%0 Journal Article
%T Epidemiological, Diagnostic, Therapeutic, and Prognostic Profile of Non-Tuberculous Community-Acquired Purulent Pleurisy in Children at the Bouaké University Hospital Center, 2017-2021
%A Yapo Thomas Aba
%A Christian Yao
%A Pac£¿me Monemo
%A Richard Azagoh-Kouadio
%A Iburaima Akandji
%A Noelle Gonn¨¦
%A Jean-Marie Karidioula
%A Vincent Achi
%A Vincent Kouadio Asse
%J Advances in Infectious Diseases
%P 220-232
%@ 2164-2656
%D 2024
%I Scientific Research Publishing
%R 10.4236/aid.2024.141017
%X <strong>Introduction:</strong> In C<span style=\"white-space:nowrap;\">&amp;#244;</span>te d¡¯Ivoire, there is a scarcity of data on children¡¯s purulent pleurisies. <strong>Objective:</strong> This study aims to elucidate the epidemiological, diagnostic, therapeutic, and evolutionary facets of non-tuberculous purulent pleurisies in pediatric patients. <strong>Methods:</strong> A retrospective analysis was conducted using the medical records of children aged one month to fifteen years with purulent pleurisies at Bouak¨¦ University Hospital Center from January 2017 to December 2021. <strong>Results:</strong> The study identified 124 cases of purulent pleurisies, constituting 18% of lower respiratory tract infections and 0.8% of all hospitalizations. The majority of these cases (69%) were in children between 1 and 24 months of age. Prominent symptoms included dyspnea (85.5%), O2 saturation below 95% in room air (76.6%), respiratory distress (68.5%), cutaneous-mucosal pallor (63.7%), and fever (43.5%). Radiological findings predominantly showed right-sided pleurisy (62.1%). The pleurisy was often extensive (78.2%), accompanied by pneumothorax (37.1%), alveolo-interstitial opacities (8.1% of cases), and abscess formations (1.6%). Pleural fluid cultures were positive in 46.9% of cases, with Staphylococcus aureus (75%, methi-S) identified among 32 bacteria. Initial antibiotic treatment was empirical, favoring oxacillin (53.2%) or amoxicillin-clavulanic acid (53.2%) in dual (42%) or triple therapy (33%) with gentamicin (64.1%) and/or metronidazole (21.8%). Treatments also included pleural drainage (68.5%) or repeated evacuation punctures (33.1%), and blood transfusion (39%). The mortality rate was 18.8%. <strong>Conclusion:</strong> Non-tuberculous purulent pleurisy remains a significant concern in pediatric hospitalizations at the CHU of Bouak¨¦, marked by high mortality rates.
%K Community-Acquired Purulent Pleurisies
%K Children
%K Mortality
%K Bouak&#233
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=132056