{Reference Type}: Journal Article
{Title}: Retrospective study of acute mastoiditis in children in Spain attended in a Pediatric Emergency department.
{Author}: García-Sánchez P;Parra Rodríguez B;López López R;Molina Gutiérrez MÁ;Bueno Barriocanal M;de Ceano-Vivas la Calle M;
{Journal}: Enferm Infecc Microbiol Clin (Engl Ed)
{Volume}: 42
{Issue}: 5
{Year}: 2024 May
暂无{DOI}: 10.1016/j.eimce.2024.02.010
{Abstract}: <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.