JAMA · 1961 · 45 citations · 7 references
PharmacyInfectious DiseasesPharmacotherapyAntimicrobial PharmacotherapyPulmonary Drug DeliveryPulmonologyAerosol TherapyAerosolized Medication DeliveryPneumonia PharmacotherapyPositive End-expiratory PressurePulmonary InfectionsRespiratory MedicineAerosolized AntibioticsAerosolized TherapeuticsAntimicrobial Inhalation TherapyInhaled Antibiotic AdministrationNebulized Antibiotic TherapyPneumonia Empiric Therapy
This study was undertaken to determine whether an enzyme, pancreatic dornase, plus an antibiotic aerosolized for endobronchial application via the intermittent positive pressure breathing/ inspiration machine would be a valuable adjunctive measure to systemic antibiotics in the treatment of pneumonias. Thirty patients with pneumonia have been successfully treated by this method. Half of these patients had staphylococcal pneumonia (some with lung abscesses). Pancreatic dornase was effective in lysing the endobronchial exudate, which became thinner and more easily expelled. Removal of a thickened exudate by this enzyme makes concurrent and subsequent application of an aerosolized antibiotic more effective.
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LIQUEFACTION OF VISCOUS PURULENT EXUDATES BY DEOXYRIBONUCLEASE
JohnB. Armstrong, John White · The Lancet · 1950 · 111 citations
Intermittent Positive Pressure Breathing
M S Segal, Ana Lúcia Ribeiro Salomón, Mauricio J. Dulfano et al. · New England Journal of Medicine · 1954 · 97 citations