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Published on: May 26, 2023
Thoracic empyema: a study of 56 patients
E D Mangete1, B B Kombo, T E Legg-Jack
1Department of Surgery, University of Port Harcourt Teaching Hospital, Nigeria.
Archives of Disease in Childhood
|November 1, 1993
Summary
Pediatric thoracic empyema is often caused by Staphylococcus aureus. Treatment with tube drainage and antibiotics yields a high survival rate of 97% in children.
Area of Science:
- Pediatric Thoracic Surgery
- Infectious Diseases
- Medical Microbiology
Background:
- Thoracic empyema in children presents a significant clinical challenge.
- Understanding causative pathogens and treatment outcomes is crucial for pediatric care.
Purpose of the Study:
- To analyze the clinical presentation, causative organisms, and treatment outcomes of pediatric thoracic empyema.
- To evaluate the effectiveness of current management strategies.
Main Methods:
- Retrospective review of 57 children with thoracic empyema treated between 1989 and 1991.
- Identification of causative microorganisms from pleural fluid.
- Assessment of clinical symptoms, treatment interventions, and patient outcomes.
Main Results:
- Staphylococcus aureus (63%) and Pseudomonas aeruginosa (18%) were the most common pathogens.
- Fever and cough were the predominant symptoms in 89% of cases.
- Closed intercostal tube drainage and antibiotics resulted in a 97% survival rate with only one patient requiring decortication.
Conclusions:
- Pediatric thoracic empyema is frequently associated with Staphylococcus aureus.
- Prompt diagnosis and management with closed tube drainage and antibiotics are highly effective.
- The study demonstrates a high survival rate, underscoring the efficacy of conservative treatment approaches.
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