Use of polymerase chain reaction to characterize the etiology of culture-negative empyema and parapneumonic effusion among Alaska Native children - 2018-2023

J Pediatric Infect Dis Soc. 2024 Dec 23:piae131. doi: 10.1093/jpids/piae131. Online ahead of print.

Abstract

We used polymerase chain reaction (PCR) to identify bacterial infections in culture-negative pleural fluid specimens from Alaska Native children hospitalized with empyema. PCR identified ≥1 organism in 11 (79%) of 14 specimens. Streptococcus pneumoniae serotype 3 was detected in six specimens; all six participants had received 13-valent pneumococcal conjugate vaccine.

Keywords: Streptococcus pneumoniae; American Indian or Alaska Native; bacterial infections; child; empyema; vaccination.