[Local antibiotic treatment of chronic thoracic empyema]. / Az idült mellúri gennyedések lokális antibiotikum kezeléséról.

ABSTRACT

The authors present their indications, aims and method for the local antibiotic treatment of chronic empyema thoracis. They analyse the sensitivity and resistant conditions of the most often occurring bacteria, Pseudomonas spp., in an open window treatment of empyema thoracis. 338 patients were treated for intrathoracic suppuration between January 1, 1987 and December 31, 1998. The youngest patient was 13, the oldest one was 90 (the average age was 53.2. Of these 11 died, representing a mortality rate of 3.2%. Of these 11 patients, 7 suffered from chronic intrathoracal suppuration. 82 patients had chronic empyema. 44 patients (13%) were treated by the open window procedure, 6 females and 38 males. The average age was 62.1. Of them 7 died, the mortality rate of chronic empyema thoracis was 8.5% in our department. Of 164 pus samples taken from suppurative pleura cavity bacteria, Pseudomonas spp., were bred in 148 cases during bacteriological examinations. Their bacteriological examinations confirm that local and aimed treatment by Polimyxin, Amikacin, Meronpenem, Ceftadizim, Imipenem, Tobramycin, Ciprofloxacin and Piperacillin proved to be the better medicine against Pseudomonas infection.