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소아 농흉 원인균에 대한 다기관 연구(1999. 9-2004. 8)

Other Titles
 The causative organisms of pediatric empyema in Korea 
 염혜영  ;  김우경  ;  이혜란  ;  홍수종  ;  이수영  ;  안강모  ;  손명현  ;  박용민  ;  나영호  ;  김현희  ;  김진택 
 Korean Journal of Pediatrics, Vol.50(1) : 33-39, 2007 
Journal Title
 Korean Journal of Pediatrics 
Issue Date
Purpose In spite of medical advances, empyema is a serious complication of pneumonia in children. Vaccination practices and antibiotic prescribing practices promote the change of clinical manifestations of empyema and causative organisms. So we made a nationwide clinical observation of 122 cases of empyema in children from 32 hospitals during the 5 year period from September 1999 to August 2004. Methods Demographic data, and clinical information on the course and management of empyema patients were collected retrospectively from medical records in secondary and tertiary hospitals in Korea. Results One hundred twenty two patients were enrolled from 35 hospitals. The most frequent age group was 1-3 years, accounting for 48 percent of all cases. The male to female sex ratio was 1.2:1. The main symptoms were cough, fever, respiratory difficulty, lethargy and chest pain in order of frequency. Hematologic findings on admission revealed decreased hemoglobin levels (10.4±1.6 g/dL) and increased leukocyte counts (16,234.3±10,601.8/µL). Pleural fluid obtained from patients showed high leukocyte counts (30,365.8±64,073.0/µL), high protein levels (522.3±1582.3 g/dL), and low glucose levels (88.1±523.5 mg/dL). Findings from pleural fluid cultures were positive in 80 cases(65.6 percent). The most common causative agent was Streptococcus pneumoniae. The majority of patients were treated with antibiotics and closed drainage. Some patients needed open drainage (16.4 percent) or decortication (3.3 percent). The mean duration of hospitalization was 28.6±15.3 days. Conclusion We analyzed childhood empyema patients during a period of 5 years in Korean children. The most frequent age group was 1-3 years and the most common causative agent was Streptococcus pneumoniaeiae. The majority of patients were treated with antibiotics and close drainage.
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1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Sohn, Myung Hyun(손명현) ORCID logo https://orcid.org/0000-0002-2478-487X
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