A study to assess the effectiveness of self-instructional module on knowledge about practice regarding management of patient with chest tube drainage among nurses working in selected Hospitals of North Gujarat

Background: Empyema thoracis (ET) is a serious infection of the pleural space. Despite the availability of broad spectrum antibacterial, improved vaccination coverage and better diagnostic tools, Empyema Thoracis remains associated with high morbidity worldwide. Delay in early diagnosis, failure to institute appropriate antimicrobial therapy, multidrug resistant organisms, malnutrition, comorbidities, poor health seeking behaviour and high treatment cost burden contribute to increased morbidity in children. The available treatment options include intravenous broad-spectrum antibiotics either alone or in combination with surgical procedure (thoracocentesis, chest tube drainage, fibrinolytic therapy, decortications with video assistedthoracoscopic surgery (VATS) and open drainage. Methods: Fifty Children between 1 month to 16 years admitted in the Pediatrics Ward, PICU of College of Medical Sciences, Bharatpur,Nepal. Data analysis was done by SPSS 24.0. Results: Present study found that according to blood culture, 3(6.0%) patients had enterococcus, 40(80.0%) patients had no growth, 2(4.0%) patients had pseudomonas, 4(8.0%) patients had staphylococcus and 1(2.0%) patients had streptococcus. We found that 20(40.0%) patients had done CT scan thorax, 30(60.0%) patients had not done CT scan thorax and 32(64.0%) patients had Amoxiclav first line antibiotic and 18(36.0%) patients had Ceftriaxone first line antibiotic. Conclusions: Suitable antibiotics and prompt chest tube drainage is an effective method of treatment of childhood empyema, especially in resource-poor settings. Majority of the patients progress on this conservative management and have good recovery on follow up.

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Chest Tube Drainage of Transudative Pleural Effusions Hastens Liberation From Mechanical Ventilation

CHEST Journal ◽

10.1378/chest.10-1012 ◽

2011 ◽

Vol 139 (3) ◽

pp. 519-523 ◽

Cited By ~ 12

Author(s):

Yizhak Kupfer ◽

Chanaka Seneviratne ◽

Kabu Chawla ◽

Kavan Ramachandran ◽

Sidney Tessler

Keyword(s):

Mechanical Ventilation ◽

Chest Tube ◽

Chest Tube Drainage ◽

Pleural Effusions ◽

Tube Drainage

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Comparison of Small Bore Catheter Aspiration and Chest Tube Drainage in the Management of Spontaneous Pneumothorax

Advances in Experimental Medicine and Biology - Noncommunicable Diseases ◽

10.1007/5584_2015_146 ◽

2015 ◽

pp. 15-23 ◽

Cited By ~ 12

Author(s):

P. Korczyński ◽

K. Górska ◽

J. Nasiłowski ◽

R. Chazan ◽

R. Krenke

Keyword(s):

Chest Tube ◽

Spontaneous Pneumothorax ◽

Chest Tube Drainage ◽

Tube Drainage

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Empyema in Children: Clinical Course and Long-Term Follow-up

PEDIATRICS ◽

10.1542/peds.73.5.587 ◽

1984 ◽

Vol 73 (5) ◽

pp. 587-593 ◽

Cited By ~ 2

Author(s):

F. John McLaughlin ◽

D. A. Goldmann ◽

D. M. Rosenbaum ◽

G. B. C. Harris ◽

S. R. Schuster ◽

...

Keyword(s):

Flow Rate ◽

Chest Tube ◽

Clinical Course ◽

Chest Tube Drainage ◽

Haemophilus Influenzae Type ◽

Healthy Children ◽

Long Term Outcome ◽

Tube Drainage ◽

Pleural Thickening

Sixteen patients, aged 1 month to 15 years, were studied to determine the clinical course and longterm outcome of empyema in previously healthy children. The pathogens responsible were Haemophilus influenzae type b (seven patients), Staphylococcus aureus (five patients), Streptococcus pneumoniae (three patients), and viridans group Streptococcus (one patient). All patients had loculated fluid showing on chest roentgenographs. Chest tube drainage yielded 20 to 1,495 mL (mean 293 mL) during the first three days, accounting for 83% of total drainage. Chest tubes were removed after three to 17 days (mean ten days). Only slight roentgenographic improvement showed during chest tube drainage. Three patients required an open thoracotomy because of an unsatisfactory clinical response. Hospitalization ranged from eight to 77 days (mean 25 days). All patients had residual pleural thickening shown on chest roentgenographs taken at discharge. Thirteen patients were seen 5 to 140 months (mean 66 months) after discharge. Findings from physical examination were normal in 12 of the 13 patients. Pulmonary function tests in ten of the 13 patients revealed (mean percent predicted ± 1 SD): vital capacity 92 ± 12, residual volume 85 ± 31, total lung capacity 92 ± 13, peak flow rate 96 ± 17, forced expiratory volume in 1 second 90 ± 13, and maximal mid-expiratory flow rate 93 ± 25. In all but one patient, findings on chest roentgenograms were normal or showed slight pleural thickening. Children with loculated empyema can be treated successfully with antibiotics and chest tube drainage. Few patients require open drainage, and further surgery is rarely required. The long-term outcome is excellent.

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