TY - JOUR
T1 - Diagnosis and management of acute mastoiditis in a cohort of Italian children
AU - Marchisio, Paola
AU - Bianchini, Sonia
AU - Villani, Alberto
AU - Verri, Giulia
AU - Bernardi, Filippo
AU - Porta, Alessandro
AU - Biban, Paolo
AU - Caimmi, Silvia
AU - Iughetti, Lorenzo
AU - Krzysztofiak, Andrzej
AU - Garazzino, Silvia
AU - Romanin, Benedetta
AU - Salvini, Filippo
AU - Lancella, Laura
AU - Landini, Susanna
AU - Galeone, Carlotta
AU - Esposito, Susanna
AU - Principi, Nicola
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Objective: The Italian Society for Pediatric Infectious Diseases created a registry to determine the management of pediatric acute mastoiditis (AM) in Italy. Methods: A cross-sectional survey of paediatricians was conducted to evaluate hospitalization due to AM in Italian pediatric wards between 1 January 2002, and 31 December 2013. Results: A total of 913 children (561 males, 61.4%) were included in this study. The annual number of AM cases significantly increased during the study period (30 in 2002 and 98 in 2013) but only among older children (≥4 years old; p = 0.02). AM complications occurred in 69 (7.6%) of the children and sequelae were observed in 13 (1.4%) patients. Conclusion: The annual number of pediatric AM cases admitted to Italian pediatric wards increased in the past few years; this increase was strictly age-related. The risk of severe AM complications appeared relatively low, and most AM cases could be treated conservatively.
AB - Objective: The Italian Society for Pediatric Infectious Diseases created a registry to determine the management of pediatric acute mastoiditis (AM) in Italy. Methods: A cross-sectional survey of paediatricians was conducted to evaluate hospitalization due to AM in Italian pediatric wards between 1 January 2002, and 31 December 2013. Results: A total of 913 children (561 males, 61.4%) were included in this study. The annual number of AM cases significantly increased during the study period (30 in 2002 and 98 in 2013) but only among older children (≥4 years old; p = 0.02). AM complications occurred in 69 (7.6%) of the children and sequelae were observed in 13 (1.4%) patients. Conclusion: The annual number of pediatric AM cases admitted to Italian pediatric wards increased in the past few years; this increase was strictly age-related. The risk of severe AM complications appeared relatively low, and most AM cases could be treated conservatively.
KW - Acute mastoiditis
KW - Acute otitis media
KW - Antibiotic treatment
KW - Ear
KW - Pediatric otolaryngology
KW - Pneumococcal vaccination
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UR - http://www.scopus.com/inward/citedby.url?scp=84910677206&partnerID=8YFLogxK
U2 - 10.1586/14787210.2014.982093
DO - 10.1586/14787210.2014.982093
M3 - Article
C2 - 25382701
AN - SCOPUS:84910677206
VL - 12
SP - 1541
EP - 1548
JO - Expert Review of Anti-Infective Therapy
JF - Expert Review of Anti-Infective Therapy
SN - 1478-7210
IS - 12
ER -