Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis

Objective: Deep neck infections (DNI) are responsible for significant morbidity in children and healthcare expenditures. Few studies exist specifically addressing the clinical and epidemiologic characterization and management of DNI's in the pediatric population. Our goal was to analyse the dem...

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Autores principales:	Ana Sousa Menezes, Daniela Correia Ribeiro, Joana Rocha Guimarães, António Fontes Lima, Luís Dias
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/78f61227e5844154a3fcfda8770e6c56
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spelling	oai:doaj.org-article:78f61227e5844154a3fcfda8770e6c562021-12-02T14:16:36ZManagement of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis2095-881110.1016/j.wjorl.2019.04.003https://doaj.org/article/78f61227e5844154a3fcfda8770e6c562019-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881119301106https://doaj.org/toc/2095-8811Objective: Deep neck infections (DNI) are responsible for significant morbidity in children and healthcare expenditures. Few studies exist specifically addressing the clinical and epidemiologic characterization and management of DNI's in the pediatric population. Our goal was to analyse the demographic characteristics, clinical presentation, diagnostic and therapeutic approaches of peritonsillar and DNI in pediatric patients. Methods: The medical records of patients, aged up to 18 years, admitted for peritonsillar and DNI at our department, from 2011 to 2016, were retrospectively reviewed and compared with the literature available. Ninety-eight patients were enrolled. Results: The mean age was higher in patients with peritonsillar abscess and lower in patients with retropharyngeal and parapharyngeal infections. Admissions have significantly increased from 2011. There was a seasonal variation for DNI incidence, with a peak incidence in Summer and Spring. All patients included were treated as inpatient and received empirical intravenous antibiotic therapy and steroids regardless of drainage procedures. Incision and drainage was performed in 72 patients. The hospital length of stay was higher among patients with retropharyngeal abscess and in the group with complications. Only 2 patients developed complications during hospital stay. The most common microbiological pattern was monomicrobial and the most commonly isolated pathogens were Streptococcus Pyogenes, Streptococcus Mitis and anaerobic bacteria. Conclusions: Surgical incision and drainage followed by intravenous antibiotic and steroids proved to be successfull with low morbidity related to surgical approach. However, in selected cases, medical therapy may be an alternative to surgical management in uncomplicated infections. Keywords: Deep neck infection, Abscess, Peritonsillar, Parapharyngeal, Retropharyngeal, Microbiology, EpidemiologyAna Sousa MenezesDaniela Correia RibeiroJoana Rocha GuimarãesAntónio Fontes LimaLuís DiasKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 4, Pp 207-214 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Ana Sousa Menezes Daniela Correia Ribeiro Joana Rocha Guimarães António Fontes Lima Luís Dias Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis
description	Objective: Deep neck infections (DNI) are responsible for significant morbidity in children and healthcare expenditures. Few studies exist specifically addressing the clinical and epidemiologic characterization and management of DNI's in the pediatric population. Our goal was to analyse the demographic characteristics, clinical presentation, diagnostic and therapeutic approaches of peritonsillar and DNI in pediatric patients. Methods: The medical records of patients, aged up to 18 years, admitted for peritonsillar and DNI at our department, from 2011 to 2016, were retrospectively reviewed and compared with the literature available. Ninety-eight patients were enrolled. Results: The mean age was higher in patients with peritonsillar abscess and lower in patients with retropharyngeal and parapharyngeal infections. Admissions have significantly increased from 2011. There was a seasonal variation for DNI incidence, with a peak incidence in Summer and Spring. All patients included were treated as inpatient and received empirical intravenous antibiotic therapy and steroids regardless of drainage procedures. Incision and drainage was performed in 72 patients. The hospital length of stay was higher among patients with retropharyngeal abscess and in the group with complications. Only 2 patients developed complications during hospital stay. The most common microbiological pattern was monomicrobial and the most commonly isolated pathogens were Streptococcus Pyogenes, Streptococcus Mitis and anaerobic bacteria. Conclusions: Surgical incision and drainage followed by intravenous antibiotic and steroids proved to be successfull with low morbidity related to surgical approach. However, in selected cases, medical therapy may be an alternative to surgical management in uncomplicated infections. Keywords: Deep neck infection, Abscess, Peritonsillar, Parapharyngeal, Retropharyngeal, Microbiology, Epidemiology
format	article
author	Ana Sousa Menezes Daniela Correia Ribeiro Joana Rocha Guimarães António Fontes Lima Luís Dias
author_facet	Ana Sousa Menezes Daniela Correia Ribeiro Joana Rocha Guimarães António Fontes Lima Luís Dias
author_sort	Ana Sousa Menezes
title	Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis
title_short	Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis
title_full	Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis
title_fullStr	Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis
title_full_unstemmed	Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis
title_sort	management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/78f61227e5844154a3fcfda8770e6c56
work_keys_str_mv	AT anasousamenezes managementofpediatricperitonsillaranddeepneckinfectionscrosssectionalretrospectiveanalysis AT danielacorreiaribeiro managementofpediatricperitonsillaranddeepneckinfectionscrosssectionalretrospectiveanalysis AT joanarochaguimaraes managementofpediatricperitonsillaranddeepneckinfectionscrosssectionalretrospectiveanalysis AT antoniofonteslima managementofpediatricperitonsillaranddeepneckinfectionscrosssectionalretrospectiveanalysis AT luisdias managementofpediatricperitonsillaranddeepneckinfectionscrosssectionalretrospectiveanalysis
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Management of pediatric peritonsillar and deep neck infections- cross- sectional retrospective analysis

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