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Lung abscess in children in Harare, Zimbabwe

J K Tumwine1

  • 1Department of Paediatrics and Child Health, University of Zimbabwe Medical School, Avondale, Harare.

East African Medical Journal
|October 1, 1992
PubMed

Insights

Pediatric lung abscesses, though rare, were treated in 24 children. Common causes included Staphylococcus aureus and measles, with a 25% mortality rate, highlighting the need for measles control and empyema management.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Bacteriology

Background:

  • Lung abscess is a rare but serious condition in children.
  • A 10-year study at Harare Central Hospital documented 24 pediatric cases.
  • Understanding causative agents and clinical presentation is crucial for management.

Purpose of the Study:

  • To present the bacteriology and clinical findings of pediatric lung abscesses.
  • To identify common pathogens and predisposing factors.
  • To evaluate treatment outcomes and mortality rates.

Main Methods:

  • Retrospective review of 24 pediatric patients treated for lung abscess.
  • Analysis of isolated bacteria, clinical presentations, and treatment modalities.
  • Documentation of patient outcomes, including mortality.

Main Results:

  • Bacteria were isolated in 18 patients, with Staphylococcus aureus, group A beta-hemolytic streptococci, and Pseudomonas aeruginosa being the most frequent.
  • Common preceding conditions included measles, empyema, and aspiration.
  • Treatment involved bronchoscopy, physiotherapy, and antibiotics, resulting in a 25% mortality rate.

Conclusions:

  • Controlling measles and prompt management of empyema are vital for reducing pediatric lung abscess incidence.
  • Effective antibiotic therapy and supportive care are essential for improving outcomes.
  • Further research into prevention strategies is warranted.

Keywords:
AfricaAfrica South Of The SaharaAge FactorsBacterial And Fungal Diseases--prevention and controlBiologyChildChild HealthDemographic FactorsDeveloping CountriesDiseasesEastern AfricaEnglish Speaking AfricaHealthInfectionsMeaslesPhysiologyPopulationPopulation CharacteristicsPulmonary EffectsResearch MethodologyRespiratory Infections--etiologyRetrospective StudiesSigns And SymptomsStudiesViral DiseasesYouthZimbabwe

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