Clinico-radiological Follow-up Study of Empyema Thoracis in Children

Mishra, Om P.; Das, Bismay; Jain, Anju; Lahiri, T. K.; Sen, P. C.; Bhargava, V.

doi:10.1093/tropej/42.3.185

Cited by 10 publications

(13 citation statements)

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“…Yield of culture was significantly lower (32%) compared to reports from other developing countries (48-82%) [10,[14][15][16][17][18]. It could be due to prior use of antibiotics and late referral.…”

Section: Discussionmentioning

confidence: 70%

Empyema Thoracis: Analysis of 150 Cases from a Tertiary Care Centre in North East India

et al. 2011

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Section: Discussionmentioning

confidence: 70%

Empyema Thoracis: Analysis of 150 Cases from a Tertiary Care Centre in North East India

et al. 2011

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“…The incidence of permanent sequelae is extremely low. 26,27 The success of FT with UK as an adjunct to TTD has been previously reported. 11,13,28 We feel its use should be confined to a 3-to 5-day period after chest tube placement and may prevent but should not delay further the need for surgical drainage.…”

Section: Cost Analysismentioning

confidence: 93%

Rational Treatment of Empyema in Children

Meier

Smith²,

Raghavan³

et al. 2000

Arch Surg

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Hypothesis: Efficacious and cost-effective treatment of pediatric empyema can be accomplished following a protocol based on its radiographic appearance. Therapeutic modalities include thoracostomy tube drainage (TTD) with or without fibrinolytic therapy (FT) and videoassisted thoracoscopic debridement (VATD).Design: Retrospective case series.Setting: Tertiary referral center.Results: From 1995 through 1999, 31 children were treated ranging in age from 11 months to 18 years (mean age, 5.1 years). Twenty-seven (87.1%) underwent TTD; of these, 22 (81.5%) received FT with urokinase. The TTD failed in 4 children (14.8%) who required salvage VATD. Primary VATD was performed in another 4 children (12.9%). The mean length of stay was 14.6 days (TTD, 14.1 days; salvage VATD, 20.0 days; primary VATD, 11.5 days), ranging from 8.0 to 30.0 days. Complications included readmission for fever (2 patients [6.5%]) and gas-trointestinal bleeding (1 patient [3.2%]). There were no anaphylactic reactions or bleeding episodes due to urokinase. Two patients (7.4%) treated with TTD and FT developed an air leak that resolved spontaneously. The mean hospital charges were $78832

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“…(8) It is a significant cause of pediatric hospital admissions and morbidity especially in developing countries where hospital resources are scarce. (9,10,11) The proper management of empyema thoracis in children continues to be a source of debate. It continues to have a high mortality rate 10-16%.…”

Section: Introductionmentioning

confidence: 99%