Management of parapneumonial pleural empyema in children: a survey of the Italian Society of Infantile Videosurgery (SIVI)

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Survey reveals varied treatment approaches for pleural empyema in pediatric centers, highlighting the need for guidelines.

Empirical antimicrobial therapy with two antibiotics is used by 78% of centers for pleural empyema.
Chest ultrasound is routinely used in 96% of pediatric surgery centers as part of the initial assessment.
57% of centers approach advanced pleural empyema with pleural drain placement and fibrinolysis as the preferred method.
There is a significant lack of treatment homogeneity between centers, indicating a need for national guidelines.

Ratta et al. (2025) studied this question.

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View Full Paper

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Authors

Survey reveals varied treatment approaches for pleural empyema in pediatric centers, highlighting the need for guidelines.

Empirical antimicrobial therapy with two antibiotics is used by 78% of centers for pleural empyema.
Chest ultrasound is routinely used in 96% of pediatric surgery centers as part of the initial assessment.
57% of centers approach advanced pleural empyema with pleural drain placement and fibrinolysis as the preferred method.
There is a significant lack of treatment homogeneity between centers, indicating a need for national guidelines.

Ratta et al. (2025) studied this question.

View Full Paper

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Bookmark