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lüll Pediatric pleural effusions: etiological evaluation in 492 patients over 29 years Utine GE; Ozcelik U; Kiper N; Dogru D; Yalcn E; Cobanoglu N; Pekcan S; Kara A; Cengiz AB; Ceyhan M; Secmeer G; Gocmen ATurk J Pediatr 2009[May]; 51 (3): 214-9Pediatric pleural effusions present a changing profile over time, both in terms of etiological subgroups and causative microorganisms in parapneumonic effusions. This retrospective study aimed to review pediatric pleural effusions in a large cohort over a 29-year period, with special emphasis on the etiological subgroups and microbiological causes of parapneumonic effusions. The medical records of 492 pediatric patients were reviewed for a comparison of subgroups of pleural effusions and microbiological causes of parapneumonic effusions between three decades. Parapneumonic effusions (381 patients) made up 77.4% of the group. Tuberculous pleurisy decreased, but malignant effusions doubled in number over time. A causative microorganism was identified in 34.6% overall, with Staphylococcus aureus and Streptococcus pneumoniae being the two most common. Relative frequency of S. aureus decreased, whereas pneumococci and Haemophilus influenzae were more frequent in recent years.|Adolescent[MESH]|Causality[MESH]|Child[MESH]|Child, Preschool[MESH]|Cohort Studies[MESH]|Comorbidity[MESH]|Female[MESH]|Hospitals, Pediatric/statistics & numerical data[MESH]|Hospitals, University/statistics & numerical data[MESH]|Humans[MESH]|Infant[MESH]|Infant, Newborn[MESH]|Male[MESH]|Neoplasms/*epidemiology[MESH]|Pleural Effusion/*epidemiology/*microbiology[MESH]|Retrospective Studies[MESH]|Staphylococcal Infections/*epidemiology/microbiology[MESH]|Staphylococcus aureus/isolation & purification[MESH]|Streptococcal Infections/*epidemiology/microbiology[MESH]|Streptococcus/isolation & purification[MESH]|Time Factors[MESH]|Tuberculosis/*epidemiology[MESH]|Turkey/epidemiology[MESH]|Young Adult[MESH] |