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Purulent pericarditis: a continuing surgical challenge

O A Adebo, O Osinowo, S A Adebonojo

    Journal of the National Medical Association
    |May 1, 1981
    PubMed
    Summary
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    This study found that a treatment protocol of antibiotics and pericardiostomy tube drainage was effective for pediatric purulent pericarditis in Nigeria. The procedure resulted in no mortality or significant morbidity in patients who underwent it.

    Area of Science:

    • Cardiothoracic Surgery
    • Pediatric Infectious Diseases
    • Critical Care Medicine

    Background:

    • Purulent pericarditis is a severe infection requiring prompt intervention.
    • Establishing an effective and accessible treatment protocol is crucial, especially in resource-limited settings.
    • Previous reports suggested combined antibiotic and drainage approaches.

    Observation:

    • A prospective series of 12 pediatric patients with purulent pericarditis was treated between 1978 and 1979.
    • The therapeutic protocol involved systemic antibiotics and pericardiostomy tube drainage.
    • Bronchopneumonia was the most common preceding infection, seen in eight patients.

    Findings:

    • Two patients expired before surgical intervention.
    • Ten patients underwent pericardiostomy, with no mortality or significant morbidity observed.

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  • The combined antibiotic and pericardiostomy protocol demonstrated high efficacy.

    • Implications:

    • The study validates pericardiostomy tube drainage as a safe and effective treatment for pediatric purulent pericarditis in the studied environment.
    • This protocol can be considered the treatment of choice for purulent pericarditis in similar settings.
    • Further research could explore long-term outcomes and refine antibiotic regimens.