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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1997-1-8
|
| pubmed:abstractText |
Empyema rarely complicates pneumonia. In a 361-bed regional pediatric hospital, 50 pleural empyemas were identified from 1988 through 1994; 17 (34%) occurred in the last 12 months of this period, for which the incidence was 3.3 per 100,000 of the population aged < or = 18 years (P < .05, chi 2 test). A significant seasonal prevalence was observed: 50% of cases occurred in the winter (P < .001, chi 2 test). In contrast with the findings of previous studies, in which empyemas predominantly occurred in infants, the median age of our patients was 7 years; underlying illnesses were present in only 10%, and all had community-acquired disease. Eighty-two percent had chest tubes inserted, 56% required a thoracotomy with pleural decortication, and 2% had a lobectomy. There were no deaths. Streptococcus pneumoniae was isolated in 40% of the cases; specimens in 44% of the cases were sterile. None of the empyemas were associated with Staphylococcus aureus or Haemophilus influenzae type b, and only one was caused by group A streptococcus. Among 13 S. pneumoniae isolates, the rate of resistance to penicillin was 15%; to erythromycin, 15%; to chloramphenicol, 31%; and to cefotaxime, 23%. The penicillin-resistance rate among blood and cerebrospinal fluid pneumococcal isolates was 17% during 1993-1994. Drug-resistant S. pneumoniae is now a recognized cause of pleural empyemas in children.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
1058-4838
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
22
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1057-63
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:8783710-Adolescent,
pubmed-meshheading:8783710-Adult,
pubmed-meshheading:8783710-Age Factors,
pubmed-meshheading:8783710-Anti-Bacterial Agents,
pubmed-meshheading:8783710-Child,
pubmed-meshheading:8783710-Child, Preschool,
pubmed-meshheading:8783710-Community-Acquired Infections,
pubmed-meshheading:8783710-Drug Resistance, Microbial,
pubmed-meshheading:8783710-Empyema, Pleural,
pubmed-meshheading:8783710-Female,
pubmed-meshheading:8783710-Humans,
pubmed-meshheading:8783710-Infant,
pubmed-meshheading:8783710-Male,
pubmed-meshheading:8783710-Pneumococcal Infections,
pubmed-meshheading:8783710-Seasons,
pubmed-meshheading:8783710-Serotyping,
pubmed-meshheading:8783710-Streptococcus pneumoniae,
pubmed-meshheading:8783710-Treatment Outcome
|
| pubmed:year |
1996
|
| pubmed:articleTitle |
Pneumococcal pleural empyemas in children.
|
| pubmed:affiliation |
Children's Hospital Medical Center, Division of Pulmonary Medicine, Cincinnati, Ohio 45229-3039, USA.
|
| pubmed:publicationType |
Journal Article
|