In this section
Empyema is defined as the presence of pus in the pleural space. Parapneumonic effusion is a pleural fluid collection in association with an underlying pneumonia.
Empyema is rare in children (0.7% of pneumonia cases). This guideline covers diagnosis and management of both complications of pneumonia.
Red flag features in Red
As for pneumonia:
CT chest not routinely indicated. Consider if risk of complications, following treatment failure or query regarding alternative aetiology.
CRP is useful as marker of treatment success
Pneumococcal PCR on blood
When to admit/consult
local paediatric team, or who/when to phone consult at RCH:
General Surgical Fellow
Paediatric Empyema Thoracis: Recommendations for Management
Position statement from the Thoracic Society of Australia and New Zealand www.thoracic.org.au