Clinico-bacteriological Profile and Outcome of Empyema Thoracis in Children from a Tertiary Care Center in Eastern India

Autor: Amit Ranjan Rup, Arun Kumar Dash, Rama Krushna Gudu, Subrata Kumar Mohapatra, Sanjay Kumar Sahu, Jyoti Ranjan Behera
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Medical Journal of Dr. D.Y. Patil Vidyapeeth, Vol 17, Iss Suppl 1, Pp S154-S157 (2024)
Druh dokumentu: article
ISSN: 2589-8302
2589-8310
DOI: 10.4103/mjdrdypu.mjdrdypu_141_24
Popis: Background Empyema thoracis is a complication of bacterial pneumonia, which can cause significant morbidity and mortality in children. Timely diagnosis and adequate treatment of pneumonia is essential. Objective To determine clinico-bacteriological profile of children admitted with empyema thoracis and to study their outcome and short-term follow-up. Materials and Methods This study was a prospective observational study, performed in age group of 1 month to 14 years admitted in a Tertiary Care Hospital of Odisha over a period of 3 years (March 2020 to February 2023). Results Of 95 patients, most (45) were of age from 1 to 5 years with a mean age of 68.46 ± 39.33 months and male to female ratio of 1.3:1. The peak of cases was seen during the month of March to July. Most common presentation was fever (99%) followed by cough (97%). On pleural fluid analysis organisms were isolated in 45 cases, staphylococcus aureus being commonest (21). Eighty children (84.5%) were treated with antibiotics and intercostal drainage tube, whereas 8 cases (8.5%) needed aspiration and antibiotics. Seven cases (7%) required surgical treatment in the form of decortication or thoracotomy and Video Assisted Thoracoscopic Surgery (VATS). Most common complication was pyopneumothorax, found in 34 cases (36%). Out of 95, 81 (85.3%) were cured, 3(3.2%) died and 4 (4.2%) left against medical advice. Four cases at 15 days follow-up and 2 cases at 2 months follow-up showed restrictive pattern of Pulmonary Function Test. Conclusion Empyema thoracis in children is a dreaded complication of pneumonia. Early diagnosis and effective treatment of pneumonia can decrease morbidity and mortality.
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