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[Acute mastoiditis in children: clinical and bacteriological study of 17 cases]

S Morinière1, P Lanotte, Z Celebi

  • 1Unité d'ORL pédiatrique et de chirurgie cervico-faciale, Centre de pédiatrie, Gatien de Clocheville, CHU, Tours.

Presse Medicale (Paris, France : 1983)
|October 10, 2003
PubMed
Abstract

Insights

Acute mastoiditis (AM) in children is a common complication of acute otitis media (AOM). Penicillin-resistant Streptococcus pneumoniae (PRSP) is prevalent but does not alter AM treatment outcomes.

Area of Science:

  • Pediatric Infectious Diseases
  • Otolaryngology
  • Bacteriology

Context:

  • Acute mastoiditis (AM) is the most frequent complication of acute otitis media (AOM) in children.
  • Literature indicates a stable incidence of AM but a rise in penicillin-resistant Streptococcus pneumoniae (PRSP).

Purpose:

  • To assess the incidence of AM in the Tours region.
  • To determine the prevalence of PRSP in pediatric AM cases.

Summary:

  • A retrospective study analyzed 17 pediatric AM cases (1994-2001).
  • Pneumococci were the predominant pathogen (79%), with 8 cases of PRSP identified.
  • Subperiosteal abscesses were common (76%), and all patients achieved good outcomes despite PRSP prevalence.

Impact:

  • The estimated incidence of AM is 1.2 per 100,000 children/year.
  • High PRSP prevalence does not impede effective AM treatment or alter outcomes.
  • Highlights the importance of monitoring antibiotic resistance in pediatric AOM complications.

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