A controlled study of the influence of segregation of tuberculous patients for one year on the attack rate of tuberculosis in a 5-year period in close family contacts in South India
Kamat, S.R.; Dawson, J.J.Y.; Devadatta, S.; Fox, Wallace; Janardhanam, B.; Radhakrishna, S.; Ramakrishna, C.V.; Somasundaram, P.R.; Stott, H. and Velu, S. (1966) A controlled study of the influence of segregation of tuberculous patients for one year on the attack rate of tuberculosis in a 5-year period in close family contacts in South India. Indian Journal of Tuberculosis, 14 (1). pp. 10-23.
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1. Tuberculous empyema combined with a broncho-pleura! fistula presents a difficult problem in medical and surgical management. 2. Preliminary treatment consists of: (a) Studies to determine accurately the nature and extent of the infection. (b) Bed Rest. (c) Proper use of anti-tuberculosis drugs. (d) Adequate drainage of the empyema space, preferably by the closed method. 3. Definitive surgical treatment consists of: (a) Total or near-total thoracoplasty, or (b) Decortication, alone or combined with pulmonary resection. 4. Thoracoplasty is suitable for the majority of the cases in this group encountered in hospital practice in India. Decortication should be reserved for those patients whose general condition is satisfactory and whose disease is limited in extent according to the detailed indications outlined above.
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