Management of postpneumonic empyemas in children

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dc.authorid0000-0001-9169-560Xen_US
dc.authorid0000-0001-7432-9827en_US
dc.contributor.authorDemirhan, Recep
dc.contributor.authorKoşar, Altuğ
dc.contributor.authorSancaklı, İrfan
dc.contributor.authorKiral, Hakan
dc.contributor.authorOrki, Alpay
dc.contributor.authorArman, Bülent
dc.date.accessioned2024-07-12T21:01:12Z
dc.date.available2024-07-12T21:01:12Z
dc.date.issued2008en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractObjective: The optimal treatment of children with empyema remains controversial. The purpose of this clinical retrospective study was to assess different treatment options in the management of postpneumonic pediatric empyemas. Methods: From April 1997 to October 2005, 111 consecutive children (57 boys and 54 girls) were managed for pleural empyema. The mean age was 7.07 years (range: 18 months-14 years). Patients were divided into 3 groups depending on the treatment received: group I, chest tube alone (n = 89); group II, chest tube with fibrinolytics (n = 22); group III, thoracotomy with decortication (n = 19, consisting of 9 patients of group I and 10 of group II with unsuccessful treatment results). Results: Chest tube alone, chest tube with fibrinolytics, and thoracotomy with decortication had complete response rates of 89.9%, 54.5%, and 100%, respectively. The hospital stay was 11.46 +/- 3.79 days for group I, 9.08 +/- 2.07 days for group II, and 6.32 +/- 2.54 days for group III. There was no statistically significant difference between group I and group II with regard to hospital stay (P = 0.040). Mild pain occurred in 4 children of group II after streptokinase instillation. Only one atelectasis appeared in group III during the postoperative period. Conclusion: Chest tube drainage is a safe, effective primary treatment of postpneumonic pediatric empyema. In cases where it is insufficient, thoracotomy with decortication can be used successfully with low morbidity and mortality rates.en_US
dc.identifier.citationDemirhan, R., Koşar, A., Sancaklı, İ., Kiral, H., Orki, A. ve Arman, B. (2008). Management of postpneumonic empyemas in children. Acta Chirurgica Belgica. 108, s. 208-211.en_US
dc.identifier.endpage211en_US
dc.identifier.issue108en_US
dc.identifier.startpage208en_US
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/18557145/
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3469
dc.institutionauthorKoşar, Altuğ
dc.language.isoenen_US
dc.publisherNational Center for Biotechnology Informationen_US
dc.relation.ispartofActa Chirurgica Belgicaen_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00037
dc.titleManagement of postpneumonic empyemas in childrenen_US
dc.typeArticle
dspace.entity.typePublication

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