背景：非结核性分枝杆菌（NTM）感染在免疫功能正常的儿童中通常表现为亚急性或慢性颈面部淋巴结炎。这种病理的最佳管理仍然存在争议。
目的：本国际共识指南旨在了解NTM颈面部淋巴结炎的实践模式，并解决主要的诊断和治疗挑战。
方法：使用改进的三迭代德尔菲方法来建立关于诊断考虑因素的专家建议，期待或医疗管理，和操作方面的考虑。本文的建议来自当前的专家共识和对文献的批判性审查。
方法：多国，多机构，三级儿科医院。
结果：共识建议包括诊断工作，治疗目标和管理选择，包括手术，延长抗生素治疗和观察。
结论：国际儿童耳鼻喉科小组（IPOG）关于NTM淋巴结炎患者诊断和治疗的共识声明中提出的建议旨在改善患者护理并促进未来假设的产生。
BACKGROUND: Non-tuberculous mycobacterial (NTM) infection commonly manifests as subacute or chronic cervicofacial lymphadenitis in immunocompetent children. The optimal management of this pathology remains controversial.
OBJECTIVE: This international
consensus guideline aims to understand the practice patterns for NTM cervicofacial lymphadenitis and to address the primary diagnostic and management challenges.
METHODS: A modified three-iterative Delphi method was used to establish expert recommendations on the diagnostic considerations, expectant or medical management, and operative considerations. The recommendations herein are derived from current expert
consensus and critical review of the literature.
METHODS: Multinational, multi-institutional, tertiary pediatric hospitals.
RESULTS: Consensus recommendations include diagnostic work-up, goals of treatment and management options including surgery, prolonged antibiotic therapy and observation.
CONCLUSIONS: The recommendations formulated in this International Pediatric Otolaryngology Group (IPOG)
consensus statement on the diagnosis and management of patients with NTM lymphadenitis are aimed at improving patient care and promoting future hypothesis generation.
