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Respiratory Care: Chest Infections |

Duration of Antibiotic Therapy for Thoracic Empyema Among Patients With Video-Assisted Thoracoscopy vs Tube Thoracotomy

Glenda Euceda, MD; Vidhu Kariyawasam, MD; Jared Wasser, MD; Amber Butler, MPH; John Stratidis, MD
Author and Funding Information

Danbury Hospital, Danbuy, CT


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1236A. doi:10.1016/j.chest.2016.08.1348
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SESSION TITLE: Chest Infections

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Pleural effusion develops in 40% of pneumonia patients, and approximately 15% of these patients develop thoracic empyema after antibiotic treatment. In addition to antimicrobial therapy to control infection, drainage of pus is a major component of adequate treatment of empyema. Placement of drainage catheters, sometimes in conjunction with the thrombolytic agent urokinase, has made it possible to reduce the risk of fibrosis and lung entrapment. Likewise, video-assisted thoracoscopy (VATS) technique provides an effective, less invasive means of assessing and managing the infected pleural space without full thoracotomy. An increasing number of studies favor the approach of VATS decortication, as it has proved to have higher successful treatment rates and shorter hospitals stays than tube thoracotomoy. However, there are no established guidelines with regard to duration of antimicrobial treatment for patients with empyema status post-VATS. This study aims to compare duration of antibiotic therapy and clinical outcomes in patients with empyema that were treated with tube thoracotomy versus VATS decortication.

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