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Intra-pleural fibrinolytic therapy versus placebo, or a different fibrinolytic agent, in the treatment of adult parapneumonic effusions and empyema.


ABSTRACT:

SUBMITTER: Altmann ES 

PROVIDER: S-EPMC6819355 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Intra-pleural fibrinolytic therapy versus placebo, or a different fibrinolytic agent, in the treatment of adult parapneumonic effusions and empyema.

Altmann Emile S ES   Crossingham Iain I   Wilson Stephen S   Davies Huw R HR  

The Cochrane database of systematic reviews 20191030 10


<h4>Background</h4>Pleural infection, including parapneumonic effusions and thoracic empyema, may complicate lower respiratory tract infections. Standard treatment of these collections in adults involves antibiotic therapy, effective drainage of infected fluid and surgical intervention if conservative management fails. Intrapleural fibrinolytic agents such as streptokinase and alteplase have been hypothesised to improve fluid drainage in complicated parapneumonic effusions and empyema and theref  ...[more]

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