Volume : VII, Issue : VII, July - 2017

OUTCOME OF CHILDREN WITH EMPYEMA THORACIS

Dr. Sarika Londhe, Dr. M. K. Behera

Abstract :

 Introduction: Empyema thoracis is a common condition in children and causes significant mortality and morbidity and pose a therapeutic challenge to clinicians. Aim and objective: A study was undertaken to analyze the demography of empyema cases and evaluate the efficacy of management like chest tube drainage, antibiotics and VATS and compare the outcome. Material and Methods: A cross–sectional retrospective study of empyema cases admitted to SKN Medical College Pune wef. June 2013 to Dec 2016 was carried out. Neonates and other secondary causes of empyema were excluded from the study. Routine investigations, chest X–ray, USG, pleural fluid analysis, CT & MRI scan of chest were done. Cases were managed with IV fluids, antibiotics, blood transfusion, ICD and VATS where required. Result: Fifty cases of empyema were recorded. The children were in the age group from 9 months to 10 years. The mean age of the total study group was 3 years. Majority of the children i.e. 76% (n=29) were below 5 years of age. Male to female ratio was 1.7:1. Majority of cases 41 (82%) were weighing below 3rd percentile of expected norms. Common presentation were cough (100%), fever (92%), dyspnea (88%), and chest pain (26%). Majority of the cases received antibiotics before admission to this hospital. Pleural fluid cultures isolate only in 13 (26%) and commonest organism was staphylococcus aureus. Right sided empyema detected in 26 (52%), left sided 19 (38%) and bilateral 5 (10%). All were anemic and in 21 (42%) Hb% were below 7 gm%. Seven (14%) cases managed with antibiotics alone, CTD– 14 (28%) and VATS– 29 (58%). Average duration of hospital stay 16.3 days, cases without tube 9 days, with CTD– 16 days and VATS– 19.6 days. Average duration of ICD in CTD alone was 9.5 days and in VATS was 8.5 days. All cases recovered and no deaths reposted and of thickened pleura were detected in majority of cases. Conclusion: Empyema always pose therapeutic challenge but if diagnosed early and treated appropriately is always rewarding. VAT surgery is safe and beneficial. 

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Sarika Londhe, Dr. M. K.Behera, OUTCOME OF CHILDREN WITH EMPYEMA THORACIS, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾7 | July‾2017


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