Bacterial Causes of Empyema in Children, Australia, 2007–2009
نویسندگان
چکیده
An increase in the incidence of empyema worldwide could be related to invasive pneumococcal disease caused by emergent nonvaccine replacement serotypes. To determine bacterial pathogens and pneumococcal serotypes that cause empyema in children in Australia, we conducted a 2-year study of 174 children with empyema. Blood and pleural fluid samples were cultured, and pleural fluid was tested by PCR. Thirty-two (21.0%) of 152 blood and 53 (33.1%) of 160 pleural fluid cultures were positive for bacteria; Streptococcus pneumoniae was the most common organism identified. PCR identified S. pneumoniae in 74 (51.7%) and other bacteria in 19 (13.1%) of 145 pleural fluid specimens. Of 53 samples in which S. pneumoniae serotypes were identified, 2 (3.8%) had vaccine-related and 51 (96.2%) had nonvaccine serotypes; 19A (n = 20; 36.4%), 3 (n = 18; 32.7%), and 1 (n = 8; 14.5%) were the most common. High proportions of nonvaccine serotypes suggest the need to broaden vaccine coverage.
منابع مشابه
Comparing the mean platelet volume and the neutrophil-to-lymphocyte ratio in children with bacterial pneumonia associated with and without pleural empyema
Background: Pneumonia is one of the severe infections in children, and empyema is one of its essential complications which causes more risk in affected children. Therefore, its early diagnosis is of great importance. Objective: This study aims to compare the value of two inflammatory markers including mean platelet volume (MPV) and neutrophil-to-lymphocyte ratio (NLR) in children with pneumoni...
متن کاملPneumatocele in Postpneumonic Empyema in Children: A Case Report
Pneumatocele is most often seen in children with bacterial pneumonia but also develops after blunt thoracic trauma, positive pressure ventilation, and caustic aspiration. We here describe a case of pulmonary pneumatocele in postpneumonic empyema in a child.Generally pneumatocele need not an interventional treatment and an excellent prognosis can be given with only surveillance and antibiotic if...
متن کاملEvaluation of Predictive Factors of Empyema in Children with Parapneumonic Pleural Effusion
Background Empyema is a complication of bacterial pneumonia which has a particular importance due to its significant morbidity and mortality in children. The aim of this study was to investigate the prognostic factors of empyema in children with parapneumonic pleural effusion. Materials and Methods: This retrospective cross-section...
متن کاملEmpyema hospitalizations increased in US children despite pneumococcal conjugate vaccine.
OBJECTIVE To determine if the incidence of empyema among children in the United States has changed since the introduction of the pneumococcal conjugate vaccine in 2000. METHODS We used the nationally representative Kids' Inpatient Database to estimate the annual total number of hospitalizations of children < or = 18 years of age that were associated with empyema in 1997, 2000,2003, and 2006 [...
متن کاملBacterial etiology of empyema thoracis and parapneumonic pleural effusion in Thai children aged less than 16 years.
This study aimed to identify the bacterial etiology of empyema thoracis or parapneumonic pleural effusions in Thai children, with a focus on pneumococcus. This hospital-based, descriptive study included children aged < or = 16 years, diagnosed with empyema thoracis or parapneumonic pleural effusion, from whom a pleural fluid (PF) sample was taken between January 2008 and November 2009. PF and b...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 17 شماره
صفحات -
تاریخ انتشار 2011