Management of Thoracic Empyema in Children: A Survey of Indian Pediatricians, Pediatric Surgeons, Pulmonologists, and Intensivists.

Q3 Medicine Journal of Indian Association of Pediatric Surgeons Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI:10.4103/jiaps.jiaps_25_24

Priyanka Medhi, Arun Kumar Loganathan, Susan Jehangir

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Abstract

Background: Empyema thoracis poses a clinical conundrum due to its diverse clinical presentations and management options.

Aims and objectives: The study aimed to investigate the variability in clinical practice across centres and disciplines in the management of empyema in children.

Materials and methods: An online questionnaire focusing on paediatric empyema management was circulated among clinicians in India. Data on demographics, clinical experience, treatment modalities, and intervention indications were collected, and responses were analysed.

Results: The survey amongst 252 participants uncovered notable discrepancies in the viewpoints of pediatricians and pediatric surgeons on the use of fibrinolytic and the indication for video assisted thoracoscopic surgery in pediatric thoracic empyema. While surgeons tended to favour surgical interventions, paediatricians leaned towards conservative management and fibrinolytic therapy.

Conclusion: This study highlights substantial differences in clinical practice and underscores the need for standardized guidelines and interdisciplinary collaboration to optimize patient care and outcomes.

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儿童胸腔积液的处理：印度儿科医生、儿科外科医生、肺科医生和重症监护医生调查。

背景：胸腔积液因其临床表现和处理方法的多样性而成为临床难题：研究旨在调查不同中心和学科在处理儿童肺水肿方面的临床实践差异：在印度的临床医生中分发了一份关于儿童肺水肿管理的在线问卷。收集了有关人口统计学、临床经验、治疗方式和干预适应症的数据，并对答复进行了分析：结果：对 252 名参与者进行的调查发现，儿科医生和小儿外科医生对小儿胸腔积液使用纤维蛋白溶解剂和视频辅助胸腔镜手术适应症的观点存在明显差异。外科医生倾向于手术干预，而儿科医生则倾向于保守治疗和纤维蛋白溶解疗法：本研究强调了临床实践中的巨大差异，并强调了标准化指南和跨学科合作的必要性，以优化患者护理和治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Indian Association of Pediatric Surgeons Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.80

自引率

0.00%

发文量

148

审稿时长

30 weeks

期刊介绍： Journal of Indian Association of Pediatric Surgeons is the official organ of Indian Association of Pediatric Surgeons. The journal started its journey in October 1995 under the Editor-in-Chief Prof. Subir K Chatterjee. An advisory board was formed with well-versed internationally reputed senior members of our society like Late Prof. R K Gandhi, Prof. I C Pathak, Prof. P Upadhyay, Prof. T Dorairajan and many more. since then the journal is published quarterly uninterrupted. The journal publishes original articles, case reports, review articles and technical innovations. Special issues on different subjects are published every year. There have been several contributions from overseas experts.

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