COVID-19大流行后儿童急性复杂鼻窦感染的微生物学研究

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-09-22 DOI:10.1016/j.ijporl.2025.112577

Sophie Dunmall, John Wood

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引用次数: 0

摘要

背景：在2019冠状病毒病大流行之后的几年里，我们中心的临床医生发现，需要进行鼻窦炎急诊手术的患者明显增加。因此，这导致了对COVID前后急性复杂鼻窦炎发病率和微生物学进行比较的综述。方法：回顾性分析2017年至2024年南澳大利亚妇女儿童医院收治的急性复杂鼻窦炎需要紧急手术治疗（功能性内窥镜鼻窦手术）的儿童。结果：新冠肺炎大流行前3年急性鼻窦炎急诊手术患者（9例）明显少于大流行后3年（28例）。X2(1, N = 37) = 9.22, p = 0.002394。两组中培养的最常见的微生物是链球菌和葡萄球菌。其余不太常见的生物都是在covid后时期培养的。结论：在我们的儿科中心，更多的患者在COVID-19大流行后出现急性复杂鼻窦炎，需要紧急手术治疗。

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Microbiology of acute complicated sinus infections in children following the COVID-19 pandemic

Background

In subsequent years following the COVID-9 pandemic, clinicians in our centre found a noticeable increase in patients requiring emergency surgery for sinusitis. Consequently this has led to a review comparing the incidence, as well as the microbiology, of acute complicated sinusitis in the pre- and post- COVID period.

Methods

A retrospective review of children admitted to the Women's and Children's Hospital in South Australia from 2017 to 2024 with acute complicated sinusitis requiring emergency operative management (functional endoscopic sinus surgery).

Results

There were significantly fewer patients undergoing emergency surgery for acute sinusitis in the 3 years preceding the COVID-19 pandemic (9 patients) compared to the 3 years following the start of the pandemic (28 patients) X²(1, N = 37) = 9.22, p = .002394. The most common organisms cultured in both groups were streptococcal and staphylococcal species. The remaining less-common organisms were all cultured in the post-COVID period.

Conclusion

In our paediatric centre, more patients are presenting with acute complicated sinusitis requiring emergency surgical management following the COVID-19 pandemic.

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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.