Parapneumonic Effusions or Empyemas
نویسندگان
چکیده
منابع مشابه
Fibrinolytics in parapneumonic effusions/empyemas.
We read with interest the point/counterpoint debate by Drs Corcoran, Rahman, Colice, and Idell in CHEST (January 2014) 1 4 regarding thrombolytics in parapneumonic eff usions (PPEs)/empyemas. We have treated . 400 patients with PPEs and empyemas with intrapleural tissue plasminogen activator (tPA), and only four patients with chronic empyema needed decortication. We published two articles; one ...
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BACKGROUND Standard treatment for pleural infection includes catheter drainage and antibiotics. Tube drainage often fails if the fluid is loculated by fibrinous adhesions when surgical drainage is needed. Streptokinase may aid the process of pleural drainage, but there have been no controlled trials to assess its efficacy. METHODS Twenty four patients with infected community acquired parapneu...
متن کاملThoracoscopic Management of Complicated Parapneumonic Effusions in Young Children
Method: Eleven patients under the age of two year with the diagnosis of complicated parapneumonic effusions underwent thoracoscopic management. The patients had chest X-ray, Ultrasound and CT scan of the chest. The patients received antibiotic 3-6 weeks prior to thoracoscopy without improvement. The patients received fibrinolytic agent on the second postoperative day. Three trocars used, one 5 ...
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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...
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The diagnostic accuracy of myeloperoxidase (MPO) in pleural fluid, for differentiating between complicated and noncomplicated parapneumonic pleural effusions (PPE) evaluated prospectively. Seventy patients aged >18 yrs with PPE (36 complicated and 34 noncomplicated) were studied after admission to a tertiary referral teaching hospital. MPO concentration was measured in plasma and pleural fluid ...
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ژورنال
عنوان ژورنال: Internal Medicine
سال: 2007
ISSN: 0918-2918,1349-7235
DOI: 10.2169/internalmedicine.46.6451