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Empyema in children

H Sarihan1, A Cay, M Aynaci

  • 1Department of Pediatric Surgery, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.

The Journal of Cardiovascular Surgery
|April 16, 1998
PubMed
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This study evaluated 52 patients with thoracic empyema, finding Staphylococcus aureus to be the most common cause. Treatment varied, with closed tube thoracostomy being frequently used for this serious condition.

Area of Science:

  • Medicine
  • Pulmonology
  • Infectious Diseases

Background:

  • Empyema, a serious complication of bacterial pneumonia, thoracic trauma, and surgery, remains a significant cause of morbidity and mortality globally.
  • While potent antibiotics have reduced empyema mortality, it still poses a considerable health challenge, particularly in developing regions.

Purpose of the Study:

  • To retrospectively evaluate the causes, diagnosis, treatment modalities, and long-term outcomes of thoracic empyema in 52 patients.
  • To identify the most common etiological agents and assess the effectiveness of different management strategies.

Main Methods:

  • Retrospective analysis of 52 patients diagnosed with thoracic empyema.
  • Diagnosis confirmed via clinical suspicion, chest roentgenogram, and pleural fluid aspiration.

Related Experiment Videos

  • Review of treatment approaches including antibiotics, thoracentesis, closed tube thoracostomy, open tube management, CT-guided catheter placement, and thoracotomy with decortication.

    • Main Results:

    • Postpneumonic empyema was the most frequent cause (50/52 patients).
    • Staphylococcus aureus was the predominant causative organism.
    • Closed tube thoracostomy was a common initial treatment, with complications like abscess formation requiring further intervention in some cases.

    Conclusions:

    • Thoracic empyema, often postpneumonic, requires prompt diagnosis and varied treatment strategies.
    • Effective management involves a combination of antimicrobial therapy and appropriate drainage techniques, with potential need for advanced interventions.
    • Long-term follow-up is crucial to evaluate treatment outcomes and manage complications effectively.