ArticleArchives of disease in childhood2003
Management of parapneumonic effusion and empyema.
Article in Archives of disease in childhood, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Guideline
- Clinical utility of lung ultrasound in differentiating and monitoring complicated pediatric pneumonia: a prospective diagnostic accuracy study.Italian journal of pediatrics · 2026Article
- Clinical decision-making in pediatric pneumonia: when to consider interventional: procedures? A retrospective cross-sectional study.Annals of medicine and surgery (2012) · 2025Article
- Review
- Severe necrotizing pneumonia complicated by empyema in a neonate.Respiratory medicine case reports · 2020Article
- Surgical management of complicated parapneumonic pleural effusion in children.Clujul medical (1957) · 2013Article
- Intrapleural streptokinase treatment in children with empyema.European journal of pediatrics · 2008Article
- Paediatric thoracic tumours presenting as empyema.Pediatric surgery international · 2006Article
- Thorax ultrasound in the management of pediatric pneumonias complicated with empyema.Pediatric surgery international · 2006Article
- Fibrinolysis versus thoracoscopy: Comparison of results in empyema management in the child.Annals of thoracic medicineArticle
- Video-assisted thoracoscopic decortication for the management of late stage pleural empyema, is it feasible?Annals of thoracic medicineArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo gather data on the clinical presentation of parapneumonic effusion and empyema and to examine the effect of different management strategies on short term outcomes.
methodsRetrospective case note review of 48 children admitted to a tertiary unit between January 1998 and March 2001. Effusions were classified into three stages dependent on ultrasound findings.
resultsThe stage of effusion was not associated with duration of previous symptoms or length of previous admission. An interventional procedure was performed on median day 2 of admission in 46 children: eight (17%) had an intercostal drain alone, 14 (29%) had an intercostal drain followed by intrapleural fibrinolytic therapy, and 24 (50%) had a thoracotomy. Three children who had an initial intercostal drain alone returned to theatre for thoracotomy, and two children who had intrapleural fibrinolysis returned for thoracotomy. Median length of stay (interquartile range) for each initial procedure was 15 days (6-20) for intercostal drain alone, 8 days (6-12) for fibrinolytic therapy, and 6.5 days (5-9) for thoracotomy. Stay for intercostal drain alone was significantly longer than for thoracotomy.
conclusionEarly surgical management of empyema is associated with a favourable outcome.
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Registered trials
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