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瑞典儿童急性乳腺炎的复杂性

Julia Arebro¹, Rutger Bennet², Margareta Eriksson²

¹Division of Otorhinolaryngology, Department of Clinical Science, Intervention and Technology Karolinska Institutet, 141 86, Stockholm, Sweden; Department of Otorhinolaryngology Head and Neck Surgery, Karolinska University Hospital, 141 86, Stockholm, Sweden.

International journal of pediatric otorhinolaryngology

|April 12, 2025

概括

在儿童中评估了急性乳腺炎 (AM) 诊断的有效性. 肺炎球菌合疫苗 (PCV) 引入与婴儿AM发病率降低相关,尽管一些病例出现延迟恢复.

科学领域:

儿童传染病儿童传染病
流行病学流行病学
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

急性乳腺炎 (AM) 是儿童急性中耳炎 (AOM) 的罕见并发症.
基于人群的研究对于治疗策略和疫苗效果评估至关重要.
以前的报道表明AM的过度诊断,需要有效性评估.

研究的目的:

评估ICD-10对AM诊断的有效性.
为了确定疑似AM的差异诊断.
绘制AM发病率的地图,并识别延迟恢复的病例.

主要方法:

在瑞典斯德哥尔摩 (2003-2019) 诊断出乳腺炎的住院儿科病例的回顾性审查.
手动审查病例记录以验证AM诊断并收集数据.
对诊断有效性,发病率趋势和临床康复模式的分析.

主要成果:

在275例ICD-10诊断的AM发作中,有193例得到验证;74例 (26.9%) 具有替代诊断.
0-1岁儿童的AM发病率下降了肺炎球菌合疫苗 (PCV) 引入后.
31例病例的康复时间延迟,其中3例患有西格脉血栓症. 差异性诊断通常是皮肤感染或老年儿童的外耳炎.

结论:

图表有效性评估对于使用ICD-10代码的回顾性AM研究至关重要.
由于PCV的引入,导致两岁以下儿童的AM病例减少.

关键词:

急性乳腺炎是什么?急性中耳炎是指中耳炎.孩子孩子孩子孩子不同诊断的差异诊断.在ICD-10中,它被命名为ICD-10.肺炎球菌结合疫苗的结合疫苗

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