When should parapneumonic pleural effusions be drained in children?

被引：7

作者：

Fischer, Gilberto Bueno ^{[1
]}

Mocelin, Helena Teresinha ^{[2
]}

Andrade, Cistiano Feijo ^{[3
,4
]}

Sarria, Edgar E. ^{[5
]}

机构：

[1] Univ Fed Ciencias Saude Porto Alegre, Porto Alegre, RS, Brazil

[2] Univ Fed Ciencias Saude Porto Alegre, Paediat Dept, Porto Alegre, RS, Brazil

[3] Hosp Crianca Santo Antonio, Dept Paediat Thorac Surg, Porto Alegre, RS, Brazil

[4] Univ Fed Rio Grande do Sul, Postgrad Program Pulmonol, Porto Alegre, RS, Brazil

[5] Univ Santa Cruz do Sul UNISC, Sch Med, Dept Biol & Pharm, Santa Cruz Do Sul, Brazil

来源：

PAEDIATRIC RESPIRATORY REVIEWS | 2018年 / 26卷

关键词：

Parapneumonic effusion; Light's criteria; Management; Drainage; EMPYEMA; MANAGEMENT; DIAGNOSIS; TRENDS; GUIDELINES; INFECTION; PNEUMONIA; IMPACT;

D O I：

10.1016/j.prrv.2017.05.003

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Pneumonia is an important health problem in children, and parapneumonic pleural effusion (PPE) is a frequent complication. There is no standard strategy for treating PPE, reflected in the few international guidelines that have been published on the issue. Compared to adults, there is no consensus on the utility of pleural fluid analysis in paediatric PPE. This is because of the lack of good evidence either in favour or against it and the risks of procedural sedation for acquiring pleural fluid for analysis to guide management. In this paper we provide a succinct review of the different approaches to the management of PPE, including diagnosis, pleural fluid analysis (Light's criteria) and treatment, both medical and surgical. (C) 2017 Published by Elsevier Ltd.

引用

页码：27 / 30

页数：4

共 35 条

[1] BTS guidelines for the management of pleural infection in children [J].

Balfour-Lynn, IM ;

Abrahamson, E ;

Cohen, G ;

Hartley, J ;

King, S ;

Parikh, D ;

Spencer, D ;

Thomson, AH ;

Urquhart, D .

THORAX, 2005, 60 :1-21

[2] Some consensus but little evidence: guidelines on management of pleural infection in children [J].

Balfour-Lynn, IM .

THORAX, 2005, 60 (02) :94-96

[3] Molecular Analysis Improves Pathogen Identification and Epidemiologic Study of Pediatric Parapneumonic Empyema [J].

Blaschke, Anne J. ;

Heyrend, Caroline ;

Byington, Carrie L. ;

Obando, Ignacio ;

Vazquez-Barba, Isabel ;

Doby, Elizabeth H. ;

Korgenski, E. Kent ;

Sheng, Xiaoming ;

Poritz, Mark A. ;

Daly, Judy A. ;

Mason, Edward O. ;

Pavia, Andrew T. ;

Ampofo, Krow .

PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2011, 30 (04) :289-294

[4]

Bradley JS, 2011, CLIN INFECT DIS, V53, pE25, DOI [10.1093/cid/cir531, 10.1093/cid/cir625]

[5] An epidemiological investigation of a sustained high rate of pediatric parapneumonic empyema: Risk factors and microbiological associations [J].

Byington, CL ;

Spencer, LY ;

Johnson, TA ;

Pavia, AT ;

Allen, D ;

Mason, EO ;

Kaplan, S ;

Carroll, KC ;

Daly, JA ;

Christenson, JC ;

Samore, MH .

CLINICAL INFECTIOUS DISEASES, 2002, 34 (04) :434-440

[6] Imaging of parapneumonic pleural effusions and empyema in children [J].

Calder, Alistair ;

Owens, Catherine M. .

PEDIATRIC RADIOLOGY, 2009, 39 (06) :527-537

[7] Management of Children With Empyema: Pleural Drainage Is Not Always Necessary [J].

Carter, Edward ;

Waldhausen, John ;

Zhang, Weiya ;

Hoffman, Lucas ;

Redding, Gregory .

PEDIATRIC PULMONOLOGY, 2010, 45 (05) :475-480

[8] Echo-guided management of complicated parapneumonic effusion in children [J].

Chiu, Chih-Yung ;

Wong, Kin-Sun ;

Huang, Yhu-Chering ;

Lai, Shen-Hao ;

Lin, Tzou-Yien .

PEDIATRIC PULMONOLOGY, 2006, 41 (12) :1226-1232

[9] The Long-term Outcomes of Pediatric Pleural Empyema A Prospective Study [J].

Cohen, Eyal ;

Mahant, Sanjay ;

Dell, Sharon D. ;

Traubici, Jeffrey ;

Ragone, Alejandra ;

Wadhwa, Anu ;

Connolly, Bairbre ;

Weinstein, Michael .

ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2012, 166 (11) :999-1004

[10]

Course CW, 2017, ARCH DIS CHILD

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