Pediatric pleural effusions: etiological evaluation in 492 patients over 29 years

ÜTİNE G. E., Ozcelik U., Kiper N., DOĞRU ERSÖZ D., Yalcin E., Cobanoglu N., ...Daha Fazla

TURKISH JOURNAL OF PEDIATRICS, cilt.51, sa.3, ss.214-219, 2009 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 51 Sayı: 3
  • Basım Tarihi: 2009
  • Dergi Adı: TURKISH JOURNAL OF PEDIATRICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.214-219
  • Anahtar Kelimeler: pediatric pleural effusion, parapneumonic, tuberculous, malignant effusion, empyema, PARAPNEUMONIC EFFUSIONS, CHILDREN, EMPYEMA, MANAGEMENT, DIAGNOSIS
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Pediatric pleural effusions present a changing profile over time, both in terms of etiological subgroups and causative microorganisms in parapneumonic effusions. This retrospective study aimed to review pediatric pleural effusions in a large cohort over a 29-year period, with special emphasis on the etiological subgroups and microbiological causes of parapneumonic effusions. The medical records of 492 pediatric patients were reviewed for a comparison of subgroups of pleural effusions and microbiological causes of parapneumonic effusions between three decades. Parapneumonic effusions (381 patients) made up 77.4% of the group. Tuberculous pleurisy decreased, but malignant effusions doubled in number over time. A causative microorganism was identified in 34.6% overall, with Staphylococcus aureus and Streptococcus pneumoniae being the two most common. Relative frequency of S. aureus; decreased, whereas pneumococci and Haemophilus influenzae were more frequent in recent years.