2008
DOI: 10.1136/adc.2007.126540
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Trends in pneumonia and empyema in Scottish children in the past 25 years

Abstract: This whole-population study shows that the incidence of childhood empyema has risen since 1998 and continues to rise independently of pneumonia. Croup admissions remained stable, suggesting that changes in coding or admission policies are not likely to explain the observed trends. The observations suggest that the rise in empyema is not related to an increase in pneumonia. Changes in bacterial pathogenicity and/or host susceptibility may be important.

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Cited by 93 publications
(99 citation statements)
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“…Even before 2006 an annual growth of the hospitalization rate of children due to pneumonia had been observed also in, among others, England and Scotland (14,15). As suggested by researchers from the UK, one of the possible explanations for the increase in the hospitalization rate of children caused by bacterial pneumonia is the rise of the number of infections caused by drug-resistant pneumococcal serotypes.…”
Section: Discussionmentioning
confidence: 98%
“…Even before 2006 an annual growth of the hospitalization rate of children due to pneumonia had been observed also in, among others, England and Scotland (14,15). As suggested by researchers from the UK, one of the possible explanations for the increase in the hospitalization rate of children caused by bacterial pneumonia is the rise of the number of infections caused by drug-resistant pneumococcal serotypes.…”
Section: Discussionmentioning
confidence: 98%
“…Our method is analogous to the method used in studies in England and Scotland on trends in childhood pneumonia and empyema. 18,19 We based this analysis on publicly available hospitalization and population data. A limitation of the study is that we used hospital discharge data coded for the primary diagnosis.…”
Section: Discussionmentioning
confidence: 99%
“…The incidence of complicated pleural infection and empyema, a serious infection of the pleural space often associated with pneumonia, is increasing in the United States (1) and other countries, in both adult and pediatric populations (2)(3)(4)(5). The exact cause of this increase is unknown, although the increased prevalence of antibiotic-resistant bacteria, changes in empyema management, and changes in causative bacterial agents have been implicated (1,3,6).…”
mentioning
confidence: 99%