Treatment of complicated parapneumatic pleural effusion or empyema
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients over 18 years of age 2. Clinical evidence of infection and purulent pleural fluid (empyema) or with one or more of the following criteria: 1) pH of pleural fluid =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Pregnant women 2. Patients allergic to the drugs used (urokinase or DNase) 3. Tuberculous pleural infection 4. Expected survival of less than 3 months for other causes 5. Major surgery on the 5 days or before or pneumectomy on the infected side 6. Stroke or major bleeding coincidence 7. Patients who do not sign the informed consent 8. Patients included in other clinical trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the reduction in the number of days that patients with complicated parapneumatic pleural effusion or empyema require pleural drainage; Secondary Objective: compare in all three groups: The size of the pleural effusion 3 and 6 days after intrapleural drainage placement, the need for new pleural drainage or thoracic surgery, the average stay and death or side effects. ;Primary end point(s): Reduction in the number of days patients need pleural drainage;Timepoint(s) of evaluation of this end point: Day when the pleural drain is removed | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The size of the pleural effusion 3 and 6 days after intrapleural drainage placement, the need for new pleural drainage or thoracic surgery, the average stay death or side effects. ;Timepoint(s) of evaluation of this end point: Day when the pleural drain is removed | — |
Countries
Spain
Contacts
Institut de Recerca Biomèdica de Lleida (IRBLleida)