Aspectos asistenciales de la infección periamigdalina antes y durante la pandemia de COVID-19

García-Callejo, Francisco Javier; Alba-García, José Ramón; Orozco-Núñez, Sara; Martínez-Giménez, Luis; Balaguer-García, Ramón; Ruescas-Gómez, Luis

doi:10.1016/j.otorri.2022.04.003

Cited by 2 publications

(5 citation statements)

References 23 publications

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“…Surprisingly, clinical features at presentation were not significantly different apart from increased CRP levels. In contrast to our findings, Callego et al's report on peritonsillar infections during the COVID 19 era in Spain reported more delayed, severe presentations and prolonged hospitalizations 18 . The aforementioned report, however, included all age groups and did not discern tonsillitis from peritonsillar cellulitis and abscess.…”

Section: Discussioncontrasting

confidence: 99%

“…In contrast to our findings, Callego et al's report on peritonsillar infections during the COVID 19 era in Spain reported more delayed, severe presentations and prolonged hospitalizations. 18 The aforementioned report, however, included all age groups and did not discern tonsillitis from peritonsillar cellulitis and abscess. A UK report on dental abscesses noted similar unaffected features in terms of incidence, presentation and management during the COVID-19 era.…”

Section: Discussionmentioning

confidence: 96%

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Impact of the COVID‐19 era on clinical presentation, management and microbiology in paediatric peritonsillar abscess: A case–control study

Heilig,

Sapir,

Yafit

et al. 2023

Clinical Otolaryngology

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ObjectivesPeritonsillar abscess (PTA) is the most common soft‐tissue infection of the head and neck. This potential complication of tonsillitis has demonstrated unique microbial trends during the COVID‐19 pandemic. This era has resulted in a major shift in the hygiene and social habits of the general population, which has resulted in changes in the presentation, management and microbiology of several infectious diseases. To date, the impact of COVID 19 on PTA microbiology and clinical presentation in the paediatric population has yet to be investigated.DesignRetrospective chart review comparing all cases of paediatric (age 0–18) PTA in an academic tertiary centre during the COVID‐19 pandemic (03/2020–02/2022) and compared them to two control groups: pre‐COVID (03/2018–02/2020) and post‐COVID (03/2022–03/2023). All patients were treated with either needle aspiration, incision and drainage or both means in addition to intravenous antibiotics.SettingA large Ear Nose and Throat department in a tertiary referral center.ParticipantsConsecutive children aged 18 years or under, admitted with a diagnosis of Peritonsillar abscess.Main Outcome MeasuresWe analyzed the clinical and microbiologcal features of all cases of pediatric peritonsillar abscess during the COVID‐19 era (03/2020‐02/2022) and compared them to a pre and post control cases.ResultsA total of 96 PTA cases were included (35 pre‐COVID, 35 COVID and 26 post‐COVID). The means of procedural treatment shifted in favour of incision and drainage versus needle aspiration during the COVID era. The length of hospitalisation increased during the COVID era (3.6 days vs. 2.1 and 3.1 pre and post‐COVID respectively, p < .001). No other notable differences in the clinical and demographic features were found between the three eras. The COVID‐19 era saw an increase in Fusobacterium (37.1% vs. 8.6% and 24% pre and post‐COVID, respectively; p = .008) and Streptococcus Anginosus (31.4% vs. 5.7% and 7.7% pre and post‐COVID, respectively; p = .007) species isolation.ConclusionsThe COVID‐19 pandemic did not seem to impact the clinical presentation of paediatric PTA yet resulted in a change in microbiological pathogens. The choice of I&D as a means to shorten hospital stay during the pandemic may have led to an actual increase in hospital stay, suggesting that NA may be the preferred management approach.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 96%

Impact of the COVID‐19 era on clinical presentation, management and microbiology in paediatric peritonsillar abscess: A case–control study

Heilig,

Sapir,

Yafit

et al. 2023

Clinical Otolaryngology

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“…ORL, 2023, 14,3,[191][192][193][194][195][196][197][198] encontramos similitudes con otros hospitales con una incidencia entre 14-16 casos/100.000 habitantes y una reducción del 43 % en el año 2020 respecto al 2019. [16]. En los estudios revisados no encontramos diferencias significativas en la distribución por sexo o edad [3,6,16,17] o un ligero predominio en varones [18] como encontramos en nuestra muestra.…”

Section: Discussionunclassified

“…[16]. En los estudios revisados no encontramos diferencias significativas en la distribución por sexo o edad [3,6,16,17] o un ligero predominio en varones [18] como encontramos en nuestra muestra. En nuestra serie observamos que en los años prepandemia el número de pacientes que presentó episodios de infecciones periamigdalinas por año eran similares, produciéndose un importante descenso durante los años 2020 y 2021, con una disminución de la incidencia del 48.58% y durante el año 2022 volver a cifras prepandemia como se muestra en la Tabla 1.…”

Section: Discussionunclassified

“…En cuanto a los ingresos y estancia media hospitalaria, un estudio de cohortes multicéntrico en el Reino Unido mostró que los pacientes con APA suelen ingresar en el hospital y sólo el 12 % de los pacientes tienen una estancia hospitalaria de menos de 12 horas [23]. Otros autores presentan datos de estancia media de alrededor de un día los años previos a la pandemia, aumentando hasta 2 días en el año 2020 [16] sin embargo, en nuestro hospital no hubo diferencias estadísticamente significativas los años previos, durante ni posteriores a la pandemia en cuanto al número de días.…”

Section: Discussionunclassified

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Infecciones periamigdalinas en el área de salud de León los años previos a la pandemia, durante la misma y posterior a ella. Estudio de un periodo de 6 años

Rodríguez-García,

Fernández-Cascón,

Pérez-Álvarez

et al. 2023

ORL

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Introducción y objetivo: La COVID-19 ha tenido diversas consecuencias para el sistema sanitario de salud. Centrándonos en nuestro Servicio de Otorrinolaringología, hemos observado un descenso en la aparición de infecciones periamigdalinas (IPA). El objetivo de este estudio es evaluar aspectos epidemiológicos de las IPA a lo largo de un período de 6 años. Método: Estudio descriptivo retrospectivo y longitudinal con datos obtenidos del registro hospitalario informatizado de León durante un período de 6 años. Resultados: Un total de 327 pacientes fueron incluidos, prepandemia 201 (61.47%), en pandemia 64 (19.54%) y postpandemia 62 (18.96%), con una disminución de 48.58% en la incidencia de IPA. Discusión: Encontramos resultados similares a los analizados en otras series sobre la incidencia de los abscesos periamigdalinos durante la pandemia, sin embargo, tenemos una mayor estancia media hospitalaria en los ingresos por dicha patología. Conclusiones: La pandemia ha repercutido y cambiado la forma de atender ciertas patologías. En nuestro caso, en lo referente a los abscesos periamigdalinos observamos un claro descenso.

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Aspectos asistenciales de la infección periamigdalina antes y durante la pandemia de COVID-19

Cited by 2 publications

References 23 publications

Impact of the COVID‐19 era on clinical presentation, management and microbiology in paediatric peritonsillar abscess: A case–control study

Impact of the COVID‐19 era on clinical presentation, management and microbiology in paediatric peritonsillar abscess: A case–control study

Infecciones periamigdalinas en el área de salud de León los años previos a la pandemia, durante la misma y posterior a ella. Estudio de un periodo de 6 años

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