Empyema Drainage

  • David Rea


Childhood empyema is an uncommon but serious complication of pneumonia occurring in one in 150 children hospitalized with pneumonia, affecting 3.3 per 100,000 children. Recent epidemiological data demonstrates an increased incidence of pneumonia in Europe and North America. The principal aims of empyema treatment are control of sepsis and restoration of normal pulmonary function to prevent lung trapping by fibrous pleural peel. The optimal treatment for childhood empyema remains a challenge as there are only a few well-powered randomized controlled trials comparing the variety of treatment options. Current therapeutic options include systemic intravenous antibiotics alone or in combination with thoracocentesis, chest drain insertion with or without instillation of fibrinolytics, and surgical treatments such as video-assisted thoracoscopic surgery (VATS) and thoracotomy.


Drainage Catheter Pleural Space Chlorhexidine Gluconate Chest Ultrasound British Thoracic Society Guideline 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of RadiologyOur Lady’s Children HospitalDublin 12Ireland

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