PARAPNEUMONIC EFFUSIONS IN CHILDREN: FIVE YEARS EXPERIENCE
Journal Title: JOURNAL OF CONTEMPORARY MEDICINE - Year 2017, Vol 7, Issue 4
Abstract
Aim: Most severe complication of respiratory tract infections that s causing morbidity and mortality in children is parapneumonic effusion(PPE). PPE is a pleural exudate that is related with primary pneumonia. The early and appropriate antibiotic treatment is very important in follow-up of patients who are diagnosed as parapneumonic effusion and also the timing of interventional and surgical treatment is important to decrease morbidity and mortalitiy in whom clinical and laboratory findings are not cured enough. Materials and Methods: In this study, the clinical and laboratory findings of parapneumonic effusion one hundred patients applied to one center in five years time are discussed. Results: The mean age of patients were 52 months(1.5-156), 52 were male(52%).The 71% of patients were smaller than five years old. The mean duration of hospitalization of patients were 19.6 days(1-45 days). Most frequent spymptom in application was fever, most frequent sign were tachycardia and retractions, most frequent laboratory anormality was high white blood count. The most frequent microorganism in pleural fluid culture was S.aureus. Conclusion: The determination of pathogens causing parapneumonic effusions in our country is very important for starting most suitable treatment early and to decrease morbidity and mortality.
Authors and Affiliations
Atilla Çifci, Şamil Hızlı, Aysel Yöney
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