Imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatrics
Purpose: This study was done targeting the role of streptokinase injected through pigtail catheter in treatment of pleural empyema in pediatric. Subjects and methods: 15 patients were involved in this study of age ranged from 5 months to 15 years were subjected to STK injection once daily until the...
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2017-03-01
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doaj-26e7bf4e828b4d8db1c9bc75a905665c2020-11-25T01:17:51ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2017-03-0148113313910.1016/j.ejrnm.2016.11.002Imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatricsSherif El-Sayed Mahmoud Hegab0Maged Mohamed El-Sayed Eissa1Amr Aly Aly Abdel-Kerim2Mohamed Said Abel Aziz3Department of Radio-diagnosis, Faculty of Medicine, Alexandria University, EgyptDepartment of Pediatric, Faculty of Medicine, Alexandria University, EgyptDepartment of Radio-diagnosis, Faculty of Medicine, Alexandria University, EgyptDepartment of Radio-diagnosis, Faculty of Medicine, Alexandria University, EgyptPurpose: This study was done targeting the role of streptokinase injected through pigtail catheter in treatment of pleural empyema in pediatric. Subjects and methods: 15 patients were involved in this study of age ranged from 5 months to 15 years were subjected to STK injection once daily until the drainage don’t exceed 100 ml/day and managed by ultrasound guided insertion of pigtail catheter. Broad spectrum antibiotics were given to all patients, after that the antibiotics were adapted according to result of microbial culture because of failed chest tube drainage intrapleural STK is recommended. Results: 13 cases show significant improvement, as the total amount of fluid before streptokinase injection was 5 cc in average and significantly rose to 220 cc after streptokinase instillation, while 2 cases do not response to this treatment. Conclusion: Imaging guided streptokinase injected through a pigtail catheter provides a powerful protocol for managing of complicated empyema in pediatrics.http://www.sciencedirect.com/science/article/pii/S0378603X16302200Imaging guidedStreptokinasePigtail catheterEmpyema in pediatrics |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sherif El-Sayed Mahmoud Hegab Maged Mohamed El-Sayed Eissa Amr Aly Aly Abdel-Kerim Mohamed Said Abel Aziz |
spellingShingle |
Sherif El-Sayed Mahmoud Hegab Maged Mohamed El-Sayed Eissa Amr Aly Aly Abdel-Kerim Mohamed Said Abel Aziz Imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatrics The Egyptian Journal of Radiology and Nuclear Medicine Imaging guided Streptokinase Pigtail catheter Empyema in pediatrics |
author_facet |
Sherif El-Sayed Mahmoud Hegab Maged Mohamed El-Sayed Eissa Amr Aly Aly Abdel-Kerim Mohamed Said Abel Aziz |
author_sort |
Sherif El-Sayed Mahmoud Hegab |
title |
Imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatrics |
title_short |
Imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatrics |
title_full |
Imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatrics |
title_fullStr |
Imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatrics |
title_full_unstemmed |
Imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatrics |
title_sort |
imaging guided streptokinase injected through small bore pigtail tail catheter in management of complicated empyema in pediatrics |
publisher |
SpringerOpen |
series |
The Egyptian Journal of Radiology and Nuclear Medicine |
issn |
0378-603X |
publishDate |
2017-03-01 |
description |
Purpose: This study was done targeting the role of streptokinase injected through pigtail catheter in treatment of pleural empyema in pediatric.
Subjects and methods: 15 patients were involved in this study of age ranged from 5 months to 15 years were subjected to STK injection once daily until the drainage don’t exceed 100 ml/day and managed by ultrasound guided insertion of pigtail catheter. Broad spectrum antibiotics were given to all patients, after that the antibiotics were adapted according to result of microbial culture because of failed chest tube drainage intrapleural STK is recommended.
Results: 13 cases show significant improvement, as the total amount of fluid before streptokinase injection was 5 cc in average and significantly rose to 220 cc after streptokinase instillation, while 2 cases do not response to this treatment.
Conclusion: Imaging guided streptokinase injected through a pigtail catheter provides a powerful protocol for managing of complicated empyema in pediatrics. |
topic |
Imaging guided Streptokinase Pigtail catheter Empyema in pediatrics |
url |
http://www.sciencedirect.com/science/article/pii/S0378603X16302200 |
work_keys_str_mv |
AT sherifelsayedmahmoudhegab imagingguidedstreptokinaseinjectedthroughsmallborepigtailtailcatheterinmanagementofcomplicatedempyemainpediatrics AT magedmohamedelsayedeissa imagingguidedstreptokinaseinjectedthroughsmallborepigtailtailcatheterinmanagementofcomplicatedempyemainpediatrics AT amralyalyabdelkerim imagingguidedstreptokinaseinjectedthroughsmallborepigtailtailcatheterinmanagementofcomplicatedempyemainpediatrics AT mohamedsaidabelaziz imagingguidedstreptokinaseinjectedthroughsmallborepigtailtailcatheterinmanagementofcomplicatedempyemainpediatrics |
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