Empirical treatment with fibrinolysis and early surgery reduces the duration of hospitalization in pleural sepsis

European Respiratory Journal

Volumn 13, Issue 3, 1999, Pages 514-518

  Lim, T K ^a   Chin, N K ^a  

^a NATIONAL UNIVERSITY HOSPITAL   (Singapore)

Author keywords

Fibrinolysis; Parapneumonic effusion; Pleural empyema; Streptokinase; Thoracoscopy; Thoracotomy

Indexed keywords

STREPTOKINASE;

ADULT; ARTICLE; CATHETERIZATION; CONTROLLED STUDY; DISEASE ASSOCIATION; DISEASE SEVERITY; FIBRINOLYSIS; HIGH RISK POPULATION; HUMAN; LUNG INFECTION; MAJOR CLINICAL STUDY; MORTALITY; PLEURA EFFUSION; PLEURA EMPYEMA; PRIORITY JOURNAL; SEPSIS; SURGICAL DRAINAGE; THORACOSCOPY; THORAX DRAINAGE;

EID: 0032958552     PISSN: 09031936     EISSN: None     Source Type: Journal    
DOI: 10.1183/09031936.99.13351499     Document Type: Article

References (27)

1. Jerng JS, Hsuch PO, Teng LJ, Lee LN, Yang PC, Luh KT. Empyema thoracis and lung abscess caused by viridans streptococci. Am J Respir Crit Care Med 1997; 156: 1508-1514.
2. Ferguson AD, Prescott RJ, Selkon JB, et al. The clinical course and management of empyema. Q J Med 1996; 89: 285-289.
3. Kelly JW, Morris MJ. Empyema thoracis: medical aspects of evaluation and treatment. South Med J 1994; 87: 1103-1110.
4. Light RW, Girard WM, Jenkinson SG, George RB. Parapneumonic effusions. Am J Med 1980; 69: 507-512.
5. Light RW. A new classification of parapneumonic effusions and empyema. Chest 1995; 108: 299-301.
6. Heffner JE, Brown LK, Barberi C, DeLeo JM. Pleural fluid chemical analysis in parapneumonic effusions: a meta-analysis. Am J Respir Crit Care Med 1995; 151: 1700-1708.
7. Ulmer JL, Choplin RH, Reed JC. Image-guided catheter drainage of the infected pleural space. J Thorac Imaging 1991; 6: 65-73.
8. Moulton JS, Berikert RE, Weiseiger KH, et al. Treatment of complicated pleural fluid collections with image guided drainage and intra cavitary urokinase. Chest 1995; 108: 1252-1259.
9. Ridley PD, Baimbridge MV. Thoracoscopic debridgement and pleural irrigation in the management of empyema thoracis. Ann Thorac Surg 1991; 51: 461-464.
10. Landreneau RJ, Keenan RJ, Hazelring SR, et al. Thoracoscopy for empyema and hemothorax. Chest 1995; 109: 18-24.
11. Davies RJO, Traill ZC, Gleeson FV. Randomized controlled trail of intrapleural streptokinase in community acquired pleural infection. Thorax 1997; 52: 416-421.
12. Chin NK, Lim TK. Controlled trial of intrapleural streptokinase in the treatment of pleural empyema and complicated parapneumonic effusions. Chest 1997; 111: 275-279.
13. Davies CWH, Lok S, Davies RJO. The systemic fibrinolytic activity of intrapleural streptokinase. Am J Respir Crit Care Med 1998; 157: 328-330.
14. Lim TK, Chin NK. Streptokinase for empyema. Lancet 1997; 350: 446.
15. Wait MA, Sharma S, Hohn J, Nogare AD. A randomized trial of empyema therapy. Chest 1997; 111: 1548-1551.
16. Pothula V, Krellenstein DJ. Early aggressive surgical management of parapneumonic empyema. Chest 1994; 105: 832-836.
17. LeMense GP, Strange C, Sahn SA. Empyema thoracis: therapeutic management and outcome. Chest 1995; 107: 1532-1537.
18. Thourani VH, Brady KM, Mansour KA, Miller JI, Lee RB. Evaluation of treatment modalities for thoracic empyema: a cost effective analysis. Ann Thoracic Surg 1998; 66: 1121-1127.
19. Hamm H, Light RW. Parapneumonic effusion and empyema. Eur Respir J 1997; 10: 1150-1156.
20. Light RW. The management of parapneumonic effusions and empyema. Curr Opin Pulmon Med 1998; 4: 227-229.
21. Davies RJO, Gleeson FV. The diagnosis and management of pleural empyema. Curr Opin Infect Dis 1998; 11: 163-168.
22. Chin NK, Lim TK. Treatment of complicated parapneumonic effusions and pleural empyema: a four-year prospective study. Singapore Med J 1996; 37: 631-635.
23. Light RW. Pleural Diseases. 3rd Edition. Baltimore, Williams & Wilkins, 1990; pp. 129-153.
24. Bartlett JG. Anaerobic bacterial infections of the lung and pleural space. Clin Infect Dis 1993; 16 (Suppl. 4): S248-S255.
25. Strange C, Allen AL, Harley R, et al. Intrapleural streptokinase in experimental empyema. Am Rev Respir Dis 1993; 147: 962-966.
26. Cham CW, Haq SM, Rahamin J. Empyema thoracis: a problem with late referal? Thorax 1993; 48: 925-927.
27. Loddenkemper R, Schonfeld N. Medical thoracoscopy. Curr Opin Pulmon Med 1998; 4: 230-234.