Abstract
© 2014 Asociación Española de Pediatría. The incidence of community-acquired pneumonia complications has increased during the last decade. According to the records from several countries, empyema and necrotizing pneumonia became more frequent during the last few years. The optimal therapeutic approach for such conditions is still controversial. Both pharmacological management (antimicrobials and fibrinolysis), and surgical management (pleural drainage and video-assisted thoracoscopic surgery), are the subject of continuous assessment. In this paper, the Spanish Society of Paediatric Infectious Diseases and the Spanish Society of Paediatric Chest Diseases have reviewed the available evidence. Consensus treatment guidelines are proposed for complications of community-acquired pneumonia in children, focusing on parapneumonic pleural effusion. Recommendations are also provided for the increasing population of patients with underlying diseases and immunosuppression.
Original language | English |
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Article number | 1785 |
Pages (from-to) | 217.e1-217.e11 |
Journal | Anales de Pediatria |
Volume | 83 |
Issue number | 3 |
DOIs | |
Publication status | Published - 1 Sept 2015 |
Keywords
- Children
- Community acquired pneumonia
- Fibrinolytic therapy
- Immunocompromised patients
- Pleural drainage
- Pleural empyema
- Underlying conditions
- Video-assisted thoracoscopy