Cited by 29Pleural and Pulmonary DiseasesTuberculosis Research and EpidemiologyPneumothorax, Barotrauma, Emphysema

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Intrapleural minocycline following simple aspiration for initial treatment of primary spontaneous pneumothorax

Open access

Abstract

Background The optimal initial management of primary spontaneous pneumothorax (PSP) remains controversial. This study was to evaluate the safety and efficacy of intrapleural minocycline following aspiration for initial treatment of PSP. Methods Between January 2004 and November 2006, 64 patients with a first episode of PSP were successfully treated by simple aspiration using pigtail or intravenous needle catheter. From December 2005, 31 of the patients also received 300mg of minocycline hydrochloride post lung expansion, instilled through the catheter into the pleural space (minocycline group). The control group consisted of the first 33 patients of the series who had successfully undergone simple aspiration alone between January 2004 and December 2005. Results There was no significant difference between the two groups in terms of demographic data. Patients in the minocycline group had higher doses of meperidine injection. The group hospitalization rates and mean hospital stays were comparable. After a mean follow-up of 13 months (range 3-26), recurrence was noted in 4 of the minocycline group and 11 of the control group (12.9% versus 33.3%, p=0.045). Subsequent thoracoscopic surgery for the recurrent patients revealed that minocycline induced scant loose adhesions which did not significantly affect operation procedures. The long-term pulmonary function and rates of residual pain for the two groups were comparable. Conclusions Although associated with immediate chest pain, intrapleural minocycline following simple aspiration is a simple, safe and convenient initial treatment for PSP that may reduce the rates of ipsilateral recurrence.

Overview

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Registry

Crossref · 10.1016/j.rmed.2008.02.006

Cites

21 of 21 references verified0 citation errors · 0 not checkable

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  • Use of pleurodesis allowed a median recurrence-free interval of 61 months in 28 patients.

    “Use of pleurodesis was only demonstrated to allow a median recurrence-free interval of 61 mo in 28 patients.”
  • Pleurodesis decreases the recurrence rate of pneumothorax after VATS by 20%-25% compared with no pleurodesis.

    “It was reported to decrease the recurrence rate of pneumothorax after VATS by 20%–25% compared with those who did not have pleurodesis performed at the time of surgery.51,62,63”

Citations

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Research works printed but not linked: 2

  1. Light, 1990, Intrapleural tetracycline for the prevention of recurrent spontaneous pneumothorax, JAMA, 264, 2224, 10.1001/jama.1990.03450170072025 · DOI
  2. 1993, Comparison of simple aspiration with intercostal drainage in the management of spontaneous pneumothorax, Thorax, 48, 430

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Metadata

Authors
Chen, J.-S., Tsai, K.-T., Hsu, H.-H., Yuan, A., Chen, W.-J., & Lee, Y.-C.
Affiliations
  • National Taiwan University Hospital (TW)
  • Far Eastern Memorial Hospital (TW)
  • National Taiwan University (TW)
Corresponding author
Lee, Yung-Chie
Venue
Respiratory Medicine
Publisher
Elsevier BV
Published
2008-07
Volume
102
Issue
7
Pages
1004-1010
ISSN
0954-6111 (ISSN-L)
OpenAlex
W2062549492
Cited by
29
References
21
Citations by year
2025: 1 · 2024: 1 · 2023: 5 · 2022: 1 · 2021: 1 · 2019: 2 · 2018: 2 · 2017: 2 · 2015: 2 · 2014: 2 · 2013: 4 · 2012: 3
FWCI
0.92
Type
journal article
Language
en
Open access
Locations
  • Respiratory Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
  • Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pneumothorax, Barotrauma, Emphysema
Keywords
primary spontaneous pneumothorax, recurrent pneumothorax, thoracoscopic surgery, residual pain, lung function
MeSH terms
Adult, Anti-Bacterial Agents, Chest Pain, Female, Humans, Male, Minocycline, Pleura, Pneumothorax, Retrospective Studies, Suction, Chest Tubes, Treatment Outcome, Pleurodesis, Infusions, Intralesional

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