Empyema Thoracis In Kenyatta National Hospital

Oburra HO. Empyema Thoracis In Kenyatta National Hospital.; 1981.


This is a combined prospective and retrospective
review 'study of empyema thoracis. Twenty patients admitted
to Kenyatta National Hospital wards between November, 1980
and April 1981 were studied prospectively. Seventy nine patients admitted between January 1975 and October 1980 were
studied retrospectively. Both groups have been reviewed
to highlight various aspects of this disease, particularly
its potentially crippling effect on the respiratory system
and the fact that this is a preventable situation which is
not yet fully appreciated in our country.
Pulmonary disease was the most prevalent underlying
aetiology in this series. Mycobacteria and Staph. Aureus
were the most frequent causative organism followed by
various gram negative bacteria. Culture was negative in 21%
of all cases reviewed. The tendency of children under
10 years of age to have staphylococcal and multibacterial
infection was noted.
The ever increasing pneumonectomy rate on the background
of inadequate initial. treatment coupled with
scarcity of surgical beds and theatre time is highlighted.
Finally paediatric age and presence of underlying disea were shown to have positive relationship with increased
mortality, while traumatic and tuberculous aetiologies
were found to have a higher risk of eventual pneumonectomy.


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