%0 Journal Article
%T Management of Infectious Pleurisies in Three Hospitals in the South of Benin
%A Gilles Bognon
%A Caroline Padonou
%A Lut¨¦cia Zohoun
%A Nicole Tchiakpe
%A Rom¨¦o Dah-Bolinon
%A Gratien Sagbo
%J Open Journal of Pediatrics
%P 81-88
%@ 2160-8776
%D 2022
%I Scientific Research Publishing
%R 10.4236/ojped.2022.121010
%X <strong>Objective: </strong><span><span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">Infectious pleurisy is a frequent hospitalization indication in
pediatrics in developing countries. This study aims to describe infectious
pleurisies¡¯ features and to identify its death factors in three teaching
hospitals in Benin. </span><b><span style=\"font-family:Verdana;\">Design: </span></b><span style=\"font-family:Verdana;\">This was a prospective, descriptive and
analytical study including children aged 01 months to 17 years who were
hospitalized in pediatrics in the three hospitals for pleurisy from September
to December 2019. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">Among the 3379 children admitted, 25
presented with an infectious pleurisy, making a hospital frequency of 0.74%.
The sex ratio was 0.8. The majority (19/25) of the children were less than 5
years old. The mean age was 38 ¡À 5.88 months. Most of the parents had a low
education (42/50) and soc</span><span style=\"font-family:Verdana;\">io-economic status
(18/25). The main symptoms were fever (25 cases), dy</span><span style=\"font-family:Verdana;\">spnea (23 cases) and
cough (22 cases). The majority of the children (21/25) were up-to-date in
regards with the Expanded Immunization Program (EIP) vaccines and none had
received non-EIP vaccines. Almost all children (24 cases) had a respiratory
distress (24/25). On chest X-ray, there were abundant pleural extravasations in
12 cases. The main pathogens found were </span><i><span style=\"font-family:Verdana;\">Staphylococcus aureus </span></i><span style=\"font-family:Verdana;\">(16
cases), </span><i><span style=\"font-family:Verdana;\">Streptococcus pneumoniae (</span></i><span style=\"font-family:Verdana;\">3 cases) and </span><i><span style=\"font-family:Verdana;\">Streptococcus A </span></i><span style=\"font-family:Verdana;\">(1
case). All children received oxygen and antibiotic therapy; pleural drainage
was performed in 22 children. The average length of stay was 14 days ¡À 6.4.
Twenty-one children were healed without sequelae, one child had a post-drainage
keloid scar, and two children died. Factors associated with the death of these
children were admission delay for more than 7 days (p = 0.035) and presence of
respiratory distress (p = 0.049). </span><b><span style=\"font-family:Verdana;\">Conclusion:</span></b><span style=\"font-family:Verdana;\"> Pleurisy remains a concern
for children admitted in our hospitals and early management is
%K Infectious Pleurisy
%K Respiratory Distress
%K Pleural Drainage
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=115290