dc.contributor.author |
Burton, C |
en |
dc.contributor.author |
Walls, T |
en |
dc.contributor.author |
Price, Neil |
en |
dc.contributor.author |
Glasgow, T |
en |
dc.contributor.author |
Walker, Cameron |
en |
dc.contributor.author |
Beasley, S |
en |
dc.contributor.author |
Best, Emma |
en |
dc.date.accessioned |
2016-09-12T23:21:23Z |
en |
dc.date.issued |
2015-05-29 |
en |
dc.identifier.citation |
New Zealand Medical Journal, 2015, 128 (1415), pp. 25 - 33 |
en |
dc.identifier.issn |
0028-8446 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/30317 |
en |
dc.description.abstract |
AIMS: We aimed to identify the causative organisms and sensitivities in community-acquired paediatric empyema at Starship Children's Hospital and Christchurch Hospital and to determine if current antibiotic recommendations are appropriate. METHODS: Retrospective analysis was undertaken of all cases with clinical, radiological, and microbiological evidence of empyema at Starship Children's Hospital and Christchurch Hospital between June 2009 and March 2013 (3.8 years), and January 2009 and May 2014 (5.4 years) respectively. RESULTS: Ninety-eight children were managed with empyema at Starship Children's Hospital and 30 children at Christchurch Hospital. Staphylococcus aureus was the most common pathogen identified at both sites followed by Streptococcus pneumoniae. A significant proportion had no pathogen identified. Amongst S.aureus isolates, 1/5th were methicillin-resistant, contributing 8% of all culture positive empyema cases. Māori and Pacific groups were over-represented. Cases occurred more often in boys and those <5 years. Blood cultures and S.pneumoniae pleural antigen were important in diagnosis. CONCLUSIONS: Our audit confirms the important role of S.aureus in paediatric empyema in New Zealand and a high rate of this disease, particularly in the North Island. Antimicrobial susceptibilities of the pathogens of empyema demonstrate current initial antibiotic recommendation. |
en |
dc.description.uri |
http://www.nzma.org.nz/journal |
en |
dc.publisher |
New Zealand Medical Association |
en |
dc.relation.ispartofseries |
New Zealand Medical Journal |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Adolescent |
en |
dc.subject |
Amoxicillin-Potassium Clavulanate Combination |
en |
dc.subject |
Anti-Bacterial Agents |
en |
dc.subject |
Cefotaxime |
en |
dc.subject |
Cefuroxime |
en |
dc.subject |
Child |
en |
dc.subject |
Child, Preschool |
en |
dc.subject |
Cohort Studies |
en |
dc.subject |
Community-Acquired Infections |
en |
dc.subject |
Empyema, Pleural |
en |
dc.subject |
Ethnic Groups |
en |
dc.subject |
Female |
en |
dc.subject |
Floxacillin |
en |
dc.subject |
Hospitals, Pediatric |
en |
dc.subject |
Hospitals, Urban |
en |
dc.subject |
Humans |
en |
dc.subject |
Infant |
en |
dc.subject |
Infant, Newborn |
en |
dc.subject |
Male |
en |
dc.subject |
Methicillin-Resistant Staphylococcus aureus |
en |
dc.subject |
Microbial Sensitivity Tests |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Pneumococcal Infections |
en |
dc.subject |
Practice Guidelines as Topic |
en |
dc.subject |
Retrospective Studies |
en |
dc.subject |
Seasons |
en |
dc.subject |
Staphylococcal Infections |
en |
dc.subject |
Staphylococcus aureus |
en |
dc.subject |
Streptococcal Infections |
en |
dc.subject |
Streptococcus pneumoniae |
en |
dc.subject |
Streptococcus pyogenes |
en |
dc.title |
Paediatric empyema in New Zealand: a tale of two cities |
en |
dc.type |
Journal Article |
en |
pubs.issue |
1415 |
en |
pubs.begin-page |
25 |
en |
pubs.volume |
128 |
en |
dc.description.version |
VoR – Version of Record |
en |
dc.rights.holder |
Copyright: New Zealand Medical Association (NZMA) |
en |
dc.identifier.pmid |
26117509 |
en |
pubs.author-url |
https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2015/vol-128-no-1415/6548 |
en |
pubs.end-page |
33 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
489519 |
en |
pubs.org-id |
Engineering |
en |
pubs.org-id |
Engineering Science |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Paediatrics Child & Youth Hlth |
en |
dc.identifier.eissn |
1175-8716 |
en |
pubs.record-created-at-source-date |
2016-09-13 |
en |
pubs.dimensions-id |
26117509 |
en |