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Drainage of bacterial pleuropneumonia in children: A 13-year retrospective monocentric study

Apolline Furgier1, Marion Caseris1, Remadji Fiona Kossadoum2

  • 1Department of General Pediatrics, Pediatric Internal Medicine, Rheumatology and Infectious Diseases, Robert-Debré University Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|November 25, 2025
PubMed

Insights

This study on pediatric bacterial pleuropneumonia found percutaneous drainage was common but led to longer recovery. Surgical drainage showed faster resolution, highlighting the need for careful consideration of drainage techniques in severe pediatric respiratory infections.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Thoracic Surgery

Background:

  • Bacterial pleuropneumonia in children lacks consensus on drainage indications and methods.
  • This study analyzes clinical outcomes and techniques for pleural drainage in pediatric cases.

Purpose of the Study:

  • To evaluate the clinical course and drainage techniques for bacterial pleuropneumonia in children.
  • To compare outcomes between percutaneous and surgical drainage methods.

Main Methods:

  • Retrospective single-center study of children with drained bacterial pleuropneumonia (2011-2023).
  • Analysis of patient demographics, pathogens, drainage indications, procedures (percutaneous vs. surgical), and clinical outcomes.
  • Pathogen identification included Staphylococcus aureus, Streptococcus pyogenes (GAS), and Streptococcus pneumoniae.

Main Results:

  • Thirty-three children (median age 3.3 years) were included; Staphylococcus aureus was the most common pathogen.
  • Percutaneous drainage (70%) was more frequent than surgical drainage (30%), often indicated for respiratory distress or large effusions.
  • Children undergoing percutaneous drainage experienced longer fever and ventilation durations compared to surgical drainage (p < 0.05).

Conclusions:

  • Severe pediatric bacterial pleuropneumonia cases were analyzed, with percutaneous drainage being the predominant method.
  • Positive drainage cultures indicate challenges with antibiotic penetration, supporting drainage's role in selected severe cases.
  • While medium-term outcomes were favorable, recovery was prolonged, characterized by extended hospitalization, fever, and antibiotic treatment.
Abstract

Keywords:
Chest-tube insertionDrain insertionPediatricPleural drainagePleurisy

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