The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee.
Document Type
Article
Publication Date
11-1-2012
Identifier
DOI: 10.1016/j.jpedsurg.2012.07.047
Abstract
The aim of this study is to review the current evidence on the diagnosis and management of empyema. The American Pediatric Surgical Association Outcomes and Clinical Trials Committee compiled 8 questions to address. A comprehensive review was performed on each topic. Topics included the distinction between parapneumonic effusion and empyema, the optimal imaging modality in evaluating pleural space disease, when and how pleural fluid should be managed, the first treatment option and optimal timing in the management of empyema, the optimal chemical debridement agent for empyema, therapeutic options if chemical debridement fails, therapy for parenchymal abscess or necrotizing pneumonia and duration of antibiotic therapy after an intervention. The evidence was graded for each topic to provide grade of recommendation where appropriate.
Journal Title
Journal of pediatric surgery
Volume
47
Issue
11
First Page
2101
Last Page
2110
MeSH Keywords
Anti-Bacterial Agents; Child; Combined Modality Therapy; Debridement; Deoxyribonucleases; Drainage; Empyema, Pleural; Expectorants; Fibrinolytic Agents; Humans; Pleural Cavity; Pneumonia, Bacterial; Thoracic Surgery, Video-Assisted; Tomography, X-Ray Computed; Ultrasonography
Recommended Citation
Islam, S., Calkins, C. M., Goldin, A. B., Chen, C., Downard, C. D., Huang, E. Y., Cassidy, L., Saito, J., Blakely, M. L., Rangel, S. J., Arca, M. J., Abdullah, F., St Peter, S. D., . The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee. Journal of pediatric surgery 47, 2101-2110 (2012).
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