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[Acute mastoiditis: an increasing entity].
A I Ruiz Díaz1, F del Castillo Martín, A Bilbao Garitagoitia
1Unidad de Enfermedades Infecciosas. Hospital Infantil Universitario La Paz. Madrid. España.
Anales Espanoles De Pediatria
|December 7, 2002
Summary
Acute mastoiditis, a complication of acute otitis media, is becoming more frequent, particularly in children under two years old. Recent data shows a considerable increase in incidence.
Area of Science:
- Otolaryngology
- Pediatric Infectious Diseases
Context:
- Mastoiditis was historically a common complication of acute otitis media.
- Antibiotic availability led to a decline in reported cases.
- Recent trends indicate a resurgence in mastoiditis incidence.
Purpose:
- To determine the recent frequency of acute mastoiditis.
- To analyze the clinical and bacteriologic features of patients diagnosed with acute mastoiditis.
Summary:
- A retrospective analysis of 100 patients diagnosed with acute mastoiditis between 1994-2001 was conducted.
- The incidence significantly increased from 1999-2001, with 52% of cases occurring during this period.
- Streptococcus pneumoniae was the most common pathogen identified; 17% of cultures were sterile. Three patients required mastoidectomy.
Impact:
- The study highlights a considerable increase in acute mastoiditis incidence in the analyzed population.
- Acute mastoiditis is more prevalent in children under two years of age.
- Findings underscore the need for continued surveillance and management strategies for this complication.