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Published on: February 9, 2011
Risk Factors Associated With Abscess Formation in Children 5 Years of Age and Younger
Vaidehi Agrawal1, Avery Wright2, Brinda Mehta2
1Department of Surgery, Driscoll Children's Hospital, Corpus Christi, TX, USA.
Insights
Hospitalizations for pediatric soft tissue abscesses have doubled. Key risk factors include family history and younger age (2 years and under) in children, with Staphylococcus aureus being a common cause.
Area of Science:
- Pediatric Medicine
- Infectious Diseases
- Dermatology
Background:
- Hospitalization rates for pediatric soft tissue abscesses requiring incision and drainage have doubled between 1997 and 2009.
- There is a growing need to identify risk factors for pediatric abscess formation due to the increasing national burden.
Purpose of the Study:
- To evaluate physiological and lifestyle parameters as potential risk factors for soft tissue abscess formation in pediatric patients aged 5 years or younger.
- To identify key demographic and etiological factors associated with increased risk.
Main Methods:
- Retrospective analysis of pediatric patient data.
- Evaluation of demographic factors (age), family history, and microbiological data (pathogen identification).
Main Results:
- Family history and younger age (≤2 years) were identified as significant risk factors for abscess formation.
- Methicillin-resistant Staphylococcus aureus (MRSA) and methicillin-susceptible Staphylococcus aureus (MSSA) were the predominant pathogens identified.
Conclusions:
- Pediatricians can utilize identified risk factors, such as family history and young age, to counsel high-risk families on prevention strategies.
- Early identification and intervention for high-risk groups may help reduce healthcare costs associated with incision and drainage procedures.
Abstract:
From 1997 to 2009, hospitalization rates have doubled for pediatric patients with soft tissue abscesses requiring incision and drainage. Despite this increasing national burden, few studies have been conducted to identify the risk factors associated with abscess formation. Our study evaluates a collection of physiological and lifestyle parameters that may serve as risk factors for abscess formation among pediatric patients 5 years of age or younger. Our results indicate family history and age 2 years and younger are associated with higher risk of abscess formation. Furthermore, methicillin-resistant Staphylococcus aureus and methicillin-susceptible Staphylococcus aureus were prevalent pathogens associated with abscess in our study group. Pediatricians may employ these novel parameters to educate parents and/or guardians of high-risk groups on preventing abscess formation to alleviate the burden of incision & dragining requiring abscess on health care costs.
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