16. Composition of Bacterial Isolates in Children with Thoracic Empyema : A Cross-sectional Study
Munawar Ali Siyal, Ameer Ali Jamali, Naseer Ahmad Memon, Azizullah Langah, Karam Khushik and Asghar Ali
ABSTRACT
Objective: To determine how often the University of Medical & Health Sciences Nawab Shah Department of Pediatrics receives bacterial isolates from children with thoracic empyema.
Study Design: A Cross-sectional Study
Place and Duration of Study: This study was conducted at the Department of Pediatrics, University of Medical Health Sciences Nawab Shah from March 2023 to August 2023.
Methods: All patients admitted to the University of Medical & Health Sciences Nawab Shah's paediatrics department who satisfied the study's inclusion requirements were enrolled. Informed consent was acquired after education regarding the procedure, its risks, and the benefits of the study. Chest X-rays were obtained of each patient at admission, throughout the insertion, removal, and discharge of the intercostal tube drain (ICTD). An ultrasonic CT scan of the chest was also carried out if needed. Pleural fluid was submitted for biochemical examination (total and differential leukocyte count, protein, sugar, and LDH) and morphological research (Gram staining, culture, and smear for AFB and Gen Expert) after a diagnostic thoracentesis. The outcome variable, or pattern of bacterial isolates, was assessed. All the data collected was input into the proforma, which was electronically used for research and appended at the end.
Results: The mean ± SD age was 04.01±02.03 years. 25 (41.6%) women and 38 (58.4%) males totalled the total number of patients. Twelve patients (18.4%) had no bacterial isolate growth pattern, nine patients (12.6%) had staphylococcus aureus, eight patients (11.4%) had streptococcus pneumonia, four patients (6%) had Pseudomonas, five patients (3%) had Klebsiella pneumoniae, two patients (2.4%) had Proteus, two patients (2.6%) had E. coli, two patients (2.4%) had mixed, nine patients (12%) had tuberculosis, and twelve patients (18.4%) had no bacterial isolate growth pattern.
Conclusion: Staphylococcus aureus was our study's most common bacterial isolate, followed by Mycobacterium tuberculosis. More research is required to understand the factors related to the pattern of bacterial isolates in children with thoracic empyema.
Key Words: Pediatric, Empyema, Bacterial isolates, Thoracic
Citation of article: Siyal MA, Jamali AA, Memon NA, Langah A, Khushik K, Ali A. Composition of Bacterial Isolates in Children with Thoracic Empyema : A Cross-sectional Study. Med Forum 2024;35(2):74-77. doi:10.60110/medforum.350216.