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Effectiveness of Intrapleural Tissue Plasminogen Activator and Dornase Alfa vs Tissue Plasminogen Activator Alone in Children with Pleural Empyema
Author(s) -
Michael H. Livingston,
Sanjay Mahant,
Bairbre Connolly,
Ian MacLusky,
Sophie Laberge,
Lucia Giglia,
Connie Yang,
Ashley Roberts,
Anna C. Shawyer,
Mary E. Brindle,
Simon Parsons,
Cristina Stoian,
J. Mark Walton,
Kevin E. Thorpe,
Yang Chen,
Fei Zuo,
Muhammad Mamdani,
Carol Chan,
Desmond Loong,
Wanrudee Isaranuwatchai,
Félix Ratjen,
Eyal Cohen
Publication year - 2020
Publication title -
jama pediatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.004
H-Index - 183
eISSN - 2168-6211
pISSN - 2168-6203
DOI - 10.1001/jamapediatrics.2019.5863
Subject(s) - medicine , empyema , tissue plasminogen activator , plasminogen activator , pleural empyema , activator (genetics) , surgery , receptor
Clinical guidelines recommend that children with pleural empyema be treated with chest tube insertion and intrapleural fibrinolytics. The addition of dornase alfa (DNase) has been reported to improve outcomes in adults but remains unproven in children.

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