Empyema and pleural efussion in children

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dc.contributor.authorArancibia G., M. Francisca
dc.contributor.authorVega Briceno, Luis E.
dc.contributor.authorPizarro G., M. Ester
dc.contributor.authorPulgar B., Dahiana
dc.contributor.authorHolmgren P., Nils
dc.contributor.authorBertrand N., Pablo
dc.contributor.authorRodriguez C, Jose I.
dc.contributor.authorSinchez D., Ignacio
dc.date.accessioned2025-04-15T10:30:08Z
dc.date.available2025-04-15T10:30:08Z
dc.date.issued2007
dc.description.abstractIntroduction: Pleural empyema (PE) is a serious complication of community-acquired pneumonia (CAP). Objectives: To describe the clinical profile of hospitalized patients with PE in the pediatric ward of the Catholic University Hospital between 2000-2005. Patients y methods: Retrospectively, all pediatric admission due to CAP and pleural effusion (86 children) were identified. In 59 (70%) children >= 1 thoracocentesis were performed. We considered PE as the presence in the pleural effusion of pus, and/or a positive gram strain and/or positive culture, and/or a pH < 7.10. Children with effusions not meeting any criteria were used as controls. Results: Twenty four PE and 25 controls were identified, with a global mean age of 2.9 years (range: 8 months to 14.3 years); 78% were < 5 years, with a significant difference between PE and controls [1.6 vs 3.3 years (p = 0.01)]. The mean duration of symptoms in PE patients before admission was 7 days (range: 2-21), and the most frequent symptoms were fever (100%) and cough (96%). In 15/24 cases a microorganism was identified being Streptococcus pneumoniae (n = 9) the most common. In 48 patients management was conservative and in 4 surgical procedures were required. The mean duration of hospitalization was significantly higher in the PE group vs controls group: 15 (range: 5-38) vs 9 days (range 3-16) (p < 0.01). A chest tube was inserted in 83% of children with EP compared with 36% in the control group (p = 0.002). There were no difference in number of days of oxygen use [6 vs 4.5 (p = 0.36)] or number of chest tubes per child [3 vs 2.5 (p = 0.29)]. No deaths were reported. Conclusion: PE in children represented an acute respiratory event associated with more prolonged hospitalization especially at younger ages; the majority of cases did not require surgical intervention.
dc.format.extent8 páginas
dc.fuente.origenWOS
dc.identifier.doi10.4067/S0716-10182007000600005 
dc.identifier.eissn0717-6341
dc.identifier.issn0716-1018
dc.identifier.pubmedidMEDLINE:18180820
dc.identifier.urihttps://doi.org/10.4067/S0716-10182007000600005 
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103249
dc.identifier.wosidWOS:000254581700004
dc.information.autorucEscuela de Medicina; Arancibia Galilea, Maria Francisca; S/I; 121611
dc.information.autorucEscuela de Medicina; Pizarro Gamboa, Maria Ester; S/I; 15045
dc.information.autorucEscuela de Medicina; Holmgren Palmen, Nils Linus Anders; S/I; 60665
dc.information.autorucEscuela de Medicina; Bertrand Navarrete, Pablo Jose; 0000-0002-7736-0296; 77715
dc.information.autorucEscuela de Medicina; Rodriguez Cuevas, Jose Ignacio; S/I; 99998
dc.information.autorucEscuela de Medicina; Sanchez Diaz, Ignacio; S/I; 52710
dc.issue.numero6
dc.language.isoes
dc.nota.accesoSin adjunto
dc.pagina.final461
dc.pagina.inicio454
dc.relation.ispartof52nd Annual Meeting of the Society-for-Psychophysiological-Research, SEP 19-23, 2012, New Orleans, LA
dc.revistaREVISTA CHILENA DE INFECTOLOGIA
dc.rightsregistro bibliográfico
dc.subjectpleural effusion
dc.subjectempyema
dc.subjectcomplicated pneumonia
dc.subjectchildren
dc.subjectCOMPLICATED PARAPNEUMONIC EFFUSIONS
dc.subjectTHORACIC EMPYEMA
dc.subjectINTRAPLEURAL UROKINASE
dc.subjectCONSERVATIVE TREATMENT
dc.subjectMANAGEMENT
dc.subjectEXPERIENCE
dc.subjectSURGERY
dc.subjectTRIAL
dc.subject.ddc100
dc.subject.deweyFilosofíaes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEmpyema and pleural efussion in children
dc.typeartículo
dc.volumen24
sipa.codpersvinculados121611
sipa.codpersvinculados15045
sipa.codpersvinculados60665
sipa.codpersvinculados77715
sipa.codpersvinculados99998
sipa.codpersvinculados52710
sipa.indexWOS
sipa.indexPubmed
sipa.trazabilidadCarga WOS-SCOPUS;15-04-2025
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