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Clinical Pediatrics
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Acute Mastoiditis in Children: Epidemiologic, Clinical, Microbiologic, and Therapeutic Aspects over Past Years

M. Nussinovitch, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel

R. Yoeli, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel

K. Elishkevitz, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel

I. Varsano, MD

Department of Pediatrics C, Schneider Children’s Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel

Recent studies have indicated possible changes in the incidence of acute mastoiditis. A retrospective review of children discharged with a diagnosis of acute mastoiditis was undertaken to describe the epidemiology, clinical presentation, microbiology, and treatment of acute mastoiditis over past years. Demographic historic, clinical, and laboratory data were collected. Eighty-six children (88 episodes of acute mastoiditis) were identified (1 month-16 years) (median 3.3 years). Almost half had a history of middle ear disease; 8% recurrent episodes and 68.2% received antibiotics preadmission, 91.2% for acute otitis media. Bacterial etiology was established in 43 patients (68.2% isolation rate). Pseudomonas aeruginosa and Streptococcus pneumoniae were the most frequently isolated agents. This review showed a significant increase (150%) in the number of patients with acute mastoiditis.

Clinical Pediatrics, Vol. 43, No. 3, 261-267 (2004)
DOI: 10.1177/000992280404300307
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Home page
 Arch Otolaryngol Head Neck SurgHome page
D. Ho, B. W. Rotenberg, and R. G. Berkowitz
The Relationship Between Acute Mastoiditis and Antibiotic Use for Acute Otitis Media in Children
Arch Otolaryngol Head Neck Surg, January 1, 2008; 134(1): 45 - 48.
[Abstract] [Full Text] [PDF]