背景:儿童眼眶感染通常继发于急性细菌性鼻-鼻窦炎(ABRS)。尚不清楚季节性变化是否会导致这些并发症反映急性鼻-鼻窦炎的发生率。
目的:确定ABRS作为眼眶感染的一个原因以及季节性是否是一个危险因素。
方法:回顾性回顾了2012年至2022年期间到西弗吉尼亚大学儿童医院就诊的所有儿童。包括所有有眼眶感染CT证据的儿童。发生日期,年龄,性别,和鼻窦炎的存在进行了审查。继发于肿瘤的眼眶感染患儿,创伤,或手术被排除。
结果:118例患者的平均年龄为7.3岁,男性65(55.1%)。66例(55.9%)儿童在CT扫描中同时有鼻窦炎,每个季节眼眶并发症的分布显示37例(31.4%)发生在冬季,其次是春季的42例(35.6%),夏季24例(20.3%),和15(12.7%)下降。冬季和春季眼眶感染的儿童有62%的儿童与鼻窦炎其他季候33%(P=0.02)。79名(67%)儿童存在胃前蜂窝织炎,39(33%)儿童眼眶蜂窝织炎,和40名(33.9%)患有脓肿的儿童。77.6%的儿童接受了IV抗生素治疗,94%的儿童接受了口服抗生素治疗。14例(11.9%)使用全身性类固醇。只有18名(15.3%)儿童需要手术。
结论:眼眶并发症似乎有季节性倾向,主要发生在冬季和春季。55.6%的患有眼眶感染的儿童存在鼻-鼻窦炎。
方法:
BACKGROUND: Orbital infections in children are commonly secondary to acute bacterial rhinosinusitis (ABRS). It is unclear whether seasonal variations can predispose to these complications mirroring acute rhinosinusitis incidence.
OBJECTIVE: To determine the incidence of ABRS as a cause of orbital infections and whether seasonality is a risk factor.
METHODS: A retrospective review of all children who presented to West Virginia University children\'s hospital between 2012 and 2022 were reviewed. All children with CT evidence of orbital infection were included. Date of occurrence, age, gender, and presence of sinusitis were reviewed. Children with orbital infection secondary to tumors, trauma, or surgery were excluded.
RESULTS: 118 patients were identified with mean age of 7.3 years with 65 (55.1 %) males. 66 (55.9 %) children had concomitant sinusitis on CT scan, and the distribution of orbital complications per season showed 37 (31.4 %) cases occurred in the winter season, followed by 42 (35.6 %) cases in spring, 24 (20.3 %) cases in summer, and 15 (12.7 %) in fall. Children with orbital infections during winter & spring had sinusitis in 62 % of children vs. 33 % in other seasons (P = 0.02). Preseptal cellulitis was present in 79 (67 %) children, 39 (33 %) children with orbital cellulitis, and 40 (33.9 %) children with abscesses. 77.6 % children were treated with IV antibiotics and 94 % with oral antibiotics, and 14 (11.9 %) with systemic steroids. Only 18 (15.3 %) children required surgery.
CONCLUSIONS: There seems to be a seasonal predisposition for orbital complications mainly in the winter and spring seasons. Rhinosinusitis was present in 55.6 % of children presenting with orbital infections.
METHODS: