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Editorials |

Beads vs Bugs?Intrathoracic Antibiotic Bead Use In Vivo

Angela Csaki Huttner, MD; Stephan Harbarth, MD
Author and Funding Information

From the IDEAS Center and Division of Epidemiology (Dr Huttner), University of Utah; and Service for Infection Prevention and Control (Drs Huttner and Harbarth), Geneva University Hospitals and Medical School.

Correspondence to: Angela Csaki Huttner, MD, IDEAS Center and Division of Epidemiology, University of Utah, 295 Chipeta Way, Salt Lake City, UT 84132; e-mail: angela.huttner@hsc.utah.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Funding/Support: Dr Harbarth received funding from the European Commission [FP7-HEALTH-2009-SINGLE STAGE-SATURN contract No. 241796].

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2012 American College of Chest Physicians


Chest. 2012;141(5):1136-1137. doi:10.1378/chest.11-2637
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Extract

Novel strategies for thoracic empyema have been few and far between. Our therapeutic approach today is almost identical to Hippocrates’ roughly 2,400 years ago, apart from the injection of warm wine before withdrawal of the chest tube.1 The few variations since his time have been either misbegotten (at the turn of the 20th century, physicians were routinely removing their patients’ entire chest walls) or of uncertain value (intrathoracic streptokinase alone does not affect morbidity or mortality, but tissue plasminogen activator with DNase might).2,3

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