Parapneumonic pleural effusion and empyema in childhood

Çaksen, Hüseyîn; Öztürk, Mustafa; Yüksel, Şaban; Üzüm, Kazım; Üstünbaş, Hasan Basri

doi:10.1016/s0736-4679(03)00051-9

Cited by 5 publications

(7 citation statements)

References 7 publications

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“…This might be explained by the fact that we excluded all children with an underlying chronic condition from our study population, as these children were shown to be more prone to acute under-nutrition at admission [16] . A Turkish study reported that 65% of their children with PPE and empyema had a WFA <90% of the reference standard [17] and in a Brazilian tertiary hospital, a prevalence of 20% acute under-nutrition was reported [18] . The better socio-economic status in Western Europe, as well as the use of a WFA cut-off of <−2 SD can explain the lower prevalence in our study.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status of Children Hospitalized for Parapneumonic Effusion

et al. 2014

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Background & AimsAmong children hospitalized for pneumonia, those with parapneumonic effusion (PPE) are at particular risk for nutritional deterioration. This study aimed to 1) investigate the evolution of the nutritional status during hospitalization and at outpatient follow-up; 2) determine clinical risk factors for weight loss during hospitalization; 3) describe the nutritional interventions for these children.MethodsRetrospective chart review (January ‘07 - September ‘12) of 56 children with pneumonia, complicated by PPE in two Belgian hospitals for data on body weight and height at admission (t0) and discharge (t1), and two weeks (t2) and one month (t3) after discharge. Length of hospitalization (LoS), length of stay in paediatric intensive care (LoSPICU) and maximal in-hospital weight loss (tmax) were calculated and nutritional interventions were recorded.ResultsThe median (range) age was 3.5 (1.0–14.8) years. Weight or height was lacking in five (8.9%) children at t0 and in 28 (50%) at t1; 21.4% was weighed only once during hospitalization. At tmax, respectively 17/44 and 5/44 children lost ≥5% and ≥10% of their weight. Median (range) LoS and LoSPICU were 18.0 (10–41) and 4.0 (0–23) days. One-fourth received a nutritional intervention. Weight for height at admission (WFH(t0)) significantly predicted maximal weight loss (β (95% CI) = −0.34 (−2.0–−0.1); p = 0.03). At t2 and t3, 13/32 and 5/22 of the children with available follow-up data did not reach WFH(t0), whilst in 4/35 and 5/26 body weight remained ≥5% under the weight(t0).ConclusionsOne-third of children with pneumonia complicated by PPE and monitored for weight and height, lost ≥5% of their body weight during hospitalization. One-fourth did not reach initial WFH one month after discharge. Those with a higher WFH at admission were at higher risk of weight loss. More attention for monitoring of weight loss and the nutritional policy during and after hospitalization is warranted.

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Section: Discussionmentioning

confidence: 99%

Nutritional Status of Children Hospitalized for Parapneumonic Effusion

et al. 2014

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“…(11) yaptıkları çalışmada, bakteriyel pnömoni �akala� rında 3 yaşın altında olmanın ampiyem gelişimi açı� sından bir risk faktörü olduğunu göstermiştir. Ülkemizde yapılan bir ampiyem çalışmasında da benzer şekilde �akaların % 33.8'i 2 yaşın altındadır (22) . Çalışmamızda da ampiyem �akalarının % 35.3'ü 2 yaş altında, % 30.6'sı 2�5 yaş arasında, % 23,5'i 6�10 yaş arasında �e % 10.6'sı 10 yaş üzerindeydi.…”

Section: Discussionunclassified

“…Çaksen �e ark. 'nın (22) Hoff �e ark. (19) ampiyemli çocuklarda �akaların % 11'inde altta yatan bir hastalık olduğunu bildir� mektedirler.…”

Section: Discussionunclassified

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Pleural Empyema in Children: A Review of 85 Cases

Ertuğrul¹,

Somer²,

Törün³

et al. 2013

Cocuk Dergisi

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“…Apart from a short history of fever and cough, the absence of other constitutional symptoms, the initial negative history of contact with TB patient and the fact that she had received a BCG vaccination, initially had brushed away the possibility of TB pleurisy. The other possibility left was the diagnosis of other infections causing bilateral pleural empyema, classically Staphylococcus aureus 7,8 which has accounted for the greatest proportion of cases; however, drugresistant Streptococcus pneumoniae may now be the emerging pathogen 9 . Throughout the course treatment with broadspectrum antibiotics, patient's fever remained unabated and chest drainage continued to discharge pussy material.…”

Section: Discussionmentioning

confidence: 99%

The unexpected bilateral Tuberculous empyema: a case report in a child

Intan¹,

Othman²,

Alsiddiq³

et al. 2009

Int J Health Res

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an online international journal allowing free unlimited access to abstract and full-text of published articles. The journal is devoted to the promotion of health sciences and related disciplines (including medicine, pharmacy, nursing, biotechnology, cell and molecular biology, and related engineering fields). It seeks particularly (but not exclusively) to encourage multidisciplinary research and collaboration among scientists, the industry and the healthcare professionals. It will also provide an international forum for the communication and evaluation of data, methods and findings in health sciences and related disciplines. The journal welcomes original research papers, reviews and case reports on current topics of special interest and relevance. All manuscripts will be subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication) will be published without delay. The maximum length of manuscripts should normally be 10,000 words (20 single-spaced typewritten pages) for review, 6,000 words for research articles, 3,000 for technical notes, case reports, commentaries and short communications. Submission of Manuscript:The International Journal of Health Research uses a journal management software to allow authors track the changes to their submission. All manuscripts must be in MS Word and in English and should be submitted online at http://www.ijhr.org. Authors who do not want to submit online or cannot submit online should send their manuscript by e-mail attachment (in single file) to the editorial office below. Submission of a manuscript is an indication that the content has not been published or under consideration for publication elsewhere. Authors may submit the names of expert reviewers or those they do not want to review their papers. Enquiries

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Parapneumonic pleural effusion and empyema in childhood

Cited by 5 publications

References 7 publications

Nutritional Status of Children Hospitalized for Parapneumonic Effusion

Nutritional Status of Children Hospitalized for Parapneumonic Effusion

Pleural Empyema in Children: A Review of 85 Cases

The unexpected bilateral Tuberculous empyema: a case report in a child

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