All issues > Volume 17(9); 1974

J Korean Pediatr Soc. 1974;17(9):618-624. Published online September 30, 1974.

A Third Look at of Its Incidence and Importance in Pediatric Empyema

Moon Hee Lee¹, Soon II Lee¹, Pyung Kil Kim¹, Duk Jin Yun¹

¹Department of Pediatrics, Yonsei University College of Medicine Seoul, Korea

Abstract

Fifty three pati任its of pediatric empyema which were observed during last 3 years and 6 months at Severence Hospilal were compaired its incidence and other clinical importance with previous observation of twenty seven cages by Huh et al of Severance Hospital, Yonsei University. The following results were observed. 1. Incidence of pediatric empyema was increased recently comparing with the previous observation. 2. The most frequent age group was between 1 and 3 years old, which was accounted to 43. 4%. 3. The 34 cases of them were male and rest was female. 4. Highestseasonal incidence was in Winter and Spring. 5. 36 percent of total patients showed no growth of organisms from the pleural fluid. 6. The commonest causative organism were Staphylococcus aureus (55.9%). The others were Diplococci pneumoniae (17.6%), Pseudomonas (11.8%). 7. In sensitivity test, Lincocin, Novobiocin, and Colimycin showed 100% sensitive to organism and also, Kanamycin, Cloxacilline, Chloramphenicol, and Bactrim showed good sensitive to organism. 8. The location of empyema was 33 cases (62. 3%) in right side and 19 cases (35. %) in left side. Only one was in both. 9. Associated disease were found 77.3% in pneumonia, which was suspected etiology of empyema. 10. Average hospital days was 21 days which were slightly shorter than other observation. 그 1. The mortality rate was 9.4% (5 cases) and the three cases occured under the lyear of age group. 12. Average duration of closed drainage was between 1 and 2 weeks.

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