Volume : IX, Issue : II, February - 2019

A CLINICAL STUDY OF EMPYEMA THORACIS IN CHILDREN

Dr G. Chinna Rao, Dr K. Dinendraram

Abstract :

Introduction: Prevalence of empyema is predominant inspite of advent newer antibiotics still resulting in significant morbidity and mortality which attributes to the poverty, ignorance, illiteracy, and poor compliance to therapy. Aims and objectives: To study the age–sex profile, clinical presentation, etiologic agents, management and the overall treatment outcome of empyema thoracis in children. Material and methods: A total of 35 patients of both the sexes aged 0–12 years diagnosed to have empyema thoracis and who underwent tube thoracostomy from July 2017 to September 2018 were studied. Detailed clinical history, physical examination, relevant routine and specific investigation were done. Results: Majority of patients (45.71%) were seen in age group of 3–5 years. Fever,eathlessness (100%), and cough, chest pain were the commonest presenting features. Bacteriological examination revealed staphylococcus aureus as the commonest etiologic agent (17.4%) isolated from pleural fluid culture. All cases were treated with antibiotics and intercostal tube drainage. 3 cases which did not improve with intercostal tube drainage and had loculations, had undergone Decortication.. There was 3 cases expired out of 35 cases CONCLUSION : Empyema is not rare in our practice. Early diagnosis and proper treatment of pneumonia prevent the development of empyema. Antibiotics and tube thoracostomy is an effective method of treating pyogenic empyema thoracis in children.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

A CLINICAL STUDY OF EMPYEMA THORACIS IN CHILDREN, Dr G.CHINNA RAO, Dr K.DINENDRARAM INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-2 | February-2019

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