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2005, Number 1

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Acta Pediatr Mex 2005; 26 (1)

Empyema in pediatric patients. Experience at the Hospital General 'Dr. Agustín O'Horan'

García-Maldonado S, Laparra-Ramírez M, Medina-Escobedo M, Palma-Chan A

Language: Spanish
References: 23
Page: 13-17
PDF size: 45.62 Kb.


ABSTRACT

Background. Empyema is the most common pleuropulmonary complication of the acute lower respiratory infection; it is associated with longer hospitalization, which increases economic cost, and the probability of incapacitating respiratory sequelae. It is important to identify risk factors in order to reduce the need for surgical treatment.
Material and methods. A restrospective, descriptive study was done in patients under 15 year of age with empyema, who required surgical treatment. A questionnaire to ascertain associated risk factors was applied.
Results. There were 28 patients; mean age was 48.1 ± 41.5 months (range 2 to 180 months); mean number of days of hospitalization was 19.9 ± 9.8 (range 8 to 42 days); a mean of 10.5 days (range 3 to 30 days) prior to hospitalization. Four patients required decortication; another four had a pleural irrigation system implanted. Male patients under 24 months of age predominated; all had variable degrees of malnutrition.
Conclusion. Age, gender and nutritional status are associated risk factors for surgical treatment in pediatric patients with acute lower respiratory disease and empyema.


REFERENCES

  1. Secretaría de Salud Norma Oficial Mexicana para la prevención y control de las infecciones respiratorias agudas en la atención primaria a la Salud NOM-024-SSA 1994 México 1996

  2. Gustafson RA, Murria GF, Warden HE, Hill RC. Role of lung decortation in symptomatic empyema in children. Ann Thorac Surg 1990;49:940-6

  3. Correa AG, Starke JR. Bacterial Pneumonias. En: Chernick V (Ed) Disorders of the Respiratory Tract in Children. Philadelphia WB Saunders Co. 1998;pp389-411

  4. Cameron R. Intra-pleural fibrinolytic therapy vs conservative management in the treatment of parapneumonic effusions and empyema. Cochrane Database Syst Rev 2000;3:CD002312

  5. Banjer AH, Alamri S, Siddiqui MA, Al-Najjar S. Bilateral empyema thoracic treated by staged thoracotomies. Ann Saudi Med 1999;19:347-9

  6. DeLucca A, Kurland G. Empyema in children: epidemiology, diagnosis and management. Sem Ped Infect Dis 1998;9:205-11

  7. Pérez Fernández LF, Takenaga MR, Jiménez FJ. Tratamiento quirúrgico de la infección pleuropulmonar en el niño. Bol Med Hosp Infant Mex 1977;34:71-82

  8. Pérez Fernández L. Infección Pleuropulmonar. En: Peña RA (Ed). Decisiones Terapéuticas del Niño Grave. Nueva Editorial Interamericana México 1983;pp142-160

  9. Sahn SA. Management of complicated parapneumonic effusions. Em Rev Resp Dis 1993;94:153

  10. Rothenberg S. Thoracoscopy in infants and children. Seminars Pediatr Surg 1998;7:194-201

  11. Pérez Frías J, Pérez Ruiz E. Avances en la patología pleural y empiema. www.comtf.es/pediatria/Congreso_AEP_2000/Ponencias-html

  12. Méndez M, Arango SM, Niño JA. Empiema pleural. En: Reyes MA, Aristizábal DG, Leal QF (eds) Neumología Pediátrica. 3ª Ed. Editorial Médica Internacional Ltda. Colombia 1998;pp325-30

  13. Krishnan S, Amin N, Dozor AJ. Urokinase in the management of complicated parapneumonic effusion in children. Chest 1997;112:1579-83

  14. Light RW. A new classification of parapneumonic effusions and empyema. Chest 1995;108:299-301

  15. Kerchar KW. Thoracoscopic decortication as first-line therapy for pediatric parapneumonic empyema. Chest 2000;118:24-7

  16. Pérez Fernández LF. Complicaciones pleuropulmonares de la infección respiratoria. Criterios Pediátricos 1991;7:69-72

  17. Furuya ME, Martínez-Martínez BE, Villalpando Canchola R. Neumonía complicada con empiema en niños, operar o no operar? Factores de riesgo para cirugía. Gac Med Mex 2000;136:449-54

  18. Foglia RP, Randolph J. Current indications for decortication in the treatment of empyema in children. J Ped Surg 1997;22:28-33

  19. Campobasso P, D’Agostino S. Early decortication in the surgical treatment of pleural empyema in childhood: indications and results. Ped Med Chir 1997;13:423-6

  20. Barttlet JG. Empyema. En: Barttlet JG (ed). Management of Respiratory Tract Infections. Philadelphia Lippincott Williams & Wilkins 1999;pp117-41

  21. Montgomery M. Air and liquid in the pleural space. En: Chernick V (ed) Disorders of the Respiratory Tract in Children. Philadelphia WB Saunders Co. 1998;pp389-411

  22. Donnelly LF, Klosterman LA. CT appearance of parapneumonic effusions in children: findings are not specific for empyema. Am J Roentgenol 1997;169:179-82

  23. Kearney SE, Davices CW, Davies RJ, Gleeson FV. Computed tomography and ultrasound in parapneumonic effusions and empyema. Clin Radiol 2000;55:542-7




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