title: Acute mastoiditis in children: epidemiologic, clinical, microbiologic, and therapeutic aspects over past years.
abstract: 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.
authors.affiliation: Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel.
authors.forename: M
authors.initials: M
authors.lastname: Nussinovitch
authors.forename: R
authors.initials: R
authors.lastname: Yoeli
authors.forename: K
authors.initials: K
authors.lastname: Elishkevitz
authors.forename: I
authors.initials: I
authors.lastname: Varsano
mesh_terms: D000208:Acute Disease; D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology / Q000473:pathology*; D002648:Child; D005334:Fever; D006801:Humans; D007275:Injections, Intravenous; D007557:Israel / Q000453:epidemiology; D007958:Leukocyte Count; D008417:Mastoiditis / Q000188:drug therapy / Q000453:epidemiology / Q000473:pathology*; D011548:Pseudomonadaceae / Q000302:isolation & purification; D012189:Retrospective Studies; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D013997:Time Factors
chemical_list: D000900:Anti-Bacterial Agents