tympanostomy管口腔炎:带口腔裂口和没有口腔裂口的儿童之间的微生物学差异
Roberto N Solis1, Kurtis Young2, Oscar S Velazquez-Castro1
1Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.
概括
患有口腔裂的儿童在 tympanostomy 管放置后经历了更多的耳部感染. 甲素耐药黄金葡萄球菌 (MRSA) 是最常见的病因,通常对标准抗生素治疗有耐药性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 微生物学 微生物学
- 儿科健康 儿科健康
背景情况:
- tympanostomy 管用于治疗儿童中耳炎是常见的.
- 耳部排泄 (耳部排泄) 可能发生在输入管后,有时会变得反抗性.
- 裂与耳部感染的风险增加有关.
研究的目的:
- 为了比较儿童耳朵感染的微生物学概况,有和没有裂的儿童.
- 为了识别常见的病原体和抗生素耐药性模式在反抗性耳鼻.
主要方法:
- 在第三级护理中心进行了回顾性队列研究.
- 分析了小口管 (2017-2021) 的儿童 (<18岁) 的耳部培养数据.
- 在口腔裂口和非口腔裂口组之间比较耳发病率和病原体概况.
主要成果:
- palatal 裂口的儿童有较高的耳率 (50.0%与35.7%相比).
- 黄金葡萄球菌,包括MRSA (49%),是两组中最常见的分离物.
- 伪菌 (Pseudomonas aeruginosa) 也很常见;在口腔裂病例中,Corynebacterium物种更常见.
结论:
- 重复性耳在患有口腔裂的儿童中更为普遍.
- MRSA 是儿科 tympanostomy 管 otorrhea 的一个显著的病原体.
- 在S. aureus和P. aeruginosa中,高诺基诺耐药性需要仔细选择抗生素.
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