Acute cervical lymphadenitis in children.
A retrospective study of 78 children with acute cervical lymphadenitis treated in Newcastle over the last 9 years revealed that abscesses formed in 50 children despite antibiotic treatment. Children under 2 years of age were more likely to form an abscess than older children. The commonest organism isolated was penicillin-resistant Staphylococcus. Beta-haemolytic Streptococcus was isolated less commonly and isolation of penicillin-sensitive staphylococci was rare. Penicillin and amoxycillin alone are unsuitable as first line antibiotics. Severe infections and those failing to respond rapidly to initial antibiotic treatment should be admitted to a paediatric unit for intravenous beta-lactamase-resistant antibiotics.
Wright
J E
JE
Newcastle Mater Misericordiae Hospital, Newscastle, New South Wales, Australia.
Reid
I S
IS
D000038:Abscess / Q000209:etiology* / Q000382:microbiology; D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008199:Lymphadenitis / Q000150:complications* / Q000188:drug therapy; D008297:Male; D009333:Neck; D013203:Staphylococcal Infections / Q000209:etiology; D013290:Streptococcal Infections / Q000209:etiology
D000900:Anti-Bacterial Agents