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Paediatric neck abscesses: microbiology and management
I K Rustom1, J A T Sandoe, Z G G Makura
1Department of Otolaryngology, Head and Neck Surgery, Leeds General Infirmary, UK. isamrustom@hotmail.com
The Journal of Laryngology and Otology
|June 15, 2007
Summary
Paediatric neck abscesses are common, with neck mass being the most frequent symptom. Effective treatment involves antibiotics and surgical drainage, with a low recurrence rate.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Otolaryngology
Background:
- Pediatric neck abscesses present frequent management challenges.
- Understanding common presentations and causative agents is crucial.
Purpose of the Study:
- To analyze presenting symptoms of pediatric neck abscesses.
- To evaluate antibiotic appropriateness and the role of atypical mycobacteria.
- To identify factors influencing clinical resolution.
Main Methods:
- Retrospective study of 64 children undergoing incision and drainage for neck abscesses.
- Data collected on demographics, symptoms, microbiology, and treatment.
- Clinical resolution served as the primary outcome measure.
Main Results:
- The most common symptom was neck mass (96.9%).
- Staphylococcus aureus was the predominant organism (48.4%).
- Atypical mycobacteria were identified in 4.7% of cases, with a 4.7% recurrence rate.
Conclusions:
- Intravenous antibiotics and surgical drainage are the cornerstone of treatment.
- Atypical mycobacterial infection is a key differential diagnosis for painless neck masses.
- A management algorithm for pediatric neck abscesses is proposed.
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