Intrapleural streptokinase for pleural infection
نویسندگان
چکیده
منابع مشابه
U.K. Controlled trial of intrapleural streptokinase for pleural infection.
BACKGROUND Intrapleural fibrinolytic agents are used in the drainage of infected pleural-fluid collections. This use is based on small trials that did not have the statistical power to evaluate accurately important clinical outcomes, including safety. We conducted a trial to clarify the therapeutic role of intrapleural streptokinase. METHODS In this double-blind trial, 454 patients with pleur...
متن کاملIntrapleural streptokinase: the answer to community acquired pleural infection?
Approximately 40% of patients with community acquired prevent surgery it must be initiated before the fibrino-purulent stage is advanced and organisation occurs. pneumonia develop a parapneumonic effusion, despite the Placement of the catheter under ultrasound guidance availability of appropriate antibiotics. 1 This effusion may allows better positioning, particularly in multiloculated become s...
متن کاملIntrapleural Streptokinase in the Management of Pleural Empyema
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 adhe...
متن کاملIntrapleural streptokinase in the management of malignant multiloculated pleural effusions.
OBJECTIVE Pleural effusions are a frequent complication of malignancy and cause considerable morbidity from dyspnea. The drainage and control of malignant effusions relieve symptoms and maintain quality of life but these are difficult in patients with multiloculated effusions in whom drainage usually fails. This observational series reports the use of intrapleural streptokinase (IPSK) in the ma...
متن کاملRandomised controlled trial of intrapleural streptokinase in community acquired pleural infection.
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...
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ژورنال
عنوان ژورنال: BMJ
سال: 2006
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.332.7540.552