Preliminary study on the surgical management of otogenic meningitis in the ICU

Fulvio L. Mammarella, Melissa Zelli, Claudio M. Pianura, Gianluca Bellocchi, Theodoros Varakliotis, Alberto Eibenstein, Luisa Marchioni, Giulia V. Stazi

Research output: Contribution to journalArticle

Abstract

Meningitis is the most common intracranical complication in course of middle ear infection. There is an international agree-ment for the antibiotic therapy but not in the surgical option (myringotomy vs. mastoidectomy) or in timing (early vs. late). METHODS: Aretrospective analysis was performed in 27 subjects with otogenic meningitis. The patients were divided in three groups (no surgery, early surgery, and late surgery), and three parameters were considered: the mortality rate, the number of days in intensive care, and assisted ventilation. RESULTS: Six patients were not subjected to surgical therapy for the presence of an instable cardiopulmonary frame. The remaining 21 patients were subjected to miringotomy associated or not with mastoidectomy. The comparison of hospitalization days and mechanical ventilation between the two groups which underwent in surgical therapy showed a better outcome in early-group approach. CONCLUSIONS: Otogenic meningitis remains a life-threatening disease (none of the three groups has zero mortality rate) however surgical early procedure is always advisable (and applicable in all cases in a mini-invasive way) to reduce the length of presence in the ICU without affecting the mortality rate.

Original languageEnglish
Pages (from-to)96-100
Number of pages5
JournalOtorinolaringologia
Volume68
Issue number3
DOIs
Publication statusPublished - Sep 1 2018

Keywords

  • Bacterial meningitis
  • Critical care
  • Intensive care units

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Mammarella, F. L., Zelli, M., Pianura, C. M., Bellocchi, G., Varakliotis, T., Eibenstein, A., Marchioni, L., & Stazi, G. V. (2018). Preliminary study on the surgical management of otogenic meningitis in the ICU. Otorinolaringologia, 68(3), 96-100. https://doi.org/10.23736/S0392-6621.18.02149-5