Empyema thoracis in children: Still a challenge in developing countries
Vikas Goyal1, Ajay Kumar, Monica Gupta
1Department of Surgery, G.G.G.S. Medical College, Faridkot, Punjab, India.
African Journal of Paediatric Surgery : AJPS
|July 23, 2014
Summary
Tube thoracostomy is effective for pediatric empyema thoracis, with decortication showing success when needed. Early intervention reduces septic load and improves outcomes in children with this condition.
Area of Science:
- Pediatric Surgery
- Thoracic Medicine
- Infectious Diseases
Background:
- Empyema thoracis is a significant pediatric thoracic infection.
- Effective surgical management strategies are crucial for pediatric patients.
Purpose of the Study:
- To evaluate the effectiveness of surgical interventions for pediatric empyema thoracis.
- To assess outcomes of tube thoracostomy and decortication in children.
Main Methods:
- Retrospective study of 70 pediatric patients (1-14 years) with empyema thoracis.
- Analysis of tube thoracostomy success rates and outcomes of decortication.
Main Results:
- Tube thoracostomy was successful in 78.6% of cases.
- Decortication was required in 12 patients and was successful in all.
- Staphylococcus aureus was the most common pathogen identified.
Conclusions:
- Tube thoracostomy is recommended for all stages of pediatric empyema thoracis to reduce septic load.
- Prompt decision-making for decortication is advised for optimal patient recovery.
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