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parapneumonic effusions in children

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https://www.readbyqxmd.com/read/27850303/664-intrapleural-tpa-therapy-in-children-with-parapneumonic-effusion
#1
Megan Daniel, Josey Hensley, Lisa Steele, Jennifer Muszynski, Melissa Moore-Clingenpeel, Mark Hall
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27709281/stratifying-fibrinolytic-dosing-in-pediatric-parapneumonic-effusion-based-on-ultrasound-grade-correlation
#2
Charles A James, Leah E Braswell, Amir H Pezeshkmehr, Paula K Roberson, James A Parks, Mary B Moore
BACKGROUND: Complicated pleural effusion prolongs the hospital course of pneumonia. Chest tube placement with instillation of fibrinolytic medication allows efficient drain output and decreases hospital stay. OBJECTIVE: To evaluate experience with lower fibrinolytic dose for parapneumonic effusions and to assess potential dose stratification based on a simple ultrasound grading system. MATERIALS AND METHODS: We retrospectively reviewed the medical record to identify children and young adults who received fibrinolytic therapy for parapneumonic effusion and had chest tube placement by an interventional radiology service at a single children's hospital...
October 5, 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27648553/therapy-of-645-children-with-parapneumonic-effusion-and-empyema-a-german-nationwide-surveillance-study
#3
Florian J Segerer, Karin Seeger, Anna Maier, Christine Hagemann, Christoph Schoen, Mark van der Linden, Andrea Streng, Markus A Rose, Johannes G Liese
OBJECTIVE: To evaluate the initial management of pediatric parapneumonic effusion or pleural empyema (PPE/PE) with regard to length of hospital stay (LOS). METHODS: Collection of pediatric PPE/PE cases using a nationwide surveillance system (ESPED) from 10/2010 to 06/2013, in all German pediatric hospitals. Inclusion of PPE/PE patients <18 years of age requiring drainage or with a PPE/PE persistence >7 days. Staging of PPE/PE based on reported pleural sonographic imaging...
September 20, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27527890/pleural-effusion-with-negative-culture-a-challenge-for-pneumococcal-diagnosis-in-children
#4
Vinicius Pieta Perez, Juliana Caierão, Gilberto Bueno Fischer, Cícero Armídio Gomes Dias, Pedro Alves d'Azevedo
BACKGROUND: Pneumococcal parapneumonic effusion seems to be increasing in children in the postvaccine era and is frequently associated with negative culture. Due to the low yield of culture, culture-independent tools are evaluated. METHODS: Culture-negative pleural fluid specimens from 38 children with parapneumonic effusion were examined for pneumococcal lytA by quantitative polymerase chain reaction (qPCR) and soluble antigen (C-polysaccharide) using an immunochromatographic test (BinaxNow Streptococcus pneumoniae)...
October 2016: Diagnostic Microbiology and Infectious Disease
https://www.readbyqxmd.com/read/27401931/risk-factors-for-local-complications-in-children-with-community-acquired-pneumonia
#5
Katarzyna Krenke, Marta Krawiec, Grażyna Kraj, Joanna Peradzynska, Agnieszka Krauze, Marek Kulus
AIM: The aim of this study was to evaluate the factors that could predict the development of local complications (parapneumonic effusion/pleural empyema, necrotizing pneumonia, and lung abscess) in children with community-acquired pneumonia (CAP). METHODS: Demographic, clinical, and laboratory data were prospectively collected and compared in children with noncomplicated and complicated CAP. RESULTS: Two-hundred and three patients aged from 2 months to 17 years were enrolled...
July 12, 2016: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27320108/pneumonia-with-empyema-among-children-in-the-first-five-years-of-high-coverage-with-13-valent-pneumococcal-conjugate-vaccine
#6
George A Syrogiannopoulos, Aspasia N Michoula, Georgios Tsimitselis, Katerina Vassiou, Denise C Chryssanthopoulou, Ioanna N Grivea
BACKGROUND: Parapneumonic effusions in children are usually associated with pneumococcal infections. In Greece, the 7-valent pneumococcal conjugate vaccine was replaced by higher-valent pneumococcal conjugate vaccines (PCVs); 10-valent was introduced in May 2009 and 13-valent (PCV13) in June 2010. Since July 2010, PCV13 has been the most commonly used PCV. In a study conducted at the University General Hospital of Larissa, Central Greece, from January 2012 to January 2016, 85.7% of children born after the implementation of PCV13 and aged 24-59 months had received the complete series (3 + 1 immunization schedule) of PCV13...
October 2016: Infectious Diseases
https://www.readbyqxmd.com/read/27296817/etiology-of-parapneumonic-effusion-and-pleural-empyema-in-children-the-role-of-conventional-and-molecular-microbiological-tests
#7
Katarzyna Krenke, Ewa Sadowy, Edyta Podsiadły, Waleria Hryniewicz, Urszula Demkow, Marek Kulus
BACKGROUND: An increasing incidence of parapneumonic effusion and pleural empyema (PPE/PE) has been reported in recent studies. As only few data on etiology of PPE/PE in Central Europe have been reported, we undertook a study on the etiology of PPE/PE in children, using both standard culture and molecular techniques. METHODS: This prospective study was conducted between June 2011 and December 2013. Consecutive children with PPE/PE complicating community acquired pneumonia, who required diagnostic/therapeutic thoracentesis were included...
