儿童的逆和副感染:一个回顾性分析
Savithiri Ratnapalan1, Jeffrey Thevaranjan2, Niranjala Perera3
1University of Toronto, Canada; Hospital for Sick Children, Canada.
Pediatrics and neonatology
|July 17, 2024
概括
早期诊断深部感染,如婴儿的后喉和副喉感染至关重要. 一岁以下的婴儿面临更高的并发症风险,并且经常需要对这些儿科感染进行手术干预.
科学领域:
- 儿童传染病 儿童传染病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 紧急医疗 紧急医疗
背景情况:
- 儿童的深感染 (DNI),包括后和副,需要及时评估和管理.
- 了解这些感染的具体特征,治疗途径和结果对于儿科护理至关重要.
研究的目的:
- 在儿科三级护理环境中划分后和副感染的临床表现,管理策略和患者结果.
- 确定与增加发病率和需要手术干预相关的因素.
主要方法:
- 一个10年的回顾性图表审查 (2008年1月至2018年12月) 儿科患者被诊断患有后或副感染.
- 数据分析包括患者人口统计,临床表现,治疗方式 (抗生素,手术) 和并发症率.
主要成果:
- 这项研究包括200名患有深部感染的儿童:176名背,18名副,和6名两者都有. 平均年龄为4.3岁,其中60%为男性.
- 所有患者都接受了亲肠道抗生素治疗,42%的患者需要手术排水. 12个月以下的婴儿的并发症率明显高 (23%) 与较大的儿童 (1%) 相比.
- 12个月以下的年龄和对喉感染的诊断是进行手术治疗的预测因素. 七个病例涉及同时存在的川崎病.
结论:
- 早期识别后和副感染,特别是在婴儿,是关键的,因为更高的并发症风险和增加的外科手术的必要性.
- 大多数儿科病例呈现为或小,通常仅用肠道抗生素成功治疗.
相关概念视频
01:30Acute Pharyngitis
555
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
555
01:23Chronic Pharyngitis
1.6K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.6K
01:30Tonsillitis I: Introduction
227
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
227
01:26Tonsillitis II: Management
107
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
107
01:25Suctioning the Oropharyngeal Airway
197
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
197
01:30Pneumonia I: Introduction
217
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
217