Tuberc Respir Dis.  1994 Apr;41(2):120-126. 10.4046/trd.1994.41.2.120.

Percutaneous Drainage of Lung Abscess and Infected Bulla

• Kim GH
• Hwang YS
• Kim HJ

• KMID: 2160342
• DOI: http://doi.org/10.4046/trd.1994.41.2.120

Abstract

BACKGROUND
Antibiotic therapy has proven an effective method of treatment on the majority of patients with pyogenic lung abscess and infected bulla. When medical therapy has failed, pulmonary resection is the current generally recommended therapy. But nowdays complications of percutaneous tube drainage has decreased with the use of small catheter. So we evaluated the effect of percutaneous tube drainage as an alternative therapy to the pyogenic lung abscess and infected bulls refractory to medical therapy in preference of the pulmonary resection. METHOD: Nine cases of the lung abscess and three cases of infected bulls which has large cavity size over 6cm, and has underlying diseases such as lung cancer, diabetes mellitus, refractory to over 1 week of antibiotics, were performed percutaneous tube drainage with All Purpose Drainage catheter(Medi-tech, Watertown, USA) under fluoroscopy.
RESULTS
All the cases except one case which complicated empyema was improved clinically. Fever was down within 4days of percutaneous tube drainage(mean : 1.9days). Mean duration of tube drainage was 9.9days.
CONCLUSION
Percutaneous tube drainage is an effective and relatively safe procedure in the management of lung abscesses that do not response to medical therapy We speculate this procedure should be considered as an alternative therapy for the lung abscess refractory to medical therapy in preference to the surgery. The safety and effectiveness of this procedure in infected bulla should be evaluated with an additional study.

Keyword

Lung Abscess; Infected Bulla; Percutaneous tube drainage

MeSH Terms

Anti-Bacterial Agents
Catheters
Diabetes Mellitus
Drainage*
Empyema
Fever
Fluoroscopy
Humans
Lung Abscess*
Lung Neoplasms
Lung*
Anti-Bacterial Agents