pulmanary abcess tretment - ck21

[ArchivalUser]

wat the best choice for pulmonary abcess?
antibotics
tube throcostomy

[ArchivalUser]

plz someone reply

[ArchivalUser]

iv clindamycin....6weeks...

[ArchivalUser]

thanks

[ArchivalUser]

I dont agree.. I would FIRST put a chest tube and drain the abscess as Antibiotic dosen't work well ....

[ArchivalUser]

Broadspectrum antibiotic to cover mixed flora is the mainstay of treatment. Pulmonary physiotherapy and postural drainage are also important. Surgical procedures are required in selective patients for drainage or pulmonary resection

[ArchivalUser]

yes you are right...

"surgical procedures are required in selective patients for drainage or pulmonary resection.(want to add here).. in CASES OF PARAPNEUMONIC EFFUSION and Complicated Empyema..."

thanks Ck21 for bringing it up.. would have got it wrong otherwise.

[ArchivalUser]

oh yea...i agree...and besides that if the leision is in a rim or cortical...we remove it surgically....DECORTICATION

and besides this we do the PH of pleural fluid....if its lets less than 7.2 and glucose less than 60....then we drain the effusion prooving that its complicated....we put a chest tube...