The Italian Society for Pediatric Infectious Diseases created a registry to determine the management of pediatric acute mastoiditis (AM) in Italy. 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. 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. 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
Diagnosis and management of acute mastoiditis in a cohort of Italian children / Marchisio1, P1; Bianchini2, S2; Villani3, A3; Verri4, G4; Bernardi5, F5; Porta6, A6; Biban7, P7; Caimmi, S.; Iughetti, Lorenzo; Krzysztofiak10, A10; Garazzino11, S11; Romanin12, B12; Salvini13, F13; Lancella14, L14; Landini 15, S15; Galeone16, C16; Esposito17, S17; Principi18, N. 1. 8.. - In: EXPERT REVIEW OF ANTI-INFECTIVE THERAPY. - ISSN 1478-7210. - ELETTRONICO. - 12:12(2014), pp. 1541-1548. [10.1586/14787210.2014.982093]
Diagnosis and management of acute mastoiditis in a cohort of Italian children.
IUGHETTI, Lorenzo;
2014
Abstract
The Italian Society for Pediatric Infectious Diseases created a registry to determine the management of pediatric acute mastoiditis (AM) in Italy. 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. 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. 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
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