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.
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.
摘要：
目的:分析急性乳突炎,特点,在急诊科就诊的儿童的管理和并发症。
方法：西班牙三级医院6年（2018-2023年）急性乳突炎的回顾性研究。
结果：分析了102次急性乳突炎发作（54％为男性，中位年龄1.8岁)。微生物在三分之一的病例中被分离，主要是化脓性链球菌（占耳朵分泌培养物的64％）。并发症发生率为27.5%，主要是骨膜下脓肿。更年轻的年龄，没有疫苗接种时间表，以前的中耳炎史,耳蜗植入载体或白细胞计数和C反应蛋白水平与并发症无关。复杂病例住院时间较长。治疗包括抗生素，皮质类固醇,和手术在50％的情况下。
结论：这项研究表明，在2023年期间，急性乳突炎增加，化脓性链球菌具有相关作用。更年轻的年龄，没有接种疫苗，个人耳炎或人工耳蜗的病史，血细胞计数和C反应蛋白水平与并发症无关.
方法：西班牙三级医院6年（2018-2023年）急性乳突炎的回顾性研究。
结果：分析了102次急性乳突炎发作（54％为男性，中位年龄1.8岁)。微生物在三分之一的病例中被分离，主要是化脓性链球菌（占耳朵分泌培养物的64％）。并发症发生率为27.5%，主要是骨膜下脓肿。更年轻的年龄，没有疫苗接种时间表，以前的中耳炎史,耳蜗植入载体或白细胞计数和C反应蛋白水平与并发症无关。复杂病例住院时间较长。治疗包括抗生素，皮质类固醇,和手术在50％的情况下。
结论：这项研究表明，在2023年期间，急性乳突炎增加，化脓性链球菌具有相关作用。更年轻的年龄，没有接种疫苗，个人耳炎或人工耳蜗的病史，血细胞计数和C反应蛋白水平与并发症无关.
