Geographic health disparities in the Los Angeles pediatric neck abscess population

Angajala, Varun; Hur, Kevin; Jacobson, Lia; Hochstim, Christian

doi:10.1016/j.ijporl.2018.07.043

Cited by 8 publications

(9 citation statements)

References 28 publications

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“…Deep neck infections can be categorized based on their anatomical site; namely as retropharyngeal, parapharyngeal, and peritonsillar abscesses. RPA is the most common, constituting 66.7% of deep neck infections in the pediatric age group ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

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Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain?

Ng¹,

Goh²,

Azmi³

et al. 2021

TAO

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Neonatal retropharyngeal abscess (RPA) is a rare and life-threatening entity. Most of the cases are idiopathic in nature. We encountered a case of RPA in a newborn secondary to extravasation injury. The presence of neck swelling with clinical deterioration following extravasation of total parenteral nutrition (TPN) infused via a peripherally inserted central catheter at the right upper limb raised the suspicion of neck abscess. This was later confirmed to be RPA based on magnetic resonance imaging of the neck. She was treated with prolonged intravenous antibiotics in the Neonatal Intensive Care Unit (NICU). Her condition gradually improved, evidenced by resolution of the collection on serial imaging. Early recognition and prompt management are crucial to reduce the morbidity and mortality from RPA.

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Section: Discussionmentioning

confidence: 99%

“…Staphylococcus aureus is the most common microorganism isolated in pediatric RPA ( 1 , 3 ). It is also important to note that children from lower socioeconomical background are more at risk as they may not be able to seek treatment in time and might need more invasive approaches ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain?

Ng¹,

Goh²,

Azmi³

et al. 2021

TAO

View full text Add to dashboard Cite

show abstract

“…Median income by zip code was collected from the American Community Survey 18 in 2019 adjusted dollars (the most recent data available) and correlated to each participant’s zip code. As in previous studies at this institution, 9 , 10 a categorical variable was created as either above or below $51 500, which was 200% of the federal poverty level (FPL) in 2019.…”

Section: Methodsmentioning

confidence: 99%

“…3,6 In the setting of specialty pediatric otolaryngology, racial/ethnic minority pediatric patients or patients from lower socioeconomic households, have been shown to have a higher prevalence of sleep disordered breathing, otitis media, esophageal foreign bodies, and neck abscesses, among other conditions. [7][8][9][10] Furthermore, despite higher prevalence of disease, these patients are less likely to undergo treatments such as adenotonsillectomy or tympanostomy tube insertion. 7,8 Several factors may contribute to healthcare access and health outcomes among such patients.…”

Section: Introductionmentioning

confidence: 99%

Disparities in Access to Pediatric Otolaryngology Care During the COVID-19 Pandemic

Adigwu

Osterbauer

Hochstim

2021

Ann Otol Rhinol Laryngol

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Objective: Racial/ethnic minority pediatric otolaryngology patients experience health disparities, including barriers to accessing health care. Our hypothesis for this study is that Hispanic or economically disadvantaged patients would represent a larger percentage of missed appointments and report more barriers to receiving care during the COVID-19 pandemic. Methods: A cross-sectional survey utilizing a modified version of the Barriers to Care Questionnaire was administered via telephone to no-show patients, and median income by zip code was collected. Chi-squared, logistic regression, and Student’s t-tests were used to investigate any differences in those who did and did not keep their appointments as well as any differences in mean questionnaire scores. Results: No-show patients were more likely to be Hispanic than not (OR 2.3, 95% CI: 1.3, 3.9, P = .002) and to live in a zip code that had a median income less than 200% of the federal poverty level (OR 1.7, 95% CI: 1.2, 2.4, P = .004). Respondents with a high school degree tended to report more barriers to care compared to those with less education. Conclusion: In our study, we identified ethnic, financial, and logistic concerns that may contribute to patients failing to keep their appointments with the otolaryngology clinic. Future studies are needed to assess the efficacy of measures aimed to reduce these barriers to care such as preventive plans to assist new patients and expanding telehealth services.

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“…Surgical incisions and long-course medical and antibiotic therapies have been described in the literature for the management of retropharyngeal abscess. [1][2][3] In the present study, we have discussed the surgical and medical treatment of retropharyngeal abscesses and the predicted prognosis of the disease after treatment, based on evidence obtained from studies in the literature.…”

mentioning

confidence: 99%

Medical and surgical outcome of retropharyngeal abscess and its prognosis

Alwagdani

Alwabel

Alyami

et al. 2021

Int J Community Med Public Health

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Although retropharyngeal abscess is not a common condition, it can impact the quality of life of the affected patients, and can even be life-threatening. Asphyxia, upper respiratory tract obstruction, and respiratory distress might then develop secondary to this abscess which continues to grow even larger increasing the seriousness of the complications. Surgical incisions and long-course medical and antibiotic therapies have been described in the literature for the management of retropharyngeal abscess. In this study, the literature review discusses the surgical and medical treatment of retropharyngeal abscesses and the predicted prognosis of the disease after treatment based on evidence obtained from studies in the literature. Early presentation and management are important in achieving better outcomes and enhancing the prognosis. Therefore, patients should be aware enough of the symptoms that might suggest the presence of a retropharyngeal abscess. Using intravenous antibiotics can achieve favorable outcomes. However, some adverse events might be associated and the treatment might not be completed as a result of reduced patient compliance. Surgical management is also efficacious and can be done by different approaches as discussed earlier. Nevertheless, it can also be associated with some complications. Therefore, providing optimal care for these patients should be considered in all scenarios to enhance the prognosis.

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Geographic health disparities in the Los Angeles pediatric neck abscess population

Cited by 8 publications

References 28 publications

Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain?

Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain?

Disparities in Access to Pediatric Otolaryngology Care During the COVID-19 Pandemic

Medical and surgical outcome of retropharyngeal abscess and its prognosis

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