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Pediatric Surgery International

Erschienen in:

10.01.2021 | Original Article

Lung surgery in children and their post-operative risk of respiratory infection

verfasst von: Mark A. Fleming II, Thomas O. Xu, Jeffrey W. Gander, Daniel E. Levin

Erschienen in: Pediatric Surgery International | Ausgabe 5/2021

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Abstract

Purpose

Pediatric surgeons at our institution are often asked by families about a theoretical increased risk of severe common upper respiratory infections in children status post lung resection. No data exist on this topic. We, therefore, aimed to examine the risk of severe respiratory infection in children after pulmonary resection.

Methods

A chart review was conducted on all pediatric patients who underwent pulmonary resection between August 1st, 2009 and January 31st, 2019. Collected data included patient characteristics, operation, complications and any admission for respiratory infection.

Results

Fifty-seven patients met inclusion criteria. Resections included lobectomy (45.6%), segmentectomy (14.0%), and wedge resection (40.4%). Twelve (21.1%) were immunocompromised and 6 (10.5%) had post-operative complications. Within 1 year of surgery, 2 (3.5%) patients were hospitalized for a viral upper respiratory illness (URI), 1 (1.8%) for bacterial pneumonia, and none due to influenza.

Conclusion

In the general pediatric population, the risk of admission for respiratory illness is 3–21%. At this institution, overall risk of respiratory infection after lung resection appears comparable to baseline community risk. Our findings could aid counseling pediatric patients and their families regarding the 1-year risk of infection after lung resection.

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Titel: Lung surgery in children and their post-operative risk of respiratory infection
verfasst von: Mark A. Fleming II
Thomas O. Xu
Jeffrey W. Gander
Daniel E. Levin
Publikationsdatum: 10.01.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 5/2021
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04851-5

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Lung surgery in children and their post-operative risk of respiratory infection