Retrospective study of acute mastoiditis in children in Spain attended in a Pediatric Emergency department.
Enferm Infecc Microbiol Clin (Engl Ed)
; 42(5): 263-266, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38704193
ABSTRACT
OBJECTIVE:
To analyze the cases of acute mastoiditis, characteristics, management and complications in children attended in the emergency department.METHODS:
Retrospective study of acute mastoiditis in a Spanish tertiary hospital over a 6-year period (2018-2023).RESULTS:
One hundred two episodes of acute mastoiditis were analyzed (54% males, median age 1.8 years). Microorganisms were isolated in one third of cases, mainly Streptococcus pyogenes (64% of ear secretion cultures). Complications occurred in 27.5%, primarily subperiosteal abscess. A younger age, absence of vaccination schedule, previous history of otitis, cochlear implant carriers or white blood cell counts and C-reactive protein levels were not associated with complications. Complicated cases had longer hospitalizations. Treatment included antibiotics, corticosteroids, and surgery in 50% of cases.CONCLUSIONS:
This study shows an increase of acute mastoiditis during 2023, with a relevant role of S. pyogenes. A younger age, absence of vaccination, personal history of otitis or cochlear implant, blood cell counts and C-reactive protein levels were not associated with complications.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Serviço Hospitalar de Emergência
/
Mastoidite
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article