Lack of concordance in parapneumonic effusion management in children in central Europe.

Détails

ID Serval
serval:BIB_30838E7443FA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Lack of concordance in parapneumonic effusion management in children in central Europe.
Périodique
Pediatric Pulmonology
Auteur(s)
Hafen G.M., Grenzbach A.C., Moeller A., Rochat M.K.
ISSN
1099-0496 (Electronic)
ISSN-L
1099-0496
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
51
Numéro
4
Pages
411-417
Langue
anglais
Résumé
Treatment of parapneumonic effusion in children remains controversial in the literature and in clinical practice. The aim of this study was to determine whether mutual consensus exists in the diagnosis and treatment of parapneumonic effusion in Central European countries. A questionnaire was sent to all directors of pediatric respiratory units in four adjacent Central European countries (Austria, France, Germany, Switzerland). The response rate was 61.8%. Responses reflected acceptable agreement regarding initial diagnostic procedures, as most centers performed chest X-ray and biological exams, followed by ultrasound, thoracocentesis, or computed tomography. However, antibiotic regimens were very heterogeneous, and the survey revealed complete lack of agreement on the indications and effusion volume threshold for invasive procedures, such as fibrinolytic instillation and thoracoscopy. In conclusion, apart from initial diagnostic procedures, this study showed a lack of mutual consensus among the four countries regarding the management of pediatric parapneumonic effusion. Multicenter prospective trials are clearly needed to acquire more evidence on the management of childhood parapneumonic effusion, enabling the development of evidence-based algorithms that could help to avoid unnecessary examinations with potential long-term side effects, such as radiation exposure at a young age. Pediatr Pulmonol. 2016;51:411-417. © 2015 Wiley Periodicals, Inc.
Pubmed
Web of science
Création de la notice
26/04/2016 17:40
Dernière modification de la notice
20/08/2019 14:15
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