Management and outcomes of hospitalised children with community-acquired pneumonia complicated by pleural effusion

Aminova, Nigina, Аминова, Нигина, Aminova, Nigina

Medical science of Uzbekistan / O'zbekiston tibbiyot ilmi · 2025-yil

Annotatsiya

Abstract: The aim of this study was to investigate the hospitalisation of children with community-acquired pneumonia complicated by pleural effusion. Children without significant comorbidities, aged less than 18 years, admitted between 1 February 2022 and 25 February 2025 to the pulmonology and surgery departments of the SRChMMC with any pneumonia discharge code, who had an ultrasound findings of effusion/empyema, were studied. During the study period, 87 children without serious comorbidities were hospitalised for confirmed EP. The mean length of hospital stay was 9 days (Q1-Q3 6-11 days), 27 (31 %) were hospitalised in ORIT. Most (61, 70%) underwent procedural drainage. Length of hospital stay was not related to the amount of effusion but was associated with the time of drainage (0.60 days longer stay per day of delayed drainage, 95% CI 0.19-1.0 days). Microbiological diagnosis was more frequently made by PCR analysis of pleural fluid (43/59, 73%) than by blood culture (9, 10%); the main aetiological pathogens were S. pneumoniae (33, 38%), S. pyogenes (14, 87%) and S. aureus (7, 8%). Discharge on a narrow-spectrum antibiotic (e.g., amoxicillin) was much more common when a pathogen with complicated pleural effusion was identified than when it was not (68% vs. 24%, p < 0.001). Thus, children with OPV were usually hospitalised for prolonged periods. Surgical procedural drainage was associated with a shorter hospital stay. Examination of pleural fluid often facilitated microbiological diagnosis, which itself was associated with more adequate antibiotic therapy.

Maqola ma’lumotlari
MualliflarAminova, Nigina, Аминова, Нигина, Aminova, Nigina
JurnalMedical science of Uzbekistan / O'zbekiston tibbiyot ilmi
NashriyotАндижон давлат тиббиёт институти
ISSN2181-3612
Nashr sanasi2025-06-28
Jild4
Son3
Betlar88-94
TilIngliz
Ilmiy sohaTibbiyot
DOI10.56121/2181-3612-2025-3-88-94
Indeksga qo‘shilgan2026-08-26

DOI: 10.56121/2181-3612-2025-3-88-94 · Maqolaning asl sahifasi

Kalit so‘zlar

pneumonia, pleural effusion, epidemiology, microbiology, пневмония, плевральный выпот, эпидемиология, микробиология, pnevmoniya, plevra effyuziyasi, epidemiologiya, mikrobiologiya

Ilmiy soha

Tibbiyot

Iqtibos keltirish

APAAminova, Nigina, Аминова, Нигина, & Aminova, Nigina (2025). MANAGEMENT AND OUTCOMES OF HOSPITALISED CHILDREN WITH COMMUNITY-ACQUIRED PNEUMONIA COMPLICATED BY PLEURAL EFFUSION. Medical science of Uzbekistan / O'zbekiston tibbiyot ilmi, 4(3), 88-94. https://doi.org/10.56121/2181-3612-2025-3-88-94
GOST (OAK)Aminova, Nigina, Аминова, Нигина, Aminova, Nigina MANAGEMENT AND OUTCOMES OF HOSPITALISED CHILDREN WITH COMMUNITY-ACQUIRED PNEUMONIA COMPLICATED BY PLEURAL EFFUSION // Medical science of Uzbekistan / O'zbekiston tibbiyot ilmi. – 2025. – T. 4, № 3. – P. 88-94. – DOI: 10.56121/2181-3612-2025-3-88-94.
MLAAminova, Nigina, Аминова, Нигина, and Aminova, Nigina. “MANAGEMENT AND OUTCOMES OF HOSPITALISED CHILDREN WITH COMMUNITY-ACQUIRED PNEUMONIA COMPLICATED BY PLEURAL EFFUSION.” Medical science of Uzbekistan / O'zbekiston tibbiyot ilmi, 4(3), 88-94, 2025. https://doi.org/10.56121/2181-3612-2025-3-88-94
ChicagoAminova, Nigina, Аминова, Нигина, and Aminova, Nigina. “MANAGEMENT AND OUTCOMES OF HOSPITALISED CHILDREN WITH COMMUNITY-ACQUIRED PNEUMONIA COMPLICATED BY PLEURAL EFFUSION.” Medical science of Uzbekistan / O'zbekiston tibbiyot ilmi, 4(3), 88-94 (2025). https://doi.org/10.56121/2181-3612-2025-3-88-94
HarvardAminova, Nigina, Аминова, Нигина, and Aminova, Nigina (2025) ‘MANAGEMENT AND OUTCOMES OF HOSPITALISED CHILDREN WITH COMMUNITY-ACQUIRED PNEUMONIA COMPLICATED BY PLEURAL EFFUSION’, Medical science of Uzbekistan / O'zbekiston tibbiyot ilmi, 4(3), 88-94. https://doi.org/10.56121/2181-3612-2025-3-88-94
BibTeX
@article{aminovanigina2025,
  title = {MANAGEMENT AND OUTCOMES OF HOSPITALISED CHILDREN WITH COMMUNITY-ACQUIRED PNEUMONIA COMPLICATED BY PLEURAL EFFUSION},
  author = {Aminova, Nigina and Аминова, Нигина and Aminova, Nigina},
  journal = {Medical science of Uzbekistan / O'zbekiston tibbiyot ilmi},
  year = {2025},
  volume = {4},
  number = {3},
  pages = {88-94},
  doi = {10.56121/2181-3612-2025-3-88-94},
  url = {https://doi.org/10.56121/2181-3612-2025-3-88-94}
}

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