The diagnosis and management of empyema in children: A comprehensive review from the APSA outcomes and clinical trials committee

Saleem Islam, Casey M. Calkins, Adam B. Goldin, Catherine Chen, Cynthia D. Downard, Eunice Y. Huang, Laura Cassidy, Jacqueline Saito, Martin L. Blakely, Shawn J. Rangel, Marjorie J. Arca, Fizan Abdullah, Shawn D. St Peter*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

104 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)2101-2110
Number of pages10
JournalJournal of pediatric surgery
Volume47
Issue number11
DOIs
StatePublished - Nov 1 2012

Keywords

  • Diagnosis
  • Empyema
  • Fibrinolysis
  • Pediatric
  • Treatment
  • VATS

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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