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., ...More

TURKISH JOURNAL OF PEDIATRICS, vol.51, no.3, pp.214-219, 2009 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 51 Issue: 3
  • Publication Date: 2009
  • Title of Journal : TURKISH JOURNAL OF PEDIATRICS
  • Page Numbers: pp.214-219

Abstract

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.