TY - JOUR
T1 - Parapneumonic Pleural Effusion and Empyema in Children
T2 - Review of a 19-Year Experience, 1962-1980
AU - Chonmaitree, Tasnee
AU - Powell, Keith R.
PY - 1983/6
Y1 - 1983/6
N2 - Between 1962 and 1980, 50 children admitted to Strong Memorial Hospital had a pleural effusion or an empyema associated with pneumonia. Such parapneumonic effusion and em pyema accounted for 52 per cent of cases of pleural effusion and empyema of all etiologies admitted during those years. Review of cases of parapneumonic effusion and empyema suggested that clinical manifestations, laboratory, and roentgenographic findings did not separate these two groups of patients before thoracentesis was performed. Specific organisms were identified in 29 per cent of cases with parapneumonic effusion and 62 per cent with parapneumonic empyema. Staphylococcus aureus, Streptococcus pneumoniae, and Streptococcus pyogenes were re sponsible for 35, 30, and 20 per cent of cases, respectively. Parapneumonic effusions were treated without closed-chest tube drainage in 76 per cent of the cases, while closed-chest drainage was necessary in virtually all cases of children with empyema.
AB - Between 1962 and 1980, 50 children admitted to Strong Memorial Hospital had a pleural effusion or an empyema associated with pneumonia. Such parapneumonic effusion and em pyema accounted for 52 per cent of cases of pleural effusion and empyema of all etiologies admitted during those years. Review of cases of parapneumonic effusion and empyema suggested that clinical manifestations, laboratory, and roentgenographic findings did not separate these two groups of patients before thoracentesis was performed. Specific organisms were identified in 29 per cent of cases with parapneumonic effusion and 62 per cent with parapneumonic empyema. Staphylococcus aureus, Streptococcus pneumoniae, and Streptococcus pyogenes were re sponsible for 35, 30, and 20 per cent of cases, respectively. Parapneumonic effusions were treated without closed-chest tube drainage in 76 per cent of the cases, while closed-chest drainage was necessary in virtually all cases of children with empyema.
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U2 - 10.1177/000992288302200603
DO - 10.1177/000992288302200603
M3 - Article
C2 - 6340907
AN - SCOPUS:0020621347
SN - 0009-9228
VL - 22
SP - 414
EP - 419
JO - Clinical pediatrics
JF - Clinical pediatrics
IS - 6
ER -