“…However there is no clear consensus on the best way to obtain these objectives. (21,22,23) The age of presentation and male preponderance was consistent with similar other studies. (17,24,25) The higher prevalence in under-fives (0.64%) and the slight male preponderance (2.1:1) is in general agreement with the established pattern of acute lower respiratory infections in children.…”
Section: Discussionsupporting
confidence: 81%
“…(39,40) These treatment outcome were similar to other studies. (21,29) A meta-analysis comparing operative and non-operative procedures has also concluded that conservative management leads to recovery in more than 76% of the patients. Average duration of antibiotics used in this study was longer than the previously reported studies from developed countries.…”
“…However there is no clear consensus on the best way to obtain these objectives. (21,22,23) The age of presentation and male preponderance was consistent with similar other studies. (17,24,25) The higher prevalence in under-fives (0.64%) and the slight male preponderance (2.1:1) is in general agreement with the established pattern of acute lower respiratory infections in children.…”
Section: Discussionsupporting
confidence: 81%
“…(39,40) These treatment outcome were similar to other studies. (21,29) A meta-analysis comparing operative and non-operative procedures has also concluded that conservative management leads to recovery in more than 76% of the patients. Average duration of antibiotics used in this study was longer than the previously reported studies from developed countries.…”
“…The BTS recommends that all patients with significant pleural infection should be treated with antibiotics and drainage of the pleural fluid [8]. In many studies, the rate of success of ICWSD was reported as being between 61% and 100% [20][21][22][23]. In the present study, all cases at admission were treated with ICWSD and antibiotics.…”
This is the first report of empyema thoracis from the north eastern region of India. Streptococcus pneumoniae was found to be the leading cause of empyema thoracis in this case series. Conservative management with ICWSD and antibiotics or early use of fibrinolytic therapy if indicated are effective modalities of treatment.
“…The British Thoracic Society recommends that all patients with significant pleural infection should be treated with antibiotics and drainage of the pleural fluid (6). In many studies the rate of success of chest tube thoracostomy was reported as being between 61% and 100% (8)(9)(10)(11)(12). Chest tube thoracostomy rate of success was 89.9% in our study.…”
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.
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