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Titolo:
ACUTE MASTOIDECTOMY IN A DANISH COUNTY FROM 1977 TO 1996 WITH FOCUS ON THE BACTERIOLOGY
Autore:
PETERSEN CG; OVESEN T; PEDERSEN CB;
Indirizzi:
AARHUS UNIV HOSP,DEPT EAR NOSE & THROAT DK-8000 AARHUS DENMARK
Titolo Testata:
International journal of pediatric otorhinolaryngology
fascicolo: 1, volume: 45, anno: 1998,
pagine: 21 - 29
SICI:
0165-5876(1998)45:1<21:AMIADC>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE MASTOIDITIS;
Keywords:
ACUTE MASTOIDITIS; RETROSPECTIVE STUDY; BACTERIOLOGY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
11
Recensione:
Indirizzi per estratti:
Citazione:
C.G. Petersen et al., "ACUTE MASTOIDECTOMY IN A DANISH COUNTY FROM 1977 TO 1996 WITH FOCUS ON THE BACTERIOLOGY", International journal of pediatric otorhinolaryngology, 45(1), 1998, pp. 21-29

Abstract

To evaluate if the nature of acute mastoiditis (AM) treated surgically has changed during the last 20 years (1977-1996), the data from patients undergoing acute mastoidectomy were examined retrospectively. Cases with cholesteatomas and intracranial complications were excluded, while 79 patients (48% male) with a median age of 16 months were included. There was a history of infectious middle ear disease in 37% and the mean duration from onset of symptoms to admission was 9 days. The well-being was affected in 46 and 82% had fever. Purulent middle ear effusion was recognized in 92%. A subperiosteal abscess in 66% of the ears peroperatively. Specimens yielded growth of pathogens in 58%, predominantly gram positive bacteria, fully or partially sensitive to penicillin. Antimicrobial treatment before admittance masked or reduced moresymptoms significantly. The patients from the last 10-year-period hadless frequently acute otitis media in their history, shorter durationof hospitalization, and more frequently haemolytic Streptococcus group A. Conclusively, AM affects especially infants without previous middle ear disease. The clinical picture has become more subtle in time, probably due to antibiotics, and concomitantly the bacteriological pattern has changed. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 12:51:49