儿科内镜转形手术后脑膜炎的短期和长期风险
Eelam A Adil1,2, Charlotte Cox1, Hae-Young Kim1,2
1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, USA.
The Laryngoscope
|March 24, 2025
概括
儿科跨形手术后脑膜炎的风险很低,大多数病例发生在一年内. 12岁以下的儿童面临最高风险,这表明预防性抗生素可能是有益的.
科学领域:
- 儿科神经外科 儿科神经外科
- 头骨底部手术 头骨底部手术
- 传染病的风险 传染病的风险
背景情况:
- 跨形骨底部手术是在儿童和青少年中进行的.
- 手术后脑膜炎是一种潜在的并发症.
- 了解短期和长期风险对于患者管理至关重要.
研究的目的:
- 为了确定小儿脑膜炎的短期和长期风险,在经历过脑膜骨底部手术的儿科患者中.
- 在这个人群中确定术后脑膜炎的危险因素.
主要方法:
- 对儿科健康信息系统 (PHIS) 数据库 (2012-2022) 的回顾性分析.
- 包括年龄在18岁以下的接受内透视透视手术的患者.
- 对重新入院的分析,以确定脑膜炎病例和相关风险因素.
主要成果:
- 分析了476名患者 (501例);5.0%的人患上脑膜炎.
- 脑膜炎发生在初次住院期间的2.7%和出院后的2.3% (平均8.1个月).
- 年龄较小 (<12岁) 是唯一确定的风险因素;脑膜炎患者住院时间较长.
结论:
- 儿科患者的短期脑膜炎风险与成年人相当.
- 长期脑膜炎的风险很低,通常在出院后的一年内发生.
- 在接受这种手术的12岁以下患者中,应考虑预防性抗生素.
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