dc.contributor.author |
Rix-Trott, Katherine |
|
dc.contributor.author |
Byrnes, Catherine A |
|
dc.contributor.author |
Gilchrist, Catherine A |
|
dc.contributor.author |
Matsas, Richard |
|
dc.contributor.author |
Walls, Tony |
|
dc.contributor.author |
Voss, Lesley |
|
dc.contributor.author |
Mahon, Caroline |
|
dc.contributor.author |
Dickson, Nigel P |
|
dc.contributor.author |
Reed, Peter |
|
dc.contributor.author |
Best, Emma J |
|
dc.coverage.spatial |
United States |
|
dc.date.accessioned |
2021-08-05T23:07:44Z |
|
dc.date.available |
2021-08-05T23:07:44Z |
|
dc.date.issued |
2021-7-7 |
|
dc.identifier.citation |
Pediatric pulmonology 56(9):2949-2957 Sep 2021 |
|
dc.identifier.issn |
8755-6863 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/55869 |
|
dc.description.abstract |
<h4>Aim</h4>The incidence of childhood empyema has been increasing in some developed countries despite the introduction of pneumococcal vaccination. This study aimed to document the incidence, bacterial pathogens, and morbidity/mortality of parapneumonic effusion/empyema in New Zealand.<h4>Methods</h4>A prospective study of 102 children <15 years of age requiring hospitalization with parapneumonic effusion/empyema between 1-May-2014 and 31-May-2016 notified via the New Zealand Paediatric Surveillance Unit. Parapneumonic effusion/empyema was defined as pneumonia and pleural effusion persisting ≥7 days, and/or any pneumonia, and pleural effusion necessitating drainage. Notifying pediatricians completed standardized questionnaires.<h4>Results</h4>Annual pediatric parapneumonic effusion/empyema incidence was 5.6/100,000 (95%CI 4.7-6.9). Most children (80%) required surgical intervention and 31% required intensive care. A causative organism was identified in 71/102 (70%) cases. Although Staphylococcus aureus (25%) and Streptococcus pneumoniae (25%) infection rates were similar, prolonged hospitalization, and intensive care admission was more common in children with S. aureus. Māori and Pasifika children were over-represented at 2.2 and 3.5 times, their representation in the NZ pediatric population. Pneumococcal vaccination was incomplete, with only 61% fully immunized and 30% unimmunized. Haemophilus influenzae type b vaccine uptake was near complete at 89/94 (95%), with influenza immunization only 3/78 (4%).<h4>Conclusions</h4>New Zealand has a high incidence of pediatric complicated parapneumonic effusion/empyema with significant morbidity. S. aureus was a significant cause of severe empyema in New Zealand, particularly for Māori and Pasifika children. Improvements in vaccine coverage are needed along with strategies to reduce S. aureus disease morbidity. This article is protected by copyright. All rights reserved. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Wiley |
|
dc.relation.ispartofseries |
Pediatric pulmonology |
|
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. |
|
dc.rights |
This is the peer reviewed version of the following article: Pediatric pulmonology 56(9):2949-2957 Sep 2021, which has been published in final form at http://doi.org/10.1002/ppul.25564 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://authorservices.wiley.com/author-resources/Journal-Authors/licensing/self-archiving.html |
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dc.subject |
Child |
|
dc.subject |
Empyema |
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dc.subject |
Parapneumonic effusion |
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dc.subject |
Pneumococcal disease |
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dc.subject |
Staphylococcus aureus |
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dc.subject |
1114 Paediatrics and Reproductive Medicine |
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dc.title |
Surveillance of Pediatric Parapneumonic Effusion/Empyema in New Zealand. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1002/ppul.25564 |
|
dc.date.updated |
2021-07-16T01:57:43Z |
|
dc.rights.holder |
Copyright: Wiley Periodicals LLC |
en |
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/34232567 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
858677 |
|
dc.identifier.eissn |
1099-0496 |
|
pubs.number |
ppul.25564 |
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pubs.online-publication-date |
2021-7-7 |
|