Pediatria pre prax 3/2007

PARAPNEUMONIC EFFUSION IN CHILDREN - DIAGNOSIS AND THERAPY

Pleural effusion (PE) is a common feature of severe pneumonias. The incidence of complicated pneumonia with parapneumonic effusions is arising because of frequent antibiotics use and rising of primary and secondary imunodeficiencies. Image- guided methods a, i.e. chest X ray, pleural ultrasonography and CT are the gold standard of diagnosis. Exact micriobiologic examination is a very important to determine the underlying cause of PE. Management of pleural effusion includes antibiotics, pleural punction, and pleural drainage with fibrinolytic therapy in indicated cases also.

Keywords: parapneumonic pleural effusion, diagnosis, therapy.