当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY期刊下所有文献 > Indicators of a more complicated clinical course for pediatric patients with retropharyngeal abscess.

Indicators of a more complicated clinical course for pediatric patients with retropharyngeal abscess.

Abstract：

OBJECTIVE:Determine clinical signs or symptoms associated with a more complicated clinical course in patients with retropharyngeal abscesses (RPAs). DESIGN:Retrospective chart review at a tertiary care level Children's hospital. Main Outcome Measures Age, presenting signs and symptoms, laboratory tests, imaging results, antibiotic therapy, surgical approach, pathogens isolated, and duration of hospitalization were evaluated to determine any factors associated with a more complicated clinical course (CCC). RESULTS:Fifteen of one hundred thirty pediatric patients with RPA were identified with a complicated clinical course (CCC). Eight of the fifteen required more than one procedure before the abscess resolved. Patients with multiple abscess sites had a statistically significantly greater chance of requiring multiple procedures to clear the infections (p<0.001). Another seven presented with airway obstruction requiring an admission into the Pediatric Intensive Care (PICU) and/or intubation. All the patients requiring admission to the PICU presented with signs or symptoms of airway obstruction compared to ten of the one hundred fifteen patients (8.7%) with a smooth clinical course (SCC) (p<0.001). Five patients from the CCC group required a bronchoscopy to secure the airway; seven patients required intubation following incision and drainage of the abscess for an average of 5+/-3 days. There was no statistically significant difference between the two groups with respect to pathogens isolated, or antibiotics used. CONCLUSION:Our study suggests that patients with a CCC are more likely to present with airway obstruction or multiple abscess sites than patients with SCC.

journal_name

Int J Pediatr Otorhinolaryngol

journal_title

International journal of pediatric otorhinolaryngology

authors

Elsherif AM,Park AH,Alder SC,Smith ME,Muntz HR,Grimmer F

doi

10.1016/j.ijporl.2009.11.010

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

198-201

issue

2

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(09)00589-8

journal_volume

74

pub_type

杂志文章

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