All issues > Volume 13(9); 1970

Original Article

J Korean Pediatr Soc. 1970;13(9):503-510. Published online September 30, 1970.

A Second look at of its incidence and importance in Pediatric Empyema

Sun Huh¹, Moon Hee Yang¹, Pyung Kil Kim¹, Kyung Soo Park¹

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

Abstract

Twenty seven patients of pediatric emphysema which were observed during last 7 years at Severance Hospital were com paired its incidence and other clinical importance with previous observation of thirty three cases by Whang et al of Severance Hospital, Yonsei University. The following results were observed. 1. Incidence of pediatric empyema was decreased recently comparing with the previous observation. 2. The younger age group was the more patients in this investigation. Eleven out of twenty seven patients were under 1 year of age(40. 8%). But that of Whang et al was 27- 6%. Sex ratio male to female was 2. 6 : 1 and the youngest one was one month old male newborn. 3. 48.1 percent of total patients showed no growth of organisms from the pleural fluid. That of Whand et al was 9.1%. The most important etiologic organism was staphylococcus. Their incidences were 78. 3% of ours and 59. 3 % of previous observation. 4. CloxacilEne, leucomycin, albamycin were more sensitive to organisms in this investigation but erythromycin, chloramphenicol and sigmamycin which had been more sensitive by Whang et al have become more resistant. 5. Associated lung diseases were found from only 14. 8% which were pneumonia, lung abscess and pulmonary tuberculosis. 6. Average hospital day was 23 days which were shorter than other observations. Mortality (2. 9%) was also lower than other observations. 7. Combined antibiotics and closed drainge was choice of treatment in pediatric empyema which were applied to 70. 4% of all patients.

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