title: Percutaneous drainage of pyogenic lung abscess.
abstract: Although lung abscesses are successfully treated with antibiotics in 80-90% of cases, this conservative approach may occasionally fail. In cases of failure, pulmonary resection is usually advised. Although it remains controversial, an alternative therapy in such situations is percutaneous transthoracic tube drainage (PTTD). Herein we review the medical literature on PTTD from the last 25 y, focusing on its efficacy, indications, technique, complications and mortality. We conclude that PTTD is a safe, simple and efficacious tool for the management of refractory lung abscess. Complications relating to the procedure occurred in 9.7% of cases and included catheter occlusion, chest pain, pneumothorax and hemothorax. The overall mortality rate secondary to lung abscess was acceptable (4.8%).
authors.affiliation: Respiratory Section, Department of Medicine, King Khalid National Guard Hospital, Jeddah, Saudi Arabia. waliso@ngha.med.sa
authors.forename: Siraj O
authors.initials: SO
authors.lastname: Wali
authors.forename: Abeer
authors.initials: A
authors.lastname: Shugaeri
authors.forename: Yassen S
authors.initials: YS
authors.lastname: Samman
authors.forename: Muntasir
authors.initials: M
authors.lastname: Abdelaziz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008169:Lung Abscess / Q000401:mortality / Q000628:therapy*; D008875:Middle Aged; D016896:Treatment Outcome