儿科深部感染的危险因素 在急诊室因鼻炎或局部部症状出院后重新访问.
Kaileen Jafari1, Derya Caglar1, Apeksha Gupta2
1Center for Clinical and Translational Research, Seattle Children's Hospital, Seattle, WA; Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Washington, Seattle, WA.
儿科深部空间感染很难诊断. 诸如部疼痛,发烧和在初次急诊时缺乏呼吸道症状等因素增加了深部空间感染再入院的风险.
科学领域:
- 儿科急救医学 儿科急救医学
- 传染性疾病 传染性疾病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 在儿童中诊断深部位感染,由于细微的症状,存在挑战.
- 儿科深部空间感染的延迟诊断可能会导致发病率增加.
研究的目的:
- 识别儿科深部空间感染 (DNSI) 之前常见的急诊部 (ED) 诊断.
- 确定与儿童ED诊所的DNSI重新入院相关的因素,这些诊所具有常见的先前诊断.
主要方法:
- 儿科ED和住院患者数据 (2018-2019) 的横截面分析.
- 将DNSI的入院病例与前10天的急救诊所访问联系起来.
- 分析了喉炎/桃体炎和局部部症状的队列,比较了随后的DNSI入院和没有入院的访问特征.
主要成果:
- 18.3%的儿科DNSI入院患者之前在10天内进行了急救访问.
- 在喉炎/桃体炎和局部部症状队列中,DNSI的复诊很少 (0.01%-0.07%).
- 首部成像在最初的ED访问期间与DNSI重新入院的两个队伍有关.
结论:
- 在为部疼痛/肌肉/结节的儿科急救诊所访问中,年轻的年龄和发烧预测了DNSI入院.
- 对于喉炎/桃体炎,没有URI/呼吸道诊断和部症状的存在增加了DNSI再入院风险.
- 临床怀疑指标,如首部成像在最初的急救诊所访问与增加的DNSI重访风险相关联.
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