伊朗的儿科轨道骨下疹爆发:特征和原因
Pedram Afshar1, Amirhossein Aghajani1, Navid Mohsenzadeh1
1Department of Orbital and Oculoplastic Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
概括
由于轨道细胞炎的二次性,儿科骨下 (SPA) 发生率急剧增加. 这种增加可能与流感,COVID-19和抗生素耐药性增加有关,在大多数情况下需要手术干预.
科学领域:
- 眼科医生 眼科 眼科
- 儿科医学 儿科医学
- 传染性疾病 传染性疾病
背景情况:
- 轨道骨下 (SPA) 是轨道细胞炎的严重并发症.
- 及时诊断和管理对于预防视力丧失至关重要.
研究的目的:
- 评估SPA二次性到轨道细胞炎的儿科患者的人口统计,特征和管理.
- 调查SPA发病率最近显著增加的原因.
主要方法:
- 对被诊断患有轨道细胞炎和SPA的儿科患者的回顾性图表审查.
- 收集的数据包括人口统计,临床发现,放射性证据 (CT扫描),管理和细菌隔离物.
- 研究期:2022年10月至2023年3月,在第三级转诊眼科医院进行.
主要成果:
- 确定了24名儿童患者的轨道SPA次要的鼻炎.
- 大多数 (75%) 是男性,年龄在11个月到16岁之间.
- 大多数患者 (18/24) 需要进行初始的手术排水; 肌状鼻最常受到影响.
结论:
- 观察到儿科SPA发病率急剧增加.
- 潜在的促成因素包括流感爆发,未被诊断的COVID-19,抗菌素耐药性增加,以及更有毒的细菌菌株.
- 较大的体积和更高的外科干预需求被注意到.
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