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소아 농흉 원인균에 대한 다기관 연구(1999. 9-2004. 8)

DC FieldValueLanguage
dc.contributor.author손명현-
dc.date.accessioned2014-12-21T17:08:38Z-
dc.date.available2014-12-21T17:08:38Z-
dc.date.issued2007-
dc.identifier.issn1738-1061-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/97028-
dc.description.abstractPurpose 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.-
dc.description.statementOfResponsibilityopen-
dc.format.extent33~39-
dc.languageKorean-
dc.publisher대한소아과학회-
dc.relation.isPartOfKorean Journal of Pediatrics-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title소아 농흉 원인균에 대한 다기관 연구(1999. 9-2004. 8)-
dc.title.alternativeThe causative organisms of pediatric empyema in Korea-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Pediatrics (소아과학)-
dc.contributor.googleauthor염혜영-
dc.contributor.googleauthor김우경-
dc.contributor.googleauthor이혜란-
dc.contributor.googleauthor홍수종-
dc.contributor.googleauthor이수영-
dc.contributor.googleauthor안강모-
dc.contributor.googleauthor손명현-
dc.contributor.googleauthor박용민-
dc.contributor.googleauthor나영호-
dc.contributor.googleauthor김현희-
dc.contributor.googleauthor김진택-
dc.identifier.doi10.3345/kjp.2007.50.1.33-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01967-
dc.relation.journalcodeJ02100-
dc.identifier.eissn2092-7258-
dc.contributor.alternativeNameSon, Myung Hyun-
dc.contributor.affiliatedAuthorSon, Myung Hyun-
dc.rights.accessRightsfree-
dc.citation.volume50-
dc.citation.number1-
dc.citation.startPage33-
dc.citation.endPage39-
dc.identifier.bibliographicCitationKorean Journal of Pediatrics, Vol.50(1) : 33-39, 2007-
dc.identifier.rimsid53610-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers

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