$\require{mediawiki-texvc}$

연합인증

연합인증 가입 기관의 연구자들은 소속기관의 인증정보(ID와 암호)를 이용해 다른 대학, 연구기관, 서비스 공급자의 다양한 온라인 자원과 연구 데이터를 이용할 수 있습니다.

이는 여행자가 자국에서 발행 받은 여권으로 세계 각국을 자유롭게 여행할 수 있는 것과 같습니다.

연합인증으로 이용이 가능한 서비스는 NTIS, DataON, Edison, Kafe, Webinar 등이 있습니다.

한번의 인증절차만으로 연합인증 가입 서비스에 추가 로그인 없이 이용이 가능합니다.

다만, 연합인증을 위해서는 최초 1회만 인증 절차가 필요합니다. (회원이 아닐 경우 회원 가입이 필요합니다.)

연합인증 절차는 다음과 같습니다.

최초이용시에는
ScienceON에 로그인 → 연합인증 서비스 접속 → 로그인 (본인 확인 또는 회원가입) → 서비스 이용

그 이후에는
ScienceON 로그인 → 연합인증 서비스 접속 → 서비스 이용

연합인증을 활용하시면 KISTI가 제공하는 다양한 서비스를 편리하게 이용하실 수 있습니다.

Pleural Infection and Empyema 원문보기

Tuberculosis and respiratory diseases : TRD = 결핵 및 호흡기 질환, v.76 no.4, 2014년, pp.160 - 162  

Kwon, Yong Soo (Department of Internal Medicine, Chonnam National University Hospital, Chonnam National University Medical School)

Abstract ▼ AI-Helper 아이콘AI-Helper

Increasing incidence of pleural infection has been reported worldwide in recent decades. The pathogens responsible for pleural infection are changing and differ from those in community acquired pneumonia. The main treatments for pleural infection are antibiotics and drainage of infected pleural flui...

주제어

#Empyema   #Etiology   #Drainage   #Fibrinolytic Agents  

AI 본문요약
AI-Helper 아이콘 AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

성능/효과

  • Combined t-PA and DNase therapy were significantly improved in both primary and secondary outcomes compared to those in placebo group, but t-PA alone or DNase alone did not produce any significant difference in primary and secondary outcomes compared to those in the placebo group. However, the absolute difference in number of surgical referrals was only one between t-PA group (3/48) and t-PA-DNase group (2/48), although only the t-PA-DNase group had a statistical significant difference compared to the placebo group. The number of enrolled patients may not have been enough to provide robust evidence for the routine use of these agents for pleural infection.

후속연구

  • Several retrospective studies reported high success rates with low complication rates in multiloculated empyema16,17. However, since there was no randomized study for the utility and safety of this procedure in pleural infection, further prospective comparative studies are needed.
본문요약 정보가 도움이 되었나요?

참고문헌 (20)

  1. 1 Burgos J Falco V Pahissa A The increasing incidence of empyema Curr Opin Pulm Med 2013 19 350 356 23508113 

    상세보기

  2. 2 Grijalva CG Zhu Y Nuorti JP Griffin MR Emergence of parapneumonic empyema in the USA Thorax 2011 66 663 668 21617169 

    상세보기

  3. 3 Davies HE Davies RJ Davies CW BTS Pleural Disease Guideline Group Management of pleural infection in adults: British Thoracic Society Pleural Disease Guideline 2010 Thorax 2010 65 Suppl 2 ii41 ii53 20696693 

  4. 4 Aleman C Alegre J Monasterio J Segura RM Armadans L Angles A Association between inflammatory mediators and the fibrinolysis system in infectious pleural effusions Clin Sci (Lond) 2003 105 601 607 12826021 

  5. 5 Kroegel C Antony VB Immunobiology of pleural inflammation: potential implications for pathogenesis, diagnosis and therapy Eur Respir J 1997 10 2411 2418 9387973 

