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A pyothorax is a form of empyema, but an empyema is not necessarily a pyothorax - it can be an appendicitis, a pyometra, a septic arthritis etc. Please stop using "empyema" as a synonym for pyothorax - medically spoken, this is wrong. -- 69.91.167.69 ( talk) 18:32, 30 July 2008 (UTC)
Ah, thrombolytics in empyema: a can of worms indeed. :-)
If I recall correctly, the MIST (MRC trial) data hasn't been published yet. In any case, the Cochrane database states: -
I deliberately didn't include thrombolytics in the article because the evidence still isn't clear-cut (although if you can find the MIST data I would be very interested). Axl 23:47, 8 Nov 2004 (UTC)
I agree the use of a chest tube and thoracentesis are not seen as the same. Nevertheless inserting the chest tube does represent a form of thoracentesis, that is removal of fluid/air from the intrathoracic space. -- Nomen Nescio 22:38, August 30, 2005 (UTC)
"A chest tube is inserted, a procedure known as thoracentesis..."
Thoracentesis is inappropriate - as the lumen of the catheter is about 6 fr. Also thoracentesis usually implies a time limited session.
Ideally, I use a 36 fr. thoracostomy (chest) tube for continued drainage, usually over several days. As to repeated thoracentesis - that is certainly not therapeutic for the patient, and possibly quite harmful. —Preceding unsigned comment added by Kanai3 ( talk • contribs) 12:23, 23 September 2007 (UTC)
PMID 20224409 seems useful and comprehensive. JFW | T@lk 12:20, 12 August 2010 (UTC)
I removed the following text from the article:-
"Pleural empyema is also seen in severe cases of amoebiasis where the entamoeba reaches the pleural cavity either by direct{through blood - rare} or primarily from liver to lung[plerual cavity]."
No reference was supplied. The only secondary source that I found was this one. However that source is inappropriate because it is explicitly about thoracic amoebiasis, not a general discussion of empyema. The only other source that I found was this case report. Axl ¤ [Talk] 08:23, 31 July 2013 (UTC)
I have removed the following text from the article:-
"Aminoglycosides should be avoided as they have poor penetration into the pleural space (This sentence contradicts the previous one where it says clindamycin, vancomycin, gentamycin (which are aminoglycosides) should be used)."
Clindamycin and vancomycin are not aminoglycosides. I shall review the current literature regarding gentamicin/aminoglycosides. Axl ¤ [Talk] 01:23, 20 January 2016 (UTC)
This article is rated C-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | ||||||||||||||
|
Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Pleural empyema.
|
Pleural empyema ( final version) received a peer review by Wikipedia editors, which on 22 September 2021 was archived. It may contain ideas you can use to improve this article. |
A pyothorax is a form of empyema, but an empyema is not necessarily a pyothorax - it can be an appendicitis, a pyometra, a septic arthritis etc. Please stop using "empyema" as a synonym for pyothorax - medically spoken, this is wrong. -- 69.91.167.69 ( talk) 18:32, 30 July 2008 (UTC)
Ah, thrombolytics in empyema: a can of worms indeed. :-)
If I recall correctly, the MIST (MRC trial) data hasn't been published yet. In any case, the Cochrane database states: -
I deliberately didn't include thrombolytics in the article because the evidence still isn't clear-cut (although if you can find the MIST data I would be very interested). Axl 23:47, 8 Nov 2004 (UTC)
I agree the use of a chest tube and thoracentesis are not seen as the same. Nevertheless inserting the chest tube does represent a form of thoracentesis, that is removal of fluid/air from the intrathoracic space. -- Nomen Nescio 22:38, August 30, 2005 (UTC)
"A chest tube is inserted, a procedure known as thoracentesis..."
Thoracentesis is inappropriate - as the lumen of the catheter is about 6 fr. Also thoracentesis usually implies a time limited session.
Ideally, I use a 36 fr. thoracostomy (chest) tube for continued drainage, usually over several days. As to repeated thoracentesis - that is certainly not therapeutic for the patient, and possibly quite harmful. —Preceding unsigned comment added by Kanai3 ( talk • contribs) 12:23, 23 September 2007 (UTC)
PMID 20224409 seems useful and comprehensive. JFW | T@lk 12:20, 12 August 2010 (UTC)
I removed the following text from the article:-
"Pleural empyema is also seen in severe cases of amoebiasis where the entamoeba reaches the pleural cavity either by direct{through blood - rare} or primarily from liver to lung[plerual cavity]."
No reference was supplied. The only secondary source that I found was this one. However that source is inappropriate because it is explicitly about thoracic amoebiasis, not a general discussion of empyema. The only other source that I found was this case report. Axl ¤ [Talk] 08:23, 31 July 2013 (UTC)
I have removed the following text from the article:-
"Aminoglycosides should be avoided as they have poor penetration into the pleural space (This sentence contradicts the previous one where it says clindamycin, vancomycin, gentamycin (which are aminoglycosides) should be used)."
Clindamycin and vancomycin are not aminoglycosides. I shall review the current literature regarding gentamicin/aminoglycosides. Axl ¤ [Talk] 01:23, 20 January 2016 (UTC)