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- Title
Pleural Empyema and Fibrinolytic Therapy in Children: A Single Center Experience.
- Authors
KANIK YÜKSEK, Saliha; GÜLHAN, Belgin; ÖZKAYA PARLAKAY, Aslınur; TEZER, Hasan; ILIKAN, Gülşah BAYRAM; CİNEL, Güzin; ÖZTORUN, Can İhsan; BOSTANCI, Süleyman Arif; ŞAHİN, Vildan Selin; ŞENEL, Emrah
- Abstract
Objective: Pleural empyema (PE) is a serious complication of pneumonia and continues to be an important problem. Different treatment approaches are remarkable in many reports, but these do not provide strong evidence for ideal treatment. In this study, we aimed to evaluate our approach to the patients diagnosed as PE, and to demonstrate the experience of our center in the shadow of the not fully seated treatment approach in previously published studies. Material and Methods: This is a retrospective study of 48 patients aged between 1-17 years from January 2011 to December 2016 in one center. Pre-admission status, risks and treatments of the patients, clinical and laboratory findings on admission, selected treatment approaches, especially the fibrinolytic therapy, and complications were evaluated. Results: Tube thoracostomy was performed in 43/48 (89.6%). Patients treated with fibrinolytic therapy was 22 (45.8%) and the mean dose was 5.18±2.59 (1-9) in total. Fibrinolytic therapy was significantly higher in PE stage (II) than the other stages (p = 0.001). Intensive care need was 20.8% (n = 10) while total hospital stay was 23.58 ± 8.69 (3-47) days. Surgical intervention were required in five (10.4%) patients. There was no significant relationship between the operation and fibrinolytic treatment status of patients. The complication rate was 41.6% in total. Conclusion: The therapeutic approach to PE in children is not standardized. As a result, each center seems to prefer applying its own treatment approach, considering previous experiences and results, like in our center.
- Subjects
PNEUMONIA in children; EMPYEMA; THROMBOLYTIC therapy
- Publication
Journal of Pediatric Disease / Türkiye Çocuk Hastalıkları Dergisi, 2020, Vol 14, Issue 1, p28
- ISSN
1307-4490
- Publication type
Article
- DOI
10.12956/tchd.523491