    상세보기

  6. 6 Idell S Girard W Koenig KB McLarty J Fair DS Abnormalities of pathways of fibrin turnover in the human pleural space Am Rev Respir Dis 1991 144 187 194 2064128 

    상세보기

  7. 7 Maskell NA Batt S Hedley EL Davies CW Gillespie SH Davies RJ The bacteriology of pleural infection by genetic and standard methods and its mortality significance Am J Respir Crit Care Med 2006 174 817 823 16840746 

    상세보기

  8. 8 Marks DJ Fisk MD Koo CY Pavlou M Peck L Lee SF Thoracic empyema: a 12-year study from a UK tertiary cardiothoracic referral centre PLoS One 2012 7 e30074 22276145 

    상세보기

  9. 9 Kim YJ Cha SI Kwon JS Yoo SS Jun HJ Kim EJ Treatment results and prognostic factors of complicated parapneumonic effusion and empyema Tuberc Respir Dis 2007 63 24 30 

  10. 10 Menzies SM Rahman NM Wrightson JM Davies HE Shorten R Gillespie SH Blood culture bottle culture of pleural fluid in pleural infection Thorax 2011 66 658 662 21459855 

    상세보기

  11. 11 Rahman NM Maskell NA Davies CW Hedley EL Nunn AJ Gleeson FV The relationship between chest tube size and clinical outcome in pleural infection Chest 2010 137 536 543 19820073 

    상세보기

  12. 12 Maskell NA Davies CW Nunn AJ Hedley EL Gleeson FV Miller R U.K. Controlled trial of intrapleural streptokinase for pleural infection N Engl J Med 2005 352 865 874 15745977 

    상세보기

  13. 13 Corcoran JP Hallifax R Rahman NM New therapeutic approaches to pleural infection Curr Opin Infect Dis 2013 26 196 202 23286936 

    상세보기

  14. 14 Rahman NM Maskell NA West A Teoh R Arnold A Mackinlay C Intrapleural use of tissue plasminogen activator and DNase in pleural infection N Engl J Med 2011 365 518 526 21830966 

    상세보기

  15. 15 Janda S Swiston J Intrapleural fibrinolytic therapy for treatment of adult parapneumonic effusions and empyemas: a systematic review and meta-analysis Chest 2012 142 401 411 22459772 

    상세보기

  16. 16 Brutsche MH Tassi GF Gyorik S Gokcimen M Renard C Marchetti GP Treatment of sonographically stratified multiloculated thoracic empyema by medical thoracoscopy Chest 2005 128 3303 3309 16304276 

    상세보기

  17. 17 Ravaglia C Gurioli C Tomassetti S Casoni GL Romagnoli M Gurioli C Is medical thoracoscopy efficient in the management of multiloculated and organized thoracic empyema? Respiration 2012 84 219 224 22832393 

    상세보기

  18. 18 Chambers A Routledge T Dunning J Scarci M Is video-assisted thoracoscopic surgical decortication superior to open surgery in the management of adults with primary empyema? Interact Cardiovasc Thorac Surg 2010 11 171 177 20439299 

  19. 19 Chung JH Lee SH Kim KT Jung JS Son HS Sun K Optimal timing of thoracoscopic drainage and decortication for empyema Ann Thorac Surg 2014 97 224 229 24119984 

    상세보기

  20. 20 Shin JA Chang YS Kim TH Haam SJ Kim HJ Ahn CM Surgical decortication as the first-line treatment for pleural empyema J Thorac Cardiovasc Surg 2013 145 933 939 22929218 

    상세보기

관련 콘텐츠

오픈액세스(OA) 유형

GOLD

오픈액세스 학술지에 출판된 논문

저작권 관리 안내
섹션별 컨텐츠 바로가기

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

AI-Helper 아이콘
AI-Helper
안녕하세요, AI-Helper입니다. 좌측 "선택된 텍스트"에서 텍스트를 선택하여 요약, 번역, 용어설명을 실행하세요.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.

선택된 텍스트

맨위로