COVID-19 期间对小儿颈深部脓肿的影响：发生率和临床表现。

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2024-10-18 DOI:10.1016/j.ijporl.2024.112139

Gabriela Sara Freixo Lima , Daniel Yafit , Benyamin Meir Kaminer , Ronit Harris , Oded Cohen , Oren Ziv

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引用次数: 0

摘要

研究目的本研究旨在探讨 COVID-19 大流行对儿科患者颈部深部感染（DNI）发病率的影响。此外，研究还描述了临床、实验室和微生物学表现以及临床结果：研究设计：回顾性队列研究：研究地点：一家三级医疗中心：研究纳入了 2010-2022 年间所有诊断为 DNI 的 18 岁以下患者，并计算了 DNI 的年发病率。根据咽后脓肿（RPA）和咽旁脓肿（PPA）的诊断以及年龄将患者分为第一组（0至≤4岁）和第二组（4岁以上至≤18岁）：共有 46 例 DNI，其中 24 例为 RPA，22 例为 PPA，年龄组 1 有 20 例患者，年龄组 2 有 26 例患者。2010 年 DNI 总发病率为 0.81，2020 年（COVID-19 大流行期间）下降至 0.33，2022 年（COVID-19 后期间）发病率激增至 4.85。在第 1 年龄组中，RPA 更占优势（70%），而在第 2 年龄组中，PPA 占优势（61.5%）（p = 0.034）。与 PPA 组相比，RPA 组的培养阳性率更高（分别为 75% vs 33%，p = 0.025），与年龄组 2 相比，年龄组 1 的培养阳性率更高（分别为 77% vs 30%，p = 0.001）：总之，我们的研究为了解该疾病和易感人群提供了宝贵的信息。此外，我们还发现，在 COVID-19 大流行期间，DNI 发病率有所下降，而在 COVID-19 大流行后，DNI 发病率有所上升。为了更深入地了解这些趋势及其根本原因，有必要开展更大规模的综合性前瞻性研究。

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The COVID-19 period influence on pediatric deep neck abscess: Occurrences and clinical presentation

Objective

The purpose of the study was to investigate the influence of the COVID-19 pandemic on the incidence of deep neck infections (DNIs) in pediatric patients. In addition, it describes the clinical, laboratory, and microbiology presentation as well as the clinical outcomes.

Study design

Retrospective cohort study.

Settings

A single tertiary medical center.

Methods

All patients ≤18 years with a diagnosis of DNI, between the years 2010–2022, were included in the study and the yearly incidence of DNI was calculated. Patients were divided according to their diagnosis of retropharyngeal abscesses (RPAs) and parapharyngeal abscesses (PPAs), and according to age; Group 1 (aged 0 to ≤4 years) and Group 2 (aged>4 to ≤18 years).

Results

A total of 46 cases of DNIs; 24 were RPAs and 22 were PPAs, age group 1 had 20 patients, and age group 2 had 26 patients. The overall DNI incidence during 2010 was 0.81 and declined in 2020 (COVID-19 pandemic period) to 0.33, followed by a surge in the incidence of 4.85 in 2022 (post-COVID-19 period).

In age group 1 RPAs were more dominant (70 %) while PPAs were dominant (61.5 %) in group 2. (p = 0.034). A higher prevalence of positive cultures was seen in the RPA group compared to the PPA group (75 % vs 33 %, p = 0.025, respectively), and in age group 1 compared to age group 2 (77 % vs 30 %, p = 0.001, respectively).

Conclusion

In conclusion, our study provides valuable insights about the disease and vulnerable communities. In addition, we showed a decrease during the COVID-19 pandemic followed by an increase in DNI incidence post-COVID-19 pandemic era. A larger comprehensive prospective study is warranted to gain a deeper understanding of these trends and their underlying causes.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.