Treatment of pediatric suppurative mastoiditis: is peripherally inserted central catheter (PICC) antibiotic therapy necessary?
Otolaryngol Head Neck Surg
; 135(1): 106-10, 2006 Jul.
Article
em En
| MEDLINE
| ID: mdl-16815193
ABSTRACT
OBJECTIVE:
A review of the treatment of pediatric acute mastoiditis requiring surgical intervention managed with and without PICC therapy postoperatively. STUDY DESIGN ANDSETTING:
Retrospective study of 42 cases from 1989 to 2004 treated at a regional children's hospital.RESULTS:
Sixteen patients received postoperative PICC therapy and 26 received a course of oral antibiotics. The PICC group received on average 12.12 days of intravenous antibiotics compared to only 3.53 days for the non-PICC group (P < 0.001). No differences were observed between the two groups in treatment outcomes. One patient from each group required rehospitalization. One minor complication was experienced in a patient in the PICC group. There were no surgical complications. The total cost for outpatient PICC therapy increased treatment costs by approximately $1500 to $2500.CONCLUSIONS:
Oral antibiotic therapy is sufficient after surgical intervention for acute pediatric suppurative mastoiditis without intracranial complications and does not result in adverse treatment outcome.SIGNIFICANCE:
Use of PICC therapy after surgical intervention for mastoiditis should be limited. EBM RATING B-3b.
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Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Cateterismo Periférico
/
Mastoidite
/
Antibacterianos
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Otolaryngol Head Neck Surg
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos