儿童急性乳腺炎临床和微生物学特征的变化:2001-2008年和2021-2024年之间的比较研究
Emilien Chebib1, Vichita Ok2, Jérémie F Cohen3
1Department of Pediatric Otolaryngology, AP-HP, Hôpital Necker-Enfants Malades, Paris, France; Université Paris Cité, Faculté de Médecine, Paris, France.
The Journal of pediatrics
|May 30, 2025
概括
在过去二十年中,急性乳腺炎 (AM) 病例显著增加,内并发症的增加以及细菌原因的转变. 持续的监测对于有效的管理至关重要.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 急性乳腺炎 (AM) 是儿童中耳感染的严重并发症.
- 了解AM的时间趋势对于调整临床实践和公共卫生战略至关重要.
研究的目的:
- 分析过去20年中儿童急性乳腺炎 (AM) 临床表现,管理,细菌原因和并发症率的变化.
- 将当代数据与历史队列进行比较,以确定重大趋势.
主要方法:
- 在2021-2024年期间在法国第三级护理中心诊断出AM的儿童的回顾性研究.
- 收集的数据包括年龄,治疗方法,并发症和细菌学.
- 与同一个机构2001-2008年以前的队列进行比较.
主要成果:
- 观察到AM病例 (74年 vs. 27年) 和内并发症 (39% vs. 4%) 的显著增加.
- 杆菌 pyogenes 和 Fusobacterium necrophorum 变得越来越普遍,而肺炎菌 Streptococcus 则有所下降.
- 乳腺切除术的发生率增加了 (54%对33%).
结论:
- 儿童急性乳腺炎在过去二十年中发生了显著的演变,发病率和严重程度增加.
- 细菌病因的转变需要更新的诊断和治疗方案.
- 持续监测AM的细菌原因对于优化儿科护理至关重要.
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