The management of non-tuberculous mycobacteria cervicofacial lymphadenitis: a survey of UK paediatric tertiary hospitals.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY Journal of Laryngology and Otology Pub Date : 2024-10-29 DOI:10.1017/S0022215124001865

Timothy Williams, Craig McCaffer, Kate Blackmore

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Abstract

Objectives: Management of paediatric non-tuberculous mycobacteria cervicofacial lymphadenitis (NTMCL) is variable without standard practice in the U.K. We undertook a survey to evaluate current U.K. practice in tertiary paediatric units.

Methods: A survey of twenty-one tertiary paediatric centres to evaluate NTMCL management.

Results: We received over 90% response rate. Only 21% have local guidelines, with the majority believing that written national guidance would improve management. Surgery is the most common management choice (69%), with a more limited procedure if skin is involved and/or in proximity to important structures. Observation alone is favoured (32%) when there is no skin involvement but in close proximity to the facial nerve. When treated medically, rifampicin and clarithromycin for 3 months was the commonest choice. Over 25% of respondents state their management has changed following previous adverse outcomes within their own practice or department.

Conclusion: This survey consolidates the current management of NTMCL in U.K. tertiary paediatric units.

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非结核分枝杆菌颈面部淋巴结炎的治疗。英国儿科三级医院调查。

目的：在英国，儿童非结核分枝杆菌颈面淋巴结炎（NTMCL）的管理是可变的，没有标准的做法。我们进行了一项调查，以评估目前英国三级儿科单位的做法。方法：对21所三级儿科中心进行调查，评价NTMCL的管理。结果：有效率达90%以上。只有21%的人有地方指导方针，大多数人认为书面的国家指导方针会改善管理。手术是最常见的治疗选择（69%），如果皮肤受损伤和/或靠近重要结构，手术的局限性更大。当没有皮肤受累但靠近面神经时，单独观察是有利的（32%）。医学治疗时，利福平和克拉霉素治疗3个月是最常见的选择。超过25%的受访者表示，在他们自己的诊所或部门发生不良后果后，他们的管理发生了变化。结论：本调查巩固了目前在英国三级儿科单位NTMCL的管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.