July 2016: Respiratory Medicine
https://www.readbyqxmd.com/read/27103079/metabolomic-profiling-of-infectious-parapneumonic-effusions-reveals-biomarkers-for-guiding-management-of-children-with-streptococcus-pneumoniae-pneumonia
#8
Chih-Yung Chiu, Gigin Lin, Mei-Ling Cheng, Meng-Han Chiang, Ming-Han Tsai, Shen-Hao Lai, Kin-Sun Wong, Sen-Yung Hsieh
Metabolic markers in biofluids represent an attractive tool for guiding clinical management. The aim of this study was to identify metabolic mechanisms during the progress of pleural infection in children with Streptococcus pneumoniae pneumonia. Forty children diagnosed with pneumococcal pneumonia were enrolled and analysis of pleural fluid metabolites categorized by complicated parapneumonic effusions (CPE) and non-CPE was assessed by using (1)H-NMR spectroscopy. Multivariate statistical analysis including principal components analysis (PCA) and partial least-squares discriminant analysis (PLS-DA) were performed...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27059295/incidence-aetiology-and-outcome-of-pleural-empyema-and-parapneumonic-effusion-from-1998-to-2012-in-a-population-of-new-zealand-children
#9
Caroline Mahon, Wendy Walker, Alan Drage, Emma Best
AIM: To document rising incidence rates of childhood empyema and parapneumonic effusion (PPE) in South Auckland, New Zealand between 1998 and 2012; to compare epidemiology, pathogens and outcomes of children with empyema and PPE; and to ascertain whether primary care antibiotic prescribing, delayed presentation, or bacterial epidemiology might account for the rising incident rates. METHODS: Children aged 0 to14 years hospitalised with pleural empyema or PPE were retrospectively identified...
June 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/27032611/trends-in-treatment-of-infectious-parapneumonic-effusions-in-u-s-children-s-hospitals-2004-2014
#10
Robert M Dorman, Kaveh Vali, David H Rothstein
PURPOSE: The purpose of this study was to examine trends in the treatment of patients with infectious parapneumonic effusions in U.S. children's hospitals over the past decade. METHODS: The PHIS database was queried for patients younger than 18years old with pneumonia and pleural effusion in three yearlong periods over the past decade. Variables included age, gender, payer, race/ethnicity, hospital region, hospital type, markers of illness severity, and treatment group (antibiotics alone, chest tube thoracostomy±thrombolytics, video-assisted thoracoscopy (VATS), or thoracotomy)...
June 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26919911/clinical-characteristics-of-323-children-with-parapneumonic-pleural-effusion-and-pleural-empyema-due-to-community-acquired-pneumonia
#11
Katarzyna Krenke, Emilia Urbankowska, Tomasz Urbankowski, Joanna Lange, Marek Kulus
BACKGROUND: An increasing incidence of parapneumonic effusion and pleural empyema (PPE/PE) in children has been found in several studies published in the last decades. The aim of the study was to evaluate the incidence, etiology, clinical features, treatment strategies and outcomes of PPE/PE in children treated in a referral pulmonary center in central Poland. MATERIAL AND METHODS: We performed a retrospective analysis of clinical, radiological and laboratory data of all children aged between 1 month and 18 years with PPE/PE due to community acquired pneumonia (CAP) between January 2002 and December 2013...
May 2016: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/26787377/bacteremic-pneumonia-before-and-after-withdrawal-of-13-valent-pneumococcal-conjugate-vaccine-from-a-public-vaccination-program-in-spain-a-case-control-study
#12
MULTICENTER STUDY
Alfredo Tagarro, Andrea Benito, Aida Sánchez, Esteban Aznar, Enrique Otheo, David Sanz-Rosa
OBJECTIVE: To compare the incidence and epidemiology of bacteremic community-acquired pneumonia (CAP) in the setting of changes in 13-valent pneumococcal conjugate vaccine (PCV13) coverage. STUDY DESIGN: In the region of Madrid, universal immunization with the PCV13 started in May 2010. In July 2012, public funding ceased. Vaccination coverage decreased from >95% to 82% in 2013 and to 67% in 2014. We performed a multicenter surveillance and case-control study from 2009-2014...
April 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/26527959/surgical-management-of-complicated-parapneumonic-pleural-effusion-in-children
#13
Anca Budusan, Ioan Paraian, Doina Zamora
AIMS: We analyzed and examined the effect of different management strategies on short term outcomes for pediatric patients with parapneumonic pleural effusions. PATIENTS AND METHODS: We retrospectively reviewed 16 cases of children admitted and treated in our department of pediatric surgery for empyema or pleural effusions for a period of 30 months. RESULTS: When chest drains are used alone, patients can make a complete recovery, even with the cost of longer hospital stay...
