Acute mastoiditis in infancy: the “Soroka” experience: 1990–2000

Niv, Alexander; Nash, Michael R.; Slovik, Youval; Fliss, Dan M.; Kaplan, Daniel M.; Leibovitz, Eugene; Katz, Anna; Dagan, Ron; Leiberman, Alberto

doi:10.1016/j.ijporl.2004.06.008

Cited by 42 publications

(26 citation statements)

References 16 publications

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“…5 AOM patients and it is possible that these patients were sicker and were therefore given antibiotics, quite according to the guidelines. The bacteriological findings are in concordance with other studies [6,8,10]. Streptococcus pneumoniae was the most common cause of mastoiditis in the present study and was the overwhelming finding in cultures from the mastoid.…”

Section: Discussionsupporting

confidence: 93%

“…About the same rate of pre-hospital use of antibiotics were found in other studies [6,10], but a higher rate of antibiotic use prior to the mastoiditis episode was more commonly found [3,5,9,[11][12][13]. There is disagreement on whether routine antibiotic use in AOM protects against mastoiditis [6] or is no safeguard against the development of mastoiditis [5,11]. Also, not only just being treated with antibiotics or not could possibly influence the development Receiving antibiotics early could be the difference between developing a milder form of mastoiditis as opposed to a severe form.…”

Section: Discussionsupporting

confidence: 86%

“…Recent studies support that the trend toward less liberal use of antibiotics against AOM does not seem to increase the number of cases of mastoiditis [2][3][4]. However, other authors have reported an increase in the number of mastoiditis patients in recent years [5][6][7][8][9]. In the present study, patients were given antibiotics prior to hospital care in 39% of the acute mastoiditis patients.…”

Section: Discussionsupporting

confidence: 46%

“…In the present study, patients were given antibiotics prior to hospital care in 39% of the acute mastoiditis patients. About the same rate of pre-hospital use of antibiotics were found in other studies [6,10], but a higher rate of antibiotic use prior to the mastoiditis episode was more commonly found [3,5,9,[11][12][13]. There is disagreement on whether routine antibiotic use in AOM protects against mastoiditis [6] or is no safeguard against the development of mastoiditis [5,11].…”

Section: Discussionmentioning

confidence: 74%

“…On checking the protocols, it was seen that small children younger than 2 years of age had a fast onset of disease, with signs as fever, protruding ear and redness over the mastoid, and the diagnosis was thus evident at an early stage. Some authors [6,9,13] have reported that younger children had more severe episodes of mastoiditis than older children. In a recent study from Norway, Kvaerner et al [4] could not find evidence of a more severe disease for children less than 2 years of age.…”

Section: Discussionmentioning

confidence: 99%

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Acute mastoiditis in southern Sweden: a study of occurrence and clinical course of acute mastoiditis before and after introduction of new treatment recommendations for AOM

Stenfeldt

Hermansson

2010

Eur Arch Otorhinolaryngol

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Watchful waiting was recommended as an option for uncomplicated episodes of acute otitis media in Sweden in the year 2000. Concern was raised that these recommendations would lead to a higher incidence of acute mastoiditis. The aim of this study was to map the occurrence, treatment policy and the clinical course of mastoiditis before and after the new treatment recommendations were introduced. Included in the study were all patients (adults and children) who were admitted to two ENT departments in southern Sweden for acute mastoiditis from 1996 to 2005. A total of 42 cases of mastoiditis were identified: 23 during the first period of 1996-2000 and 19 during 2001-2005. Mastoidectomy was performed in 14 patients during the first period and in 8 during the second period. As much as 39% of mastoiditis patients received antibiotics before hospital care, but had no improvement. There was no indication that the number of patients with acute mastoiditis was increasing after new treatment recommendation of AOM. There was no increase in the occurrence of mastoidectomy. Severe complications of mastoiditis were rare. Although there were potentially threatening complications of mastoiditis in the study, these did not lead to sequelae. It is important to follow up the consequences when treatment recommendations of AOM are changed.

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Section: Discussionsupporting

confidence: 93%