儿科眼眶蜂窝织炎/脓肿:微生物学和抗生素处方模式。

Q3 Medicine Wisconsin Medical Journal Pub Date : 2023-03-01

Alina G Burek, Geanina Tregoning, Amy Pan, Melodee Liegl, Gerald J Harris, Peter L Havens

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引用次数: 0

摘要

儿童眼眶蜂窝织炎/脓肿的治疗在适当的情况下倾向于静脉注射抗生素治疗。在没有培养物指导治疗的情况下，了解当地微生物学对管理这些患者至关重要。方法:回顾性分析2013年1月1日至2019年12月31日期间住院的2个月至17岁儿童病例系列，评估儿童眼眶蜂窝织炎的局部微生物学和抗生素处方模式。结果与讨论:95例患者中，69例(73%)仅静脉注射抗生素，26例(27%)静脉注射抗生素加手术。最常见的细菌是血管链球菌，其次是金黄色葡萄球菌和A群链球菌。耐甲氧西林金黄色葡萄球菌(MRSA)患病率为9%。抗mrsa活性抗生素仍然是最常用的抗生素。

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Pediatric Orbital Cellulitis/Abscess: Microbiology and Pattern of Antibiotic Prescribing.

Introduction: The treatment for pediatric orbital cellulitis/abscess is trending towards intravenous antibiotic management alone in appropriate cases. Without cultures to guide therapy, knowing the local microbiology is of utmost importance in managing these patients.

Methods: We conducted a retrospective case series for patients age 2 months to 17 years, who were hospitalized between January 1, 2013, and December 31, 2019, to evaluate the local microbiology and pattern of antibiotic prescribing in pediatric orbital cellulitis.

Results and discussion: Of 95 total patients, 69 (73%) received intravenous antibiotics only and 26 (27%) received intravenous antibiotics plus surgery. The most common organism cultured was Streptococcus anginosus, followed by Staphylococcus aureus, and group A streptococcus. Methicillin-resistant Staphylococcus aureus (MRSA) prevalence was 9%. MRSA-active antibiotics remain the most frequently used antibiotics.

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来源期刊

Wisconsin Medical Journal Medicine-Medicine (all)

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The Wisconsin Medical Society is the largest association of medical doctors in the state with more than 12,000 members dedicated to the best interests of their patients. With that in mind, wisconsinmedicalsociety.org offers patients a unique source for reliable, physician-reviewed medical information. The Wisconsin Medical Society has been a trusted source for health policy leadership since 1841.

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