Is Intercostal Tube Enough in Management of Empyema

Status

Not yet recruiting

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06235359

Enrollment

100

Registered

2024-01-31

Start date

2024-03-31

Completion date

2026-12-31

Last updated

2024-01-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Empyema

Brief summary

Is intercostal tube enough in management of empyema ?

Detailed description

Empyema refers to presence of pus in the pleural space -Causes Primary: bacterial Pneumonia (staph aureus, strept pneumonia , H.influenza) , TB Secondry : PostTraumati postoperative :open heart , esophageal, mediastinum , lung rupture of lung absess -pathophysiology and stages During an inflammatory process such as pneumonia, there is an increase in fluid production in the pleural cavity known as the exudate stage. As the disease progresses microorganisms, usually bacteria, can colonize the fluid and generated an empyema. This fluid is characterized by elevated lactate dehydrogenase, proteins, neutrophils, and dead cells. Macroscopically is a thick opaque fluid found in the fibrinopurulent stage. After the resolution of the infection and as a consequence of the inflammation, there is a process of fibrosis that can lead to restriction of the lung parenchyma which is stage of chronic organization

Interventions

DEVICEintercostal tube

A chest tube is a hollow, flexible tube placed into the chest. It acts as a drain. Chest tubes drain blood, fluid, or air from around your lungs, heart, or esophagus. The tube around your lung is placed between your ribs and into the space between the inner lining and the outer lining of your chest cavity. This is called the pleural space. It allows your lungs to fully expand.

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* patients admitted to Assuit university Hospital and diagnosed with empyema

Exclusion criteria

* Patient diagnosed with Post-operative empyema * Patient diagnosed with post traumatic empyema * Patient diagnosed with Bronchopleural fistula * Patient diagnosed with TB

Design outcomes

Primary

Measure	Time frame	Description
To find best way to drain the pus in the pleural space	baseline	To find best way to drain the pus in the pleural space

Contacts

Primary ContactIslam abdelfatah, resident

Islam.abdelfatah.097@gmail.com01024984239

Backup ContactMahmoud khairy, professor

Mahkhairy02@yahoo.com01098935293

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026