Management of parapneumonic pleural effusion and empyema in children: A tale of two cities

Abstract

To the Editor, The management of parapneumonic pleural effusion and pleural empyema (PPE/PE) is controversial. [1][2][3] Although fibrinolytics are considered to have similar efficacy to video-assisted thoracoscopic surgery, 4,5 it is unknown when a drainage procedure for PPE/PE is beneficial, and many patients recover satisfactorily with antibiotic treatment alone. [6][7][8] Because of the potential severity and possible need for interventional procedures, pediatric patients with PPE/PE are often transferred to tertiary referral centers for treatment. The two hospitals

Management of pneumonia and pleural effusion in children

“…More extensive surgery (video-assisted thoracoscopic surgery) may be indicated in loculated empyemas. 5 …”

“…The clinical course of CAP can be long, especially in patients with necrotizing pneumonia, but complete recovery is the usual outcome. 4 , 5 …”

“…(3) A evolução clínica da PAC pode ser longa, especialmente em pacientes com pneumonia necrosante, mas a recuperação completa é o desfecho habitual. (4,5) APOIO FINANCEIRO Leonardo A. Pinto é bolsista de produtividade em pesquisa do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq; Processo n. 309074/2022-3).…”