title: [Antibiotherapy of severe ENT infections in children: acute mastoïditis].
abstract: In children, acute mastoiditis is a classic but rare complication of otitis media. Primary treatment of mastoiditis is mainly medical with intravenous antibiotics. Surgical procedures may be necessary for complicated forms of the disease. Though, the adequacy of the initial empiric antibiotic therapy with the susceptibility of the suspected bacteria germs is essential to avoid potentially serious complications. We perform a review of the literature to provide supportive arguments for the therapeutic approach of acute mastoiditis in children worked out by the French Group for Pædiatric Infectious Diseases.
authors.affiliation: Groupe de pathologie infectieuse pédiatrique de la Société française de pédiatrie; Service de pédiatrie, hôpital Mignot, centre hospitalier de Versailles, 177 rue de Versailles, 78150 le Chesnay, France. Electronic address: vhentgen@ch-versailles.fr.
authors.forename: V
authors.initials: V
authors.lastname: Hentgen
authors.affiliation: Groupe de pathologie infectieuse pédiatrique de la Société française de pédiatrie; Service de pédiatrie générale, hôpital Robert-Debré, 48 boulevard Sérurier, 75019 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Lorrot
authors.affiliation: Groupe de pathologie infectieuse pédiatrique de la Société française de pédiatrie; Service d'urgences pédiatriques - infectiologie, hôpitaux pédiatriques, CHU Lenval, 57 avenue de la Californie, 06200 Nice, France.
authors.forename: H
authors.initials: H
authors.lastname: Haas
authors.affiliation: Groupe de pathologie infectieuse pédiatrique de la Société française de pédiatrie; Service de néonatalogie, hôpital intercommunal de Créteil, 40 avenue de Verdun, 94010 Créteil Cedex, France; Association clinique et thérapeutique infantile du Val-de-Marne (ACTIV), 27 rue Inkermann, 94100 Saint-Maur-des-Faussés, France.
authors.forename: R
authors.initials: R
authors.lastname: Cohen
authors.affiliation: Groupe de pathologie infectieuse pédiatrique de la Société française de pédiatrