The study is designed to clarify the clinical characteristics and reversion of children with empyema, observe the effect of streptococcus vaccine application on serotype of streptococcus, and to explore the susceptibility factors of streptococcus empyema in children in China.
Empyema is a major complication of bacterial community-acquired pneumonia in children. And studies have shown that although the incidence of community-acquired pneumonia in children has decreased with the application of pneumococcal conjugate vaccine, the incidence of empyema has increased, which raises the difficulty to disease treatment, and aggravates the financial burden on medical care. Streptococcus is one of the most common pathogens causing children's empyema. In recent years, although more and more researches are reported on children's community- acquired pneumonia or pleural effusion, the clinical studies on streptococcus pneumoniae empyema are rarely mentioned. Therefore, a multicenter observational study is needed to better understand the clinical characteristics and reversion of children with empyema, observe the effect of streptococcus vaccine application on serotype of streptococcus, and explore the susceptibility factors of streptococcus empyema in children in China. The study mentioned above will contribute to optimize the treatment strategy of streptococcus empyema for the future, and reduce the incidence of children's empyema. The trial will be completed in 3 years with 100 participants taken from hospitals in partnership with clinical research collaboration of National Clinical Research Center for Respiratory Diseases, China.
Study Type
OBSERVATIONAL
Enrollment
100
Beijing Children's Hospital,
Beijing, Beijing Municipality, China
The cure rate of empyema
Percentage
Time frame: 6 months
The improvement rate of empyema.
Percentage
Time frame: 6 months
The incidence of long-term adverse outcomes.
Percentage
Time frame: 6 months
Duration of fever
Days
Time frame: 4weeks
Duration of respiratory symptoms
Days
Time frame: 4weeks
Duration of hospitalization
Days
Time frame: 4weeks
Number of participant(s) with extra-pulmonary complications, including shock, renal failure, multiple organ failure, hemophagocytosis syndrome, et al.
Number
Time frame: 4weeks
Proportion of streptococcus pneumoniae empyema
Percentage
Time frame: 10 months
Serotype distribution of children with streptococcus pneumoniae empyema
Percentage
Time frame: 10 months
Vaccination rate of pneumococcal conjugate vaccine
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Percentage
Time frame: 6 months