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儿科急性乳腺炎:与没有内并发症的患者的比较

Richmond Laryea¹, Wynne Zhang¹, Mica Glaun¹

¹Division of Otolaryngology, Department of Surgery, Texas Children's Hospital, Houston, TX, USA; Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Houston, TX, USA.

International journal of pediatric otorhinolaryngology

|April 11, 2025

概括

没有先前耳部感染的小儿乳头炎患者的内并发症发生率更高. 此前使用抗生素也增加了儿童这些严重并发症的风险.

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
神经外科神经外科

背景情况:

乳腺炎是乳腺骨的严重感染.
乳腺炎的内并发症 (ICC) 可能导致严重的发病率和死亡率.
了解儿科乳腺炎中ICC的风险因素对于及时干预至关重要.

研究的目的:

评估急性乳腺炎的儿科患者内并发症的发生率.
确定与该人群中ICC发展相关的风险因素.
分析先前耳部感染和抗生素使用在ICC发展中的作用.

主要方法:

在2012年至2020年期间被诊断患有乳腺炎的儿科患者的回顾性病例系列.
包括有记录的微生物学培养的患者.
因素的比较,包括孤立的细菌,抗生素耐药性和ICC的发生.

主要成果:

分析了298名患有乳腺炎的儿科患者;41名 (13.8%) 患有ICC.
外周是最常见的ICC (51%).
没有耳部感染史 (急性或慢性中耳炎) 的患者患上ICC的可能性更高 (OR=0.49对AOM,OR=0.20对COM). 以前使用过抗生素的患者更有可能患上ICC (OR=2.64).

结论:

患有乳腺炎且没有耳部感染史的儿科患者面临更高的内并发症风险.
以前的抗生素暴露与儿科乳腺炎病例中ICC的发病率增加有关.
这些发现强调了在管理乳腺炎时考虑患者病史的重要性,以防止严重的结果.

关键词:

内并发症内并发症这是一种巨炎 (mastoiditis).儿科儿科儿科

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