| Journal: | Jornal brasileiro de pneumologia |
| Database: | PERIÓDICA |
| System number: | 000297453 |
| ISSN: | 1806-3713 |
| Authors: | Duailibe, Liana Peres Donatti, Maria Ilizabeti Muller, Paulo de Tarso Dobashi, Pedro Nango |
| Year: | 2004 |
| Season: | May-Jun |
| Volumen: | 30 |
| Number: | 3 |
| Pages: | 215-222 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Caso clínico, analítico |
| English abstract | BACKGROUND: Empyema is a serious disease classically characterized by purulence within the pleural cavity. Early diagnosis demands immediate treatment, although there is still great controversy surrounding the question of what is the best therapy. OBJECTIVE: To analyze the method of using thoracentesis and pleural irrigation, combined with the intrapleural application of an antimicrobial agent, to treat empyema and to compare this method with others described in the literature. METHOD: Between January 1999 and May 2000, 17 patients diagnosed with loculated or diffuse pleural empyema were submitted to thoracentesis, followed by thorough washing of the pleural cavity with isotonic solution and intrapleural administration of a non-irritating antimicrobial agent to the pleura. RESULTS: The group of patients studied consisted of 15 men and 2 women, and the average age was 44. The most common clinical symptoms were fever, productive cough, chest pain and dyspnea, and the most common cause was pneumonia. Macroscopically, 12 patients presented obviously purulent pleural fluid. In 4 (26.67%) of the patients, the etiological agent was identified, the most frequent being Staphylococcus sp. Pulmonary decortication was indicated in 2 cases, and those 2 patients were therefore excluded. The average length of hospitalization was 17.1 days, although 3 patients received the treatment as outpatients. No recurrence or mortality was observed with the use of this methodology. CONCLUSION: This approach reduced the need for invasive procedures, proving to be safe and efficient, with lower rates of morbidity and mortality than other modalities of treatment |
| Portuguese abstract | CONCLUSAO: Essa abordagem diminuiu a necessidade de outros procedimentos invasivos. Mostrou-se eficaz, segura e com baixa morbi-mortalidade em comparação com as demais modalidades terapeuticas |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Neumología, Terapéutica y rehabilitación, Empiema, Toracocentesis, Pleura, Irrigación sanguínea, Antimicrobianos |
| Keyword: | Medicine, Pneumology, Surgery, Therapeutics and rehabilitation, Empyema, Thoracocentesis, Pleura, Blood irrigation, Antimicrobial agents |
| Full text: | Texto completo (Ver HTML) |
