%0 Journal Article
%T Retrospective study of acute mastoiditis in children in Spain attended in a Pediatric Emergency department.
%A García-Sánchez P
%A Parra Rodríguez B
%A López López R
%A Molina Gutiérrez MÁ
%A Bueno Barriocanal M
%A de Ceano-Vivas la Calle M
%J Enferm Infecc Microbiol Clin (Engl Ed)
%V 42
%N 5
%D 2024 May
%M 38704193
暂无%R 10.1016/j.eimce.2024.02.010
%X <B>OBJECTIVE: </B>To analyze the cases of acute mastoiditis, characteristics, management and complications in children attended in the emergency department.<BR><B>METHODS: </B>Retrospective study of acute mastoiditis in a Spanish tertiary hospital over a 6-year period (2018-2023).<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.