Update on the causes, investigation and management of empyema in childhood
Update on the causes, investigation and management of empyema in childhood
Despite being recognised for over two millennia and having an increasing incidence in many countries, the management of childhood empyema remains controversial. This review examines the recent literature on its causes and investigation then focuses on its treatment. Following a trial of appropriate intravenous antibiotics, the evidence would currently support the use of chest drain insertion with urokinase instillation as first line treatment with video-assisted thoracoscopic surgery to be used for failure of medical management. A treatment algorithm is proposed to guide clinical practice.
482-488
Walker, W.
f4931133-20c5-4995-913c-383c7a373867
Wheeler, R.
81d94930-d9d7-486f-8db1-b9e57ed04a8d
Legg, J.
8d6d78f4-3b30-4f4c-bcfa-9489a9fd386e
1 May 2011
Walker, W.
f4931133-20c5-4995-913c-383c7a373867
Wheeler, R.
81d94930-d9d7-486f-8db1-b9e57ed04a8d
Legg, J.
8d6d78f4-3b30-4f4c-bcfa-9489a9fd386e
Walker, W., Wheeler, R. and Legg, J.
(2011)
Update on the causes, investigation and management of empyema in childhood.
Archives of Disease in Childhood, 96 (5), .
(doi:10.1136/adc.2009.165357).
Abstract
Despite being recognised for over two millennia and having an increasing incidence in many countries, the management of childhood empyema remains controversial. This review examines the recent literature on its causes and investigation then focuses on its treatment. Following a trial of appropriate intravenous antibiotics, the evidence would currently support the use of chest drain insertion with urokinase instillation as first line treatment with video-assisted thoracoscopic surgery to be used for failure of medical management. A treatment algorithm is proposed to guide clinical practice.
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Accepted/In Press date: 13 February 2010
e-pub ahead of print date: 24 August 2010
Published date: 1 May 2011
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Local EPrints ID: 480301
URI: http://eprints.soton.ac.uk/id/eprint/480301
ISSN: 0003-9888
PURE UUID: 255b8585-04c7-4b9e-b8f8-cdaa51fa9fab
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Date deposited: 01 Aug 2023 17:18
Last modified: 17 Mar 2024 01:02
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Author:
W. Walker
Author:
R. Wheeler
Author:
J. Legg
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