García-Sánchez P, Parra Rodríguez B, López López R, Molina Gutiérrez MÁ, Bueno Barriocanal M, de Ceano-Vivas la Calle M. Retrospective study of acute mastoiditis in children in Spain attended in a Pediatric Emergency department.
ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA (ENGLISH ED.) 2024;
42:263-266. [PMID:
38704193 DOI:
10.1016/j.eimce.2024.02.010]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 02/29/2024] [Indexed: 05/06/2024]
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.
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