CLINICODEMOGRAPHIC PROFILE OF CHILDREN ADMITTED WITH PARAPNEUMONIC PLEURAL EFFUSION AT A TERTIARY CARE HOSPITAL.

Dr. Vaishali Prajapati; Dr. Shraddha Halpara; Dr. Bhavi Modi; Dr. Namrata Gadhvi; Dr. Anjali Dodiya

Volume : IX, Issue : VI, June - 2020

CLINICODEMOGRAPHIC PROFILE OF CHILDREN ADMITTED WITH PARAPNEUMONIC PLEURAL EFFUSION AT A TERTIARY CARE HOSPITAL.

Dr. Vaishali Prajapati, Dr. Shraddha Halpara, Dr. Bhavi Modi, Dr. Namrata Gadhvi, Dr. Anjali Dodiya

Abstract :

Aims-To study clinicodemographic profile of patients of parapneumonic pleural effusion in a tertiary care hospital. Materials and methodology-prospective observational study was done over 6 months. The demographic and clinical profiles were documented and details of investigations, complications, management and outcomes were obtained. Results- total 25 patients were enrolled in the study. The occurrence was 40% in < 5 year-olds, 36% in 6-10 year-olds and 24% in >10 year-olds. Malnourishment in < 5 year old patients was 24% and 36% in > 5 year old. Treatment options used were antibiotics alone (32%), thoracostomy tube (28%), VATS (4%), decortication (20%) and lobectomy (4%). Duration of hospital stay was more commonly <10 days (34%), closely followed by 10-15 days (31%), >20 days (27%), and 15-20 days (8%). Conclusion- complications of pneumonia lead to long periods of hospital stay and morbidity in the young. Malnutrition is an important comorbidity. Treatment decisions are on individual basis depending on the severity of disease and availability of facilities for advanced intervention. However, most cases are being managed with conservative treatment options and have a good prognosis.