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Management of Parapneumonic Empyema in Children

Ahmet Çekirdekçi, MD, Ouz Köksel, MD, Turul Göncü, MD, Oktay Burma, MD, Ali Rahman, MD, Ihsan Sami Uyar, MD, Erhan Ayan, MD, Ayhan Uysal, MD

Department of Thoracic and Cardiovascular Surgery Firat University Medical Faculty Elazi , Turkey

For reprint information contact: Ahmet Çekirdekçi, MD Tel: 90 424 237 4588 Fax: 90 424 238 8096 email: oko{at}hotmail.com Department of Thoracic and Cardiovascular Surgery, Firat University Medical Faculty, Elazi 23200, Turkey.

Empyema is a serious complication of bacterial pneumonia in children. Between July 1992 and July 1998, 53 children aged 7 months to 12 years (mean age, 5.5 years) were treated for empyema complicating pneumonia. After diagnostic thoracentesis, closed tube drainage was carried out with appropriate antibiotic therapy and other treatment strategies such as pleural lavage, intrapleural enzymatic debridement, decortication, or pulmonary resection, according to the effectiveness of drainage and clinical status. There was one death from toxic shock. It was concluded that early decortication in the chronic stage of the disease is a safe and effective treatment modality.

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