轨道的骨下:细菌学和临床结果的长期趋势以及当前的管理建议
Nina S Boal1, Yasaman Ataei, Sang H Hong
1Division of Oculofacial and Orbital Surgery, Department of Ophthalmology and Visual Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
Ophthalmic plastic and reconstructive surgery
|November 26, 2024
概括
儿童的轨道骨腹越来越多地是由Streptococcus anginosus群和厌氧菌引起的. 对于大多数人来说,医疗管理是有效的,手术只适用于严重病例,保持了良好的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿童传染病 儿童传染病
- 眼科医生 眼科 眼科
背景情况:
- 与鼻炎相关的轨道骨下 (SROSPA) 是一种严重的儿科疾病.
- 了解不断变化的病原体和管理策略对于最佳结果至关重要.
研究的目的:
- 评估不断变化的上呼吸道病原体,微生物命名和实验室技术对SROSPA细菌学和治疗的长期影响.
- 分析一个机构45年来儿科SROSPA管理的趋势.
主要方法:
- 在2012年至2022年期间被诊断患有SROSPA的儿科患者的比较病例系列.
- 结果,微生物培养,年龄特定的发现和抗生素持续时间与历史队列 (1977-2012) 进行了比较.
主要成果:
- 包括91名患者;53.8%仅用药物治疗才能恢复,而46.2%需要手术排水.
- 在手术病例中,Streptococcus anginosus组 (52.4%) 和无气体 (26.2%) 的隔离增加.
- 在较小的儿童 (<9岁) 中发现了无氧化物比以前报告的更小,在67.2%的9岁以下患者中,医疗管理成功.
结论:
- 一个一致的,多方面的治疗方案,有轻微的适应,尽管引起病原体的转变,SROSPA仍然有效.
- 早期识别和管理,包括必要时及时进行手术干预,确保有利的视觉和系统性结果.
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