儿科急性乳腺炎:一项意大利多中心对临床,微生物学和放射学特征的回顾性研究
Melodie O Aricò1, Daniela Trotta2, Francesco Accomando3
1Department of Pediatrics, G. B. Morgagni-L. Pierantoni Hospital, Azienda Unità Sanitaria Locale Romagna, 47121, Forlì, Italy. melodieolivialoredanarosa.arico@auslromagna.it.
European journal of pediatrics
|February 2, 2026
概括
儿童急性乳腺炎 (AM) 仍然是住院的重要原因. 耳部突起可能表明放射性并发症风险较低,支持保守的管理.
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
- 放射学 放射学是一门学科.
背景情况:
- 急性乳腺炎 (AM) 是儿童中急性中耳炎的最常见的内腔时间并发症.
- 尽管抗生素和疫苗取得了进展,但AM仍然是儿童住院的重要原因.
- 虽然许多儿童通过医疗治疗得到改善,但有些病例需要手术干预.
研究的目的:
- 描述四个意大利地区儿科AM的流行病学,临床,微生物学和放射学特征.
- 确定与儿科AM患者放射性并发症相关的因素.
- 为提供意大利儿科AM的流行后概述.
主要方法:
- 一个回顾性,观察性队列研究,涉及2022年1月至2025年5月在意大利四个地区 (巴里,福利,马塞拉塔,佩斯卡拉) 住院治疗AM的18岁以下患者.
- 使用标准化形式从医疗记录中提取数据,包括人口统计,临床,微生物学和成像细节.
- 描述性分析和后勤回归以探索临床变量和放射性并发症之间的关联.
主要成果:
- 分析了118例住院治疗 (117名儿童,平均年龄为4岁),估计每年住院治疗率约为每10万名儿童中的23人.
- 常见的症状包括耳痛 (70%),后耳管胀 (57%) 和红血症 (56%). 21%的患者出现了临床并发症,11%的患者需要手术.
- 在17%的成像病例中 (28.5%的成像病例) 发现了放射性并发症. 耳部突起独立地与放射性并发症的可能性较低有关 (p=0.018).
结论:
- 急性乳腺炎仍然是意大利儿童住院的重要原因.
- 大多数儿科AM病例对药物治疗有反应,但外科手术只适用于复杂的表现.
- 耳部突起的保护作用表明选择性成像和保守的管理方法对于许多儿科AM病例.
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