Source: Annual Congress 2002 - Empyema thoracis in children
Disease area: Respiratory infections

Abstract

In this report, we aimed to determine the epidemiological, clinical and laboratory features of cases who admitted to hospital with community-based pneumonia and subsequently developed pneumoploresy.
We found 27 cases (6.7 %) with pneumoploresy in 401 cases with pneumonia from January 1998 to August 2001. Of 33.4 % was parapneumonic ploresy and not necessitate negative pressure drainage system, but 66.6 % developed emphyema.
The mean age of cases was 4.4 years and male/female ratio was 13/14. In 74 % of cases, the socioeconomical status was good. The commonest findings in admittance were fever (70.3 %), cough (66.6 %), and respiratory distress (48.1 %) respectively.
The rate of antibiotic usage before hospital admittance was 70.3 %. Pneumonic infiltration were in lower left lobe in 29.6 %, lower right lobe in 25.9 %, middle and lower right lobe in 18.5 %, and bilateral involvement in 7.4 % of cases.
Antibiotic treatment was changed in 81.4 % of cases because of persistant fever and progressive x-ray findings. In 66.6 % of cases, negative pressure drainage was performed. Thoracoscopy and surgical decortication was applied to 18.5 % and 14.8 % of cases, respectively. The complications in order to frequency were atelectasy, pneumothorax, pneumotocel, pleural thickening, loculated emphyema, lung abcess and acute respiratory distress syndrome in one case.
It was considered that early and out of order antibiotic treatment especially in families with good socioeconomical conditions could be a risk factor in developing of complicated pulmonary infections.

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F. Gulen, D. Can, E. Demir, R. Tanac, A. Yenigun, C. Ozcan, A. Celik, A. Erdener (Izmir, Turkey). The evaluation of pneumoploresy in childhood. Eur Respir J 2002; 20: Suppl. 38, 3696

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