Is Intercostal Tube Enough in Management of Empyema

Not Applicable

Not yet recruiting

• Conditions: Empyema
• Interventions: Device: intercostal tube

• Registration Number: NCT06235359
• Lead Sponsor: Assiut University

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

Study Timeline

• Study First Submitted: 2023-10-11
• Status Verified: 2024-01
• Study First Submitted QC: 2024-01-30
• Last Update Submitted: 2024-01-30
• Study First Posted: 2024-01-31
• Last Update Posted: 2024-01-31
• Study Start: 2024-03
• Primary Completion: 2026-11
• Study Completion: 2026-12

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 100

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
intercostal tube	intercostal 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.

Primary Outcome Measures

Name	Time	Method
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