2013: Clujul Medical (1957)
https://www.readbyqxmd.com/read/26527355/pleural-effusions-in-children-from-southern-brazil
#14
Gilberto Bueno Fischer
Parapneumonic pleural effusions (PPE) are a relatively common (5-40%) complication of paediatric pneumonia. However, in clinical practice the majority of the effusions are small and do not need any further investigation or specific treatment apart from antibiotic therapy. A small number require drainage or surgical intervention. Rarely, significant effusions are associated with non-bacterial pneumonia in the paediatric population. Pleural tuberculosis in our hospital is the second highest cause of pleural effusions related to the high incidence of TB in our city...
January 2016: Paediatric Respiratory Reviews
https://www.readbyqxmd.com/read/26488231/pediatric-chest-tubes-and-pigtails-an-evidence-based-approach-to-the-management-of-pleural-space-diseases
#15
REVIEW
Jonathan Strutt, Anupam Kharbanda
Pediatric thoracostomy procedures are used in the emergency department to treat diseases of the pleural space. As children have unique thoracic anatomy and physiology, they may present with management challenges that the emergency clinician must consider. This issue reviews the use of chest tubes and pigtail catheters in pediatric patients, techniques and indications for placement, and possible complications. Diagnostic and treatment options for diseases of the pleural space, such as spontaneous pneumothorax, traumatic injury, and parapneumonic effusions/empyema, are examined...
November 2015: Pediatric Emergency Medicine Practice
https://www.readbyqxmd.com/read/26351760/-para-and-postpneumonic-pleural-empyema-current-treatment-strategies-in-children-and-adults
#16
REVIEW
M Ried, J Graml, C Großer, H-S Hofmann, Z Sziklavari
INTRODUCTION: Parapneumonic pleural effusions arise from pneumonia and may develop into pleural empyema (PE). PE is defined as collection of pus in the pleural space with secondary inflammation of the visceral and parietal pleura. This review article describes the current treatment strategies for para- and postpneumonic PE both in children and adults. MATERIAL AND METHODS: Selective literature research via Medline (key words: pleural empyema, pleural empyema in children, thoracic empyema) and presentation of our own clinical experience with therapy recommendations...
October 2015: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/26291694/lack-of-concordance-in-parapneumonic-effusion-management-in-children-in-central-europe
#17
Gaudenz M Hafen, Andrea-Claudia Grenzbach, Alexander Moeller, Mascha K Rochat
Treatment of parapneumonic effusion in children remains controversial in the literature and in clinical practice. The aim of this study was to determine whether mutual consensus exists in the diagnosis and treatment of parapneumonic effusion in Central European countries. A questionnaire was sent to all directors of pediatric respiratory units in four adjacent Central European countries (Austria, France, Germany, Switzerland). The response rate was 61.8%. Responses reflected acceptable agreement regarding initial diagnostic procedures, as most centers performed chest X-ray and biological exams, followed by ultrasound, thoracocentesis, or computed tomography...
April 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/26286334/acute-necrotizing-pneumonia-combined-with-parapneumonic-effusion-caused-by-mycobacterium-lentiflavum-a-case-report
#18
Yong Chul Lee, Seung Bum Kim, Su Jin Gang, Seung Yong Park, So Ri Kim
BACKGROUND: Mycobacterium lentiflavum (M. lentiflavum), a slow growing nontuberculous mycobacterium (NTM), has recently been described as an emerging human pathogen regardless of the immune status of the host. Previous reports have demonstrated that cervical lymphadenitis of children is the most frequent pathology of M. lentiflavum. However, there are little reports regarding pulmonary diseases by M. lentiflavum specifically in immunocompetent patients. CASE PRESENTATION: A 60-year-old man having prolonged productive cough and dyspnea with fever was initially diagnosed as pneumonia with parapneumonic effusion...
August 19, 2015: BMC Infectious Diseases
https://www.readbyqxmd.com/read/26054782/parapneumonic-effusion-in-children-an-up-to-date-review
#19
REVIEW
Mohamed A Hendaus, Ibrahim A Janahi
No abstract text is available yet for this article.
January 2016: Clinical Pediatrics
https://www.readbyqxmd.com/read/25847131/intrapleural-alteplase-decreases-parapneumonic-effusion-volume-in-children-more-than-saline-irrigation
#20
RANDOMIZED CONTROLLED TRIAL
Sheila J Hanson, Peter L Havens, Pippa M Simpson, Melodee L Nugent, Robert G Wells
OBJECTIVE: In this prospective, double-blind, randomized crossover trial, we determined the effect of intrapleural fibrinolysis with alteplase compared to that of normal saline irrigation on the thoracostomy tube output and pleural effusion volume in children with complicated parapneumonic effusion. METHODS: Twenty seven children, median age 3.5 years, referred to the interventional radiology service for thoracostomy tube drainage of a parapneumonic effusion were studied...
December 2015: Pediatric Pulmonology
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