Efficacy of Pigtail Catheter Drainage in Patients with Thoracic Empyema or Complicated Parapneumonic Effusion

2003 ◽  
Vol 54 (2) ◽  
pp. 219 ◽  
Author(s):  
Jeong Woo Park ◽  
Seung Min You ◽  
Won Jong Seol ◽  
Eun Ki Paik ◽  
Kyu Hoon Lee ◽  
...  
Keyword(s):  
Parapneumonic Effusion ◽  
Pigtail Catheter ◽  
Catheter Drainage ◽  
Thoracic Empyema ◽  
Complicated Parapneumonic Effusion

scholarly journals Optimal Duration of Antibiotics Therapy After Video-assisted Thoracoscopic Surgery in Thoracic Empyema and Complicated Parapneumonic Effusion

2021 ◽  
Author(s):  
Shungo Yukumi ◽  
Kei Ishimaru ◽  
Hideaki Suzuki ◽  
Masamitsu Morimoto ◽  
Mayuko Senba ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Antibiotic Use ◽  
The Body ◽  
Parapneumonic Effusion ◽  
Thoracic Empyema ◽  
Video Assisted ◽  
Optimal Duration ◽  
Antibiotic Duration ◽  
Video Assisted Thoracoscopic Surgery ◽  
Complicated Parapneumonic Effusion

Abstract BackgroundThere is no evidential report about the optimal duration of antibiotic use following video-assisted thoracoscopic surgery debridement (VATS-D) in thoracic empyema (TE) or complicated parapneumonic effusion (PPE). The purpose of this study was to determine the optimal duration of antibiotic therapy after VATS-D for TE /PPE.MethodsBetween January 2011 and December 2019, total thirty-three patients (28 men, 5 women; median age 63 years) corresponding to ACCP category 3 or 4 receiving VATS-D were included in the study. Time until the body temperature (BT) was to be less than 37.5 ºC and 37.0 ºC, WBC count to be less than 10,000/μl and segmented neutrophil (seg) count to be less than 80% were retrospectively analyzed.ResultsThe median time from the onset of TE/PPE to the operation was 13 days. Pre and postoperative antibiotic had median values of 5 and 7 days, respectively. There were no hospital deaths within 30 days of the operation. Major complications occurred in 4 cases (3 respiratory failures and one celebral infarction). Median postoperative hospital stay was 14 days. Success rate in TE/PPE treatment was 88%. The median number of days until the conditions met were BT>37.5 ºC for 3 days, BT>37.0 ºC for 6 days, WBC<10,000 for 4 days and seg<80% for 7 days.ConclusionThe optimal antibiotic duration of antibiotic use after VATS-D for TE/PPE is approximately 5 days. Urgent VATS-D will shorten the total antibiotic duration.

scholarly journals Diagnostic Value of C-Reactive Protein in Discrimination between Uncomplicated and Complicated Parapneumonic Effusion

Diagnostics ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 829
Author(s):  
Yana Kogan ◽  
Edmond Sabo ◽  
Majed Odeh
Keyword(s):  
Area Under The Curve ◽  
Diagnostic Value ◽  
Parapneumonic Effusion ◽  
C Reactive Protein ◽  
Diagnostic Efficacy ◽  
Reactive Protein ◽  
Significant Difference ◽  
Study Population ◽  
Complicated Parapneumonic Effusion

Objectives: The role of serum C-reactive protein (CRPs) and pleural fluid CRP (CRPpf) in discriminating uncomplicated parapneumonic effusion (UCPPE) from complicated parapneumonic effusion (CPPE) is yet to be validated since most of the previous studies were on small cohorts and with variable results. The role of CRPs and CRPpf gradient (CRPg) and of their ratio (CRPr) in this discrimination has not been previously reported. The study aims to assess the diagnostic efficacy of CRPs, CRPpf, CRPr, and CRPg in discriminating UCPPE from CPPE in a relatively large cohort. Methods: The study population included 146 patients with PPE, 86 with UCPPE and 60 with CPPE. Levels of CRPs and CRPpf were measured, and the CRPg and CRPr were calculated. The values are presented as mean ± SD. Results: Mean levels of CRPs, CRPpf, CRPg, and CRPr of the UCPPE group were 145.3 ± 67.6 mg/L, 58.5 ± 38.5 mg/L, 86.8 ± 37.3 mg/L, and 0.39 ± 0.11, respectively, and for the CPPE group were 302.2 ± 75.6 mg/L, 112 ± 65 mg/L, 188.3 ± 62.3 mg/L, and 0.36 ± 0.19, respectively. Levels of CRPs, CRPpf, and CRPg were significantly higher in the CPPE than in the UCPPE group (p < 0.0001). No significant difference was found between the two groups for levels of CRPr (p = 0.26). The best cut-off value calculated by the receiver operating characteristic (ROC) analysis for discriminating UCPPE from CPPE was for CRPs, 211.5 mg/L with area under the curve (AUC) = 94% and p < 0.0001, for CRPpf, 90.5 mg/L with AUC = 76.3% and p < 0.0001, and for CRPg, 142 mg/L with AUC = 91% and p < 0.0001. Conclusions: CRPs, CRPpf, and CRPg are strong markers for discrimination between UCPPE and CPPE, while CRPr has no role in this discrimination.

scholarly journals Devastating chest wall necrotizing fasciitis following pigtail catheter drainage

2008 ◽  
Vol 1 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Ming-Shian Lu ◽  
Chien-Ming Chen ◽  
Yao-Kuang Huang ◽  
Yun-Hen Liu ◽  
Chiung-Lun Kao
Keyword(s):  
Necrotizing Fasciitis ◽  
Chest Wall ◽  
Pigtail Catheter ◽  
Catheter Drainage

Predicting Factors for Failure of Medical Treatment in Patients With Complicated Parapneumonic Effusion or Empyema

CHEST Journal ◽  
2011 ◽  
Vol 140 (4) ◽  
pp. 705A
Author(s):  
Sung Kyoung Kim ◽  
Hyeon Hui Kang ◽  
Ju Sang Kim ◽  
Sang Haak Lee ◽  
Joong Hyun Ahn ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Parapneumonic Effusion ◽  
Predicting Factors ◽  
Complicated Parapneumonic Effusion

Echo-guided management of complicated parapneumonic effusion in children

2006 ◽  
Vol 41 (12) ◽  
pp. 1226-1232 ◽  
Author(s):  
Chih-Yung Chiu ◽  
Kin-Sun Wong ◽  
Yhu-Chering Huang ◽  
Shen-Hao Lai ◽  
Tzou-Yien Lin
Keyword(s):  
Parapneumonic Effusion ◽  
Complicated Parapneumonic Effusion
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