Infants Are More Likely Than Older Children to Have Surgery for Cervical Infections
Joint Authors
Carr, Michele M.
Harounian, Jonathan A.
Azab, Andrew R.
Roberts, Christopher A.
Source
International Journal of Otolaryngology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-28
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objectives.
To identify differences in cervical infection management in infants versus older children.
Methods.
Charts of patients 0–18 years, diagnosed with a cervical infection at our institution between 2004 and 2015, were included.
Age, gender, presenting symptoms, comorbidities, CT scan findings and management including admission, procedures, antibiotics, cultures, length of stay, readmission rates, and complications were included.
Results.
239 patients were included: mean age was 4.6 years, with 55.6% boys and 44.4% girls.
Mean length of stay was 3.2 days, with no significant difference between age categories.
12.55% were readmitted within 30 days with no significant difference when stratified for age (p = 0.268).
The most common presenting symptoms were fever (74.3%), swelling (71.4%), and neck pain (48.2%).
Infants had fewer symptoms documented than older children.
51% has lateral neck infections, and these were more common in younger children (p < 0.001).
The most common antibiotic used was amoxicillin-clavulanic acid in 53.96% of inpatients and 48.05% of outpatients.
Infants were most likely to have MRSA isolates (29.2% versus 11.7% of older children, p = 0.011).
70.0% went to the operating room for incision and drainage procedures.
Younger children were more likely to undergo surgery, with an odds ratio of 2.38 for children under 1 year.
(p = 0.029).
90.9% of infants underwent surgery with radiolucencies of at least 1 cm diameter in contrast to 50% of children over 8 years old.
Conclusions.
This study emphasizes the importance of considering early operative treatment of cervical abscesses in infants despite fewer symptoms and smaller radiolucencies on CT.
American Psychological Association (APA)
Harounian, Jonathan A.& Azab, Andrew R.& Roberts, Christopher A.& Carr, Michele M.. 2018. Infants Are More Likely Than Older Children to Have Surgery for Cervical Infections. International Journal of Otolaryngology،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1173858
Modern Language Association (MLA)
Harounian, Jonathan A.…[et al.]. Infants Are More Likely Than Older Children to Have Surgery for Cervical Infections. International Journal of Otolaryngology No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1173858
American Medical Association (AMA)
Harounian, Jonathan A.& Azab, Andrew R.& Roberts, Christopher A.& Carr, Michele M.. Infants Are More Likely Than Older Children to Have Surgery for Cervical Infections. International Journal of Otolaryngology. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1173858
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173858