Incidence of parapneumonic pleural effusions (PPE) in children. A twenty year experience from a tertiary paediatric department

摘要: Background: Various reports have demonstrated increased incidence of PPEs in children. Aim: To investigate the our area. Methods: Retrospective review records children ≤ 14yrs hospitalized for PPE from 1-1994 to 12-2013. The annual rate and its change trend was evaluated. Culture, PCR results PCV history were collected. Serotyping Streptococcus pneumoniae isolates 1, 3, 4, 6, 14, 18C, 19A, 19F, 23F conducted routinely after 2006. Results: 132 0.33-14 years old (mean age 4.85 years) with admitted. During this 20 period, a continuously increasing recorded 3.1%, p=0.006 ). Isolations either by culture or as follows: 23 patients (3 belonged serotype 7 2 19A 1 19F while, 10 non-typable), pyogenes 5 , agalactiae spp. 3 MRSA coagulase-negative Staphylococci 2, Haemophilus non-typable 1. mean hospital stay 16.0 days. 86/132 (65.1%) needed drainage 40/132(30.3%) given urokinase intrapleural infusion. 6/132 lung decortication. In pts complicated sepsis, ARDS, uremic-hemolytic syndrome. 13 had pneumothorax, 21 bullae 6 bronchial-pleural fistula. Conclusion: severe complications is increasing.