Incidence and aetiology of Danish children with community-acquired pneumonia treated with chest tube drainage in 2022-2023 versus the previous three decades

An emergence of complicated pneumonia due to invasive group A Streptococcus (GAS) was reported in 2022–2023.1 We aimed to explore the incidence and cause of complicated community-acquired pneumonia treated with chest tube drainage (CTD) in 2022–2023, compared with the preceding three decades. We retrospectively enrolled all patients aged 0–17 years treated with CTD due to community-acquired pneumonia from 1993–1994 to 2022–2023 at Copenhagen University Hospital, Rigshospitalet, a tertiary referral centre for CTD in Eastern Denmark, the Faroe Islands and Greenland (2.6 million inhabitants). Data from 1993–1994 to 2009–2010 was partly published previously.2 Patients were identified through diagnosis codes for pleural effusion and pleural empyema. Clinical information and laboratory results were extracted from medical records. Patients with severe chronic diseases, such as malignancy and heart disease, were excluded. A microorganism was considered causative if identified in blood or pleural fluid by culture, 16S rRNA PCR, and/or multiplex...
Source: Archives of Disease in Childhood - Category: Pediatrics Authors: Tags: Open access PostScript Source Type: research