Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study
Abstract Background Acute mastoiditis is the main suppurative complication of acute otitis media. Its incidence ranges from 1.2 to 4.2/100.000 children/year and a rise has been reported in the last years. There are controversial data regarding risk factors for mastoiditis and its complications. Aim...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2018-06-01
|
Series: | Italian Journal of Pediatrics |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s13052-018-0511-z |
id |
doaj-93f7e026805948209be18b28d19b1cf2 |
---|---|
record_format |
Article |
spelling |
doaj-93f7e026805948209be18b28d19b1cf22020-11-25T00:37:36ZengBMCItalian Journal of Pediatrics1824-72882018-06-014411810.1186/s13052-018-0511-zAcute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective studyClaudia Balsamo0Carlotta Biagi1Margherita Mancini2Ilaria Corsini3Rosalba Bergamaschi4Marcello Lanari5Pediatric Emergency Unit, Azienda Ospedaliera – Universitaria di Bologna, Policlinico Sant’Orsola – MalpighiPediatric Emergency Unit, Azienda Ospedaliera – Universitaria di Bologna, Policlinico Sant’Orsola – MalpighiPediatric Emergency Unit, Azienda Ospedaliera – Universitaria di Bologna, Policlinico Sant’Orsola – MalpighiPediatric Emergency Unit, Azienda Ospedaliera – Universitaria di Bologna, Policlinico Sant’Orsola – MalpighiPediatric Emergency Unit, Azienda Ospedaliera – Universitaria di Bologna, Policlinico Sant’Orsola – MalpighiPediatric Emergency Unit, Azienda Ospedaliera – Universitaria di Bologna, Policlinico Sant’Orsola – MalpighiAbstract Background Acute mastoiditis is the main suppurative complication of acute otitis media. Its incidence ranges from 1.2 to 4.2/100.000 children/year and a rise has been reported in the last years. There are controversial data regarding risk factors for mastoiditis and its complications. Aim of the study: to evaluate demographics and clinical characteristics of children with acute mastoiditis and to identify possible risk factors for complications. Methods We retrospectively reviewed medical charts of all the children aged 1 month-14 years admitted to our Paediatric Emergency Department from January 2002 to December 2016. Results One hundred forty-seven cases (97 males and 50 females) were included in the analysis, mean age was 4.8 ± 3.6 years and 28.2% of the patients were younger than 2 years. We found an increasing number of mastoiditis per year during the last 3 years of the study. Children younger than 2 years were less treated with antibiotics for acute otitis media or treated for a shorter period (p < 0.05), while they were treated at higher antibiotic’s dosage for mastoiditis (p < 0.01). Older children presented more frequently with symptoms such as earache or retroauricular pain (p < 0.0001, p < 0.001). We didn’t identify any risk factor for mastoiditis complications in our study. Conclusions Despite the introduction of pneumococcal vaccines, the incidence of acute mastoiditis in our population has not been reduced during the last years. We have to face all the reasons why this condition is still relevant, such as antibiotic resistance, new pathogens involved and a possible role played by the implementations of therapeutic acute otitis media guidelines restricting the use of antibiotics in this disease. A particular attention should be given to younger children where signs and symptoms may be less pronounced, therefore acute otitis media or mastoiditis may be misunderstood and appropriate treatment delayed.http://link.springer.com/article/10.1186/s13052-018-0511-zAcute mastoiditisAcute otitis mediaAntibiotics |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Claudia Balsamo Carlotta Biagi Margherita Mancini Ilaria Corsini Rosalba Bergamaschi Marcello Lanari |
spellingShingle |
Claudia Balsamo Carlotta Biagi Margherita Mancini Ilaria Corsini Rosalba Bergamaschi Marcello Lanari Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study Italian Journal of Pediatrics Acute mastoiditis Acute otitis media Antibiotics |
author_facet |
Claudia Balsamo Carlotta Biagi Margherita Mancini Ilaria Corsini Rosalba Bergamaschi Marcello Lanari |
author_sort |
Claudia Balsamo |
title |
Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study |
title_short |
Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study |
title_full |
Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study |
title_fullStr |
Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study |
title_full_unstemmed |
Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study |
title_sort |
acute mastoiditis in an italian pediatric tertiary medical center: a 15 – year retrospective study |
publisher |
BMC |
series |
Italian Journal of Pediatrics |
issn |
1824-7288 |
publishDate |
2018-06-01 |
description |
Abstract Background Acute mastoiditis is the main suppurative complication of acute otitis media. Its incidence ranges from 1.2 to 4.2/100.000 children/year and a rise has been reported in the last years. There are controversial data regarding risk factors for mastoiditis and its complications. Aim of the study: to evaluate demographics and clinical characteristics of children with acute mastoiditis and to identify possible risk factors for complications. Methods We retrospectively reviewed medical charts of all the children aged 1 month-14 years admitted to our Paediatric Emergency Department from January 2002 to December 2016. Results One hundred forty-seven cases (97 males and 50 females) were included in the analysis, mean age was 4.8 ± 3.6 years and 28.2% of the patients were younger than 2 years. We found an increasing number of mastoiditis per year during the last 3 years of the study. Children younger than 2 years were less treated with antibiotics for acute otitis media or treated for a shorter period (p < 0.05), while they were treated at higher antibiotic’s dosage for mastoiditis (p < 0.01). Older children presented more frequently with symptoms such as earache or retroauricular pain (p < 0.0001, p < 0.001). We didn’t identify any risk factor for mastoiditis complications in our study. Conclusions Despite the introduction of pneumococcal vaccines, the incidence of acute mastoiditis in our population has not been reduced during the last years. We have to face all the reasons why this condition is still relevant, such as antibiotic resistance, new pathogens involved and a possible role played by the implementations of therapeutic acute otitis media guidelines restricting the use of antibiotics in this disease. A particular attention should be given to younger children where signs and symptoms may be less pronounced, therefore acute otitis media or mastoiditis may be misunderstood and appropriate treatment delayed. |
topic |
Acute mastoiditis Acute otitis media Antibiotics |
url |
http://link.springer.com/article/10.1186/s13052-018-0511-z |
work_keys_str_mv |
AT claudiabalsamo acutemastoiditisinanitalianpediatrictertiarymedicalcentera15yearretrospectivestudy AT carlottabiagi acutemastoiditisinanitalianpediatrictertiarymedicalcentera15yearretrospectivestudy AT margheritamancini acutemastoiditisinanitalianpediatrictertiarymedicalcentera15yearretrospectivestudy AT ilariacorsini acutemastoiditisinanitalianpediatrictertiarymedicalcentera15yearretrospectivestudy AT rosalbabergamaschi acutemastoiditisinanitalianpediatrictertiarymedicalcentera15yearretrospectivestudy AT marcellolanari acutemastoiditisinanitalianpediatrictertiarymedicalcentera15yearretrospectivestudy |
_version_ |
1725300510439768064 |