儿科内 empyema 复杂化 otogenic 和 sinogenic 感染
Mégane Raineau1, Ann-Marie Crowe1, Kevin Beccaria2
1Pediatric Intensive Care Unit, Assistance Publique des Hôpitaux de Paris, Hôpital Necker Enfants Malades - Université Paris Cité, Paris, France.
International journal of pediatric otorhinolaryngology
|January 15, 2024
概括
这项研究比较了儿童的otogenic和sinogenic脑内 empyema (IE),发现sinogenicIE具有更严重的发病率. 一个多学科的协议改善了护理,并为儿科IE管理提供了更新的机构算法.
科学领域:
- 儿科神经外科 儿科神经外科
- 传染性疾病 传染性疾病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 儿童的内 (IE) 需要迅速,协调的护理.
- 区分otogenic和sinogenic来源对于管理至关重要.
- 一个既定的多学科协议有助于管理复杂的儿科IE病例.
研究的目的:
- 在儿童中比较otogenic与sinogenicIE的临床和微生物特征.
- 评估外科和医疗管理策略和结果.
- 根据研究结果,完善儿科IE的机构算法.
主要方法:
- 五年来,对患有骨原性IE的儿童电子医疗记录的回顾性分析.
- 识别和比较两个不同的组:产生的IE (OI-IE) 和产生的IE (SI-IE).
- 数据收集包括临床表现,微生物学,管理和结果.
主要成果:
- 76名患有IE的儿科患者在机构协议下接受治疗.
- 阴源性IE (SI-IE) 发生在年龄较大的儿童中,并表现出明显更高的发病率.
- 在SI-IE中,只能看到腹腔内科IE,需要紧急的ENT-神经外科合作;外腔内科IE更为常见.
结论:
- 一个合作的多学科协议确保了儿科IE的协调护理.
- 及时成像,紧急手术和量身定制的抗生素治疗 (包括无菌培养的PCR) 是关键.
- 阴性IE表现出比性IE更严重的临床过程和更高的发病率,为协议更新提供信息.
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