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Staphylococcal pneumonia in childhood: Will early surgical intervention lower mortality?
Pediatric pulmonology, 1995-08, Vol.20 (2), p.83-88
Joosten, Koen F. M.
Hazelzet, Jan A.
Tiddens, Harm A. W. M.
Hazebroek, Frans W. J.
Dzoljic-Danilovic, Gordena
Neijens, Herman J.
de Groot, Ronald
1995
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Joosten, Koen F. M.
Hazelzet, Jan A.
Tiddens, Harm A. W. M.
Hazebroek, Frans W. J.
Dzoljic-Danilovic, Gordena
Neijens, Herman J.
de Groot, Ronald
Titel
Staphylococcal pneumonia in childhood: Will early surgical intervention lower mortality?
Ist Teil von
Pediatric pulmonology, 1995-08, Vol.20 (2), p.83-88
Ort / Verlag
New York: Wiley Subscription Services, Inc., A Wiley Company
Erscheinungsjahr
1995
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Staphylococcus aureus pneumonia (SAP) continues to be a serious bacterial infection which is associated with a high incidence of complications. We retrospectively reviewed the case records of 36 infants and children admitted with SAP to the Sophia Children's Hospital between 1970 and 1992 to analyse changes over time in the clinical presentation, diagnostic work‐up, management and complications. Fifteen of these 36 children (42%) were less than 1 year old. Fever (97%) and respiratory distress (83%) were the most common symptoms at the initial presentation. Chest X‐ray findings on admission or during hospitalisation included pleural effusion (75%), pneumothorax (47%), and abscess and/or pneumatocele (39%). Diagnostic and/or therapeutic thoracentesis of pleural fluid was performed in 17 of the 36 patients (47%). Twenty‐one patients (58%) needed chest tube drainage. Twelve had a thoracotomy (33%). Artificial ventilation was needed in 13 of the patients (36%). Extrapulmonary complications included convulsions in 6 patients (17%) and osteomyelitis in 2 children (6%). The mean duration of hospitalization was 36 days. Two of the 36 children died (6%). The low mortality rate in this study may be the result of the relatively high rate of thoracotomy and of improvements in supportive treatment. Pediatr Pulmonol. 1995; 20:83–88. © 1995 Wiley‐Liss, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 8755-6863
eISSN: 1099-0496
DOI: 10.1002/ppul.1950200206
Titel-ID: cdi_proquest_miscellaneous_77751530
Format
–
Schlagworte
Bacterial diseases
,
Bacterial diseases of the respiratory system
,
Biological and medical sciences
,
chest tube drainage
,
Child
,
Child, Preschool
,
Drainage
,
Female
,
Human bacterial diseases
,
Humans
,
Infant
,
Infectious diseases
,
Male
,
Medical sciences
,
pleural effusion
,
pneumatocele
,
Pneumonia, Staphylococcal - complications
,
Pneumonia, Staphylococcal - mortality
,
Pneumonia, Staphylococcal - surgery
,
Retrospective Studies
,
Staphylococcal pneumonia
,
thoracentesis
,
Thoracotomy
,
Treatment Outcome
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