Abstract：
BACKGROUND:This study reviewed the demographics, presentation, management, complications and outcomes of acute epiglottitis post Haemophilus influenzae type-b vaccine introduction in Australia. METHODS:Retrospective review of acute epiglottitis at four Victorian tertiary centres from 2011 to 2016 was conducted. Patient characteristics, presentation, investigations, management, complications and outcomes were recorded. Subgroup analysis aiming to identify risk factors for patients requiring acute airway management was performed. RESULTS:Eighty-seven adult and six paediatric cases were identified. The most frequent clinical findings in adults were sore throat (88.5%), dysphagia (71.3%), odynophagia (57.5%), dysphonia (56.3%) and fever (55.2%); 75.9% required intensive care unit admission. Airway compromise requiring intubation occurred in 27.6%, with 12.5% of these patients undergoing emergency surgical airways. Stridor, hypoxia, shortness of breath, odynophagia and lymphadenopathy were statistically more frequent amongst cases requiring airway intervention (P < 0.05). Cultures revealed mixed results with no aetiological pattern. H. influenzae type-b was never cultured. Amongst paediatric cases, fever, tachycardia and stridor were frequently observed and all were admitted to intensive care unit. Two of six required intubation and one underwent surgical intervention. There were no deaths, but one patient suffered a hypoxic brain injury. CONCLUSION:Modern epiglottitis is not the disease previously encountered by clinicians. With changing demographics and varying organisms, management is adapting to reflect this. Complications are rare, and symptomatology at presentation aids earlier recognition of patients who may require airway protection.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Baird SM,Marsh PA,Padiglione A,Trubiano J,Lyons B,Hays A,Campbell MC,Phillips Ddoi
10.1111/ans.14787subject
Has Abstractpub_date
2018-11-01 00:00:00pages
1135-1140issue
11eissn
1445-1433issn
1445-2197journal_volume
88pub_type
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journal_title：ANZ journal of surgery
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journal_title：ANZ journal of surgery
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journal_title：ANZ journal of surgery
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journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
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更新日期：2003-08-01 00:00:00
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更新日期：2017-03-01 00:00:00
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journal_title：ANZ journal of surgery
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更新日期：2020-06-01 00:00:00
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更新日期：2017-06-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章,meta分析,评审
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更新日期：2008-07-01 00:00:00
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更新日期：2021-01-18 00:00:00
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