PURPOSE: To identify demographic, clinical, radiological as well as bacteriological variables were to whom realized thoracic drainage to them.
METHODS: We studied patients entered by complicated pneumonia to which thoracic drainage was realized to them, the sample consisted of 49 patients who of consecutive form have been evaluated from January 1998 to February of 2010.The demographic variable used were age and sex, the x-ray ones were the observed radiological extension in the frontal x-ray and those of the pleural liquid they consisted of his macroscopic aspect, the physic-chemical study as well as and the bacteriological result. The statistic analysis was realized by X2de Pearson and exact test of Fisher.
RESULTS: The age average of the patients was of 3,3±3,1 years. To the smaller children of 4 years drainage was realized to them most frequently(x2 =12,75; p=0,0001). Was not difference with respect to sex. The greater radiological presentation consisted of the occupation greater to 2/3 of the thorax; the thoracic drainage was realized with statistical significance greater frequency in the cases of pneumothorax . In 63% of the children the characteristic of the liquid was purulent with bacterial isolation in 61% of the cases, the isolated germ more was pneumococcal, was not statistical significance between the characteristics of the liquid and the isolated pathogen. The glucose of the pleural liquid in 89.85% was < 50mg/dl, being significantly more loss in the serous purulent liquids with respect to the fibrinos ones (t-test 1.17 p=0,248).
CONCLUSIONS: The age constitutes the factor of greater impact in the accomplishment of the thoracic drainage as well as the magnitude of the occupation of the thorax with displacement of the cardiomediastino and the presence of pneumothorax.
CLINICAL IMPLICATIONS: The drainage of thorax with or without fibrinolytics continuous being an suitable tool of treatment for the children with pneumonia and pleural effusion.
DISCLOSURE: The following authors have nothing to disclose: Elias Kassisse
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