Key result
Antibiotics and echocardiography-guided pericardial fluid drainage resulted in full recovery without constrictive pericarditis in all 3 children, avoiding the need for thoracotomy.
Why the study?
Can children with purulent pericarditis be successfully treated with antibiotics and echocardiography-guided drainage without thoracotomy or pericardial window?
Observational (n=3)
No
Can children with purulent pericarditis be successfully treated with antibiotics and echocardiography-guided drainage without thoracotomy or pericardial window?
Children with purulent pericarditis can be successfully treated with antibiotics and echocardiography-guided drainage without the need for thoracotomy or pericardial window.
Answers are grounded in this paper and cite their sources.
May support echo-guided drainage plus antibiotics in pediatric purulent pericarditis; leaves open generalizability and need for prospective trials.
OBJECTIVES: This study aimed to describe our experience with pediatric bacterial pericarditis and review the optimal therapy for this entity. METHODS: This is a retrospective study in a pediatric intensive care unit in a university hospital. Three children were diagnosed with purulent pericarditis. They were all treated with antibiotics, echocardiography-guided pericardial fluid drainage, and placement of a pericardial catheter, with no need for thoracotomy or pericardial window. RESULTS: All 3 children fully recovered, and none developed constrictive pericarditis. CONCLUSIONS: Children with purulent pericarditis usually can be treated with antibiotics and drainage of pericardial effusion, with no need for thoracotomy or pericardial window.
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Megged et al. (2011) conducted an observational in Purulent pericarditis (n=3). Antibiotics and echocardiography-guided pericardial fluid drainage was evaluated on Full recovery. Antibiotics and echocardiography-guided pericardial fluid drainage resulted in full recovery without constrictive pericarditis in all 3 children, avoiding the need for thoracotomy.
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