急性乳腺炎:在第三级医院的30年审查
Aida Veiga-Alonso1, Natalia Roldán-Pascual2, Rosa María Pérez-Mora1
1Department of Otolaryngology, Marqués de Valdecilla University Hospital, Santander, Spain.
International journal of pediatric otorhinolaryngology
|December 20, 2024
概括
这项研究分析了西班牙坎塔布里亚地区儿童的急性乳腺炎. 大多数病例都用抗生素成功治疗,严重病例只能接受手术,并发症率较低.
科学领域:
- 儿科 儿科 儿科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
背景情况:
- 急性乳腺炎是儿童急性中耳炎的常见并发症.
- 了解其临床-流行病学特征对于有效管理至关重要.
研究的目的:
- 在西班牙坎塔布里亚,分析了18岁以下儿童急性乳腺炎的临床流行病学特征.
- 为急性乳腺炎提出基于证据的诊断和治疗建议.
主要方法:
- 对111名被诊断患有急性乳腺炎的儿科患者进行了为期30年的回顾性研究.
- 分析包括流行病学数据,临床表现,致病因子,治疗策略和后续结果.
主要成果:
- 发病率为每年每10万儿童3.9例,大多数患者年龄在2岁以下.
- 肺炎链球菌是最常见的病原体;像第三代头素这样的抗生素是常见的.
- 在29%的患者中,需要进行外科手术 (髓切除术,乳腺切除术),罕见的并发症 (5.4%为后耳).
结论:
- 坎塔布里亚的急性乳腺炎发病率与发达国家一致.
- 保守的抗生素治疗对许多人来说是有效的;成像和手术只适用于没有反应的人.
- 并发症不常见,尽管在治疗后的32%病例中出现了复发性急性中耳炎.
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