Prise en Charge des Pleuresies Infectieuses de L’Enfant Dans Trois Hopitaux du Sud du Benin Management of Infectious Pleurisies in Three Hospitals in the South of Benin

作     者：Gilles Bognon Caroline Padonou Lutécia Zohoun Nicole Tchiakpe Roméo Dah-Bolinon Gratien Sagbo Gilles Bognon;Caroline Padonou;Lutécia Zohoun;Nicole Tchiakpe;Roméo Dah-Bolinon;Gratien Sagbo

作者机构：Pediatrics Department Departmental Teaching Hospital of Ouémé-Plateau Porto-Novo Benin Pediatrics and Medical Genetics Department National Teaching Hospital HKM Cotonou Benin Pediatrics Department Mother and Child Teaching Hospital Cotonou Benin 

出 版 物：《Open Journal of Pediatrics》 (儿科学期刊（英文）)

年 卷 期：2022年第12卷第1期

页      面：81-88页

学科分类：100405[医学-卫生毒理学] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

主　　题：Infectious Pleurisy Respiratory Distress Pleural Drainage 

摘      要：Objective: Infectious pleurisy is a frequent hospitalization indication in pediatrics in developing countries. This study aims to describe infectious pleurisies’ features and to identify its death factors in three teaching hospitals in Benin. Design: This was a prospective, descriptive and analytical study including children aged 01 months to 17 years who were hospitalized in pediatrics in the three hospitals for pleurisy from September to December 2019. Results: Among the 3379 children admitted, 25 presented with an infectious pleurisy, making a hospital frequency of 0.74%. The sex ratio was 0.8. The majority (19/25) of the children were less than 5 years old. The mean age was 38 ± 5.88 months. Most of the parents had a low education (42/50) and socio-economic status (18/25). The main symptoms were fever (25 cases), dyspnea (23 cases) and cough (22 cases). The majority of the children (21/25) were up-to-date in regards with the Expanded Immunization Program (EIP) vaccines and none had received non-EIP vaccines. Almost all children (24 cases) had a respiratory distress (24/25). On chest X-ray, there were abundant pleural extravasations in 12 cases. The main pathogens found were Staphylococcus aureus (16 cases), Streptococcus pneumoniae (3 cases) and Streptococcus A (1 case). All children received oxygen and antibiotic therapy;pleural drainage was performed in 22 children. The average length of stay was 14 days ± 6.4. Twenty-one children were healed without sequelae, one child had a post-drainage keloid scar, and two children died. Factors associated with the death of these children were admission delay for more than 7 days (p = 0.035) and presence of respiratory distress (p = 0.049). Conclusion: Pleurisy remains a concern for children admitted in our hospitals and early management is imperative.