Cited by 220Pleural and Pulmonary DiseasesPneumothorax, Barotrauma, EmphysemaTuberculosis Research and Epidemiology

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Intrapleural Tetracycline for the Prevention of Recurrent Spontaneous Pneumothorax: Results of a Department of Veterans Affairs Cooperative Study

Light, Richard W.·1990·JAMA

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Abstract

This prospective, multicenter, randomized, "unblinded," controlled clinical trial was designed to determine if the intrapleural instillation of 1500 mg of tetracycline hydrochloride would be effective in diminishing the ipsilateral rate of recurrence for spontaneous pneumothorax. During the 4-year enrollment period, 113 patients were assigned to the tetracycline group; 116 patients were assigned to the control group. During the 5-year study period, the recurrence rate in the tetracycline group (25%) was significantly less than that in the control group (41%). Use of tetracycline seemed to reduce the recurrence rates for patients with either primary or secondary spontaneous pneumothorax and for patients with either an initial or a recurrent pneumothorax. We conclude that the intrapleural administration of tetracycline in patients with spontaneous pneumothorax significantly reduces the rate of ipsilateral recurrence but is associated with intense chest pain. Intrapleural tetracycline therapy is indicated for patients with a spontaneous pneumothorax who are hospitalized and are treated with tube thoracostomy.

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Authors: Light, R. W.
Corresponding author: Light, Richard W.
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 1990-11-07
Volume: 264
Issue: 17
Pages: 2224
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.264.17.2224
OpenAlex: W4232485545
Cited by: 220
References: 0
Citations by year: 2025: 3 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 2 · 2020: 6 · 2019: 4 · 2018: 8 · 2017: 3 · 2016: 9 · 2015: 6 · 2014: 5 · 2013: 3 · 2012: 6
FWCI: 9.65
Type: journal article
Language: en
Open access: closed
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pneumothorax, Barotrauma, Emphysema
Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
Keywords: spontaneous pneumothorax, recurrent pneumothorax, tetracycline hydrochloride, pneumothorax recurrence prevention, chest tube drainage, chest pain, primary spontaneous pneumothorax, secondary spontaneous pneumothorax, veterans
MeSH terms: Adult, Aged, Humans, Injections, Male, Middle Aged, Pleura, Pneumothorax, Prospective Studies, Recurrence, Respiratory Function Tests, Tetracycline, Veterans

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Intrapleural Tetracycline for the Prevention of Recurrent Spontaneous Pneumothorax: Results of a Department of Veterans Affairs Cooperative Study

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