Title
Urokinase Versus Video-assisted Thoracoscopic to Treat Complicated Parapneumonic Empyema in Childhood
Exploratory Multicentre Clinical Trial to Compare the Efficacy of Urokinase Versus Video-assisted Thoracoscopic for Treatment of Complicated Parapneumonic Empyema in Childhood
Phase
Phase 3Lead Sponsor
Spanish Society of Pediatric SurgeryStudy Type
InterventionalStatus
Completed No Results PostedIntervention/Treatment
urokinase ...Study Participants
200A great controversy exists about which is the best method to perform the evacuation of the collection. The purpose of this study is to evaluate which is the best initial treatment to drain complicated parapneumonic empyema (stages II and III) in children: the present study raises a hypothesis of equivalence between both arms of treatment (chest drainage plus intrapleural urokinase or videothoracoscopic debridement).
Chest tube with intrapleural urokinase infusion for 3 days
Video-Assisted Thoracoscopic decortication
Inclusion Criteria: Patients less than 15 years of age with pneumonia and persistent fever, and complicated parapneumonic empyema (septation or loculation seen on ultrasound or Rx thorax)stages II and III requiring an intervention to drain Exclusion Criteria: Existing contraindications or other previous conditions, hypertension, pneumothorax