Clinico-Bacteriological Profile and Outcome of Empyema Thoracis in Children below 12 Years of Age
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 9
Abstract
Introduction: Empyema thoracis is a condition where pus is collected in the pleural cavity. It is a significant cause of pediatric hospital admission and pediatric morbidity especially in developing countries. The objective of this study is to evaluate the clinico-bacteriological profile and outcome of empyema thoracis in children below 12 yrs of age. Method: Patients below 12 yrs of age suffering from empyema thoracis were included in this study. After proper history taking and complete examination routine and specific investigations were done. The pleural fluid was studied for cytology, gram staining, microscopy, culture and sensitivity pattern. All the patients were treated with chest tube drainage and antibiotic therapy. Outcome and complications were noted. Result: The most common age of presentation was 1-5 yrs (60%) with 64% patients being male. Pleural fluid study showed the culture was positive in 30% cases. Staphylococcus aureus was the most common organism isolated (53%) followed by mycobacterium species, Streptococcus pneumonie, Klebsiella and E coli. Intercostal drainage and antibiotic was the mainstay of treatment.. Majority patients responded to the treatment, however 22% cases were referred to higher centres for surgical interventions. Pyothorax and pleural thickening were the most common complications and majority patients survived (94%). Conclusion: Early diagnosis and intervention significantly reduces morbidity in a case of empyema thoracis. Antibiotics and chest drainage is an effective method of treating empyema thoracis in resource poor settings. In this region of Shushrutanagar, Staphylococcus aureus was the most common organism isolated from pleural fluid. Thus prophylactic administration of appropriate antibiotics even prior to c/s report may lead to a better outcome.
Authors and Affiliations
Shriya Akanksha
Keywords
Related Articles
- EP ID EP489855
- DOI -
- Views 46
- Downloads 0
Throat Culture for Streptococcus pneumonia among healthy carrier in Al Majmaah city
Streptococcus pneumoniae, is anaerobic non-spore forming gram positive bacteria with oval/lancet-shaped cocci, they are often arranged in pairs, known as a diplococcus, Culture grows on blood agar, where it forms round f...
Predictive Equation for Height Estimation in Egyptian Elderly Females
Introduction: Height, one of anthropometric measurements, is a very important indicator of body size for use in clinical setting, nutrition and health research. However, height is difficult to measure in nonambulatory el...
Anaesthetic Challenges in A Patient with Massive Lipoma Neck: Lateral Intubation A Salvage Technique
Introduction: Significant difference exists in the physiology and anatomy of paediatric and adult airway, requiring an effective intervention, in case the emergency arises. We present a case of 3 year old child with mass...
A Comparative Study of Surgically Induced Astigmatism in Various Incisions in Manual Sutureless Small Incision Cataract Surgery
Objective: To determine surgically induced astigmatism (SIA) in Chevron (inverted V shape), frown, Boat shaped and straight incisions in manual small incision cataract surgery conducted in patients admitted in RIMS, Srik...
Acute Transverse Myelitis Associated With Dengue Viral Infection
Background: Acute transverse myelitis is a very rare complication of dengue viral infection. Very few cases have been previously reported. Case Presentation: A 38-year-old man developed acute transverse myelitis 8 days a...