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Determinants of inpatient treatment in children with orbital cellulitis

Amani Kais1, Erica McArdle1, John Behnke1

  • 1West Virginia University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, P.O. Box 9200, Morgantown, WV 26506, United States of America.

American Journal of Otolaryngology
|June 18, 2025
PubMed

Insights

Acute rhinosinusitis (ARS) is the primary predictor for inpatient hospitalization in pediatric orbital cellulitis cases. This finding aids in managing pediatric orbital cellulitis and predicting treatment needs.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Infectious Diseases

Background:

  • Orbital cellulitis in children poses significant risks, often requiring hospitalization.
  • Effective management strategies are crucial to prevent severe complications.

Purpose of the Study:

  • To identify key predictors of inpatient hospitalization for pediatric orbital cellulitis.
  • To inform clinical decision-making regarding treatment settings for affected children.

Main Methods:

  • A retrospective cohort study analyzed 100 pediatric patients treated for orbital cellulitis.
  • Data included patient demographics, orbital cellulitis type, etiology, and abscess presence.
  • Statistical analysis, including univariate and multivariate regressions, was performed.

Main Results:

  • 70% of patients required inpatient treatment, with a mean stay of 3 days.
  • Acute rhinosinusitis (ARS), postseptal cellulitis, and subperiosteal abscess were significant univariate predictors.
  • Multivariate analysis confirmed ARS as the sole significant predictor for inpatient setting.

Conclusions:

  • Acute rhinosinusitis is the primary etiological factor predicting the need for inpatient treatment in pediatric orbital cellulitis.
  • This finding can guide resource allocation and treatment planning for pediatric orbital cellulitis.
Abstract

Keywords:
Acute rhinosinusitisOrbital cellulitisPediatricSinus surgerySubperiosteal abscess

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