TITLE:
Post-Traumatic Pyothorax: Epidemiology, Management and Prognosis in the Thoracic Surgery Department of the Donka National Hospital
AUTHORS:
Camara Alpha Kabinet, Camara Soriba Naby, Balde Oumar Taibata, Diallo Amadou Sarah, Camara Mama Aissata, Magassouba Aboubacar Sidiki, Balde Abdoulaye Korse, Toure Aboubacar, Diallo Aissatou Taran, Diallo Biro
KEYWORDS:
Pyothorax, Trauma, Epidemiology, Management, Prognosis, Surgery, Donka
JOURNAL NAME:
Open Journal of Thoracic Surgery,
Vol.11 No.4,
October
9,
2021
ABSTRACT: Pyothoraxes, also called thoracic empyemas, are defined
by the presence between the two layers of the pleura, of a frankly purulent
liquid, or of a shady or clear liquid but containing a majority of altered
polynuclear cells with germs direct examination. They are said to be traumatic
when they follow a thoracic trauma whatever
the mechanism; usually a pre-existing post-traumatic pleural effusion.
The general objective of this study was to help identify the epidemiological
and prognostic factors in the management of post-traumatic pyothorax in the Thoracic
Surgery Department of the Donka National Hospital. Methodology: This was
a descriptive retrospective study covering a period of 2.5 years from
01/06/2016 to 31/12/2018 carried out in the Thoracic Surgery Department of the
Donka National Hospital. Results: During the study period, 17
cases of post-traumatic pyothorax were observed among the 288 files of admitted
and hospitalized patients. In the course of this study, a rate was 5.90%. The
most affected age group was 1 to 5 years old. The male sex was in the majority
(76.5%). The most common occurrence was the fall, i.e. 41.2%. 47% of patients consult after 60 days. Chest pain and
dyspnea were the main symptoms during our study (82.3%). Antibiotics and
analgesics dominated the medical treatment used in 100% of the cases and
pleural drainage was the first line surgical treatment practiced in 88.2% of
the cases. The prognosis is favorable without sequelae in 52.9% of cases with
an average hospital stay of 9 days. Post-traumatic pyothorax is a serious
pathology involving the vital and functional respiratory prognosis, hence the
need to diagnose and treat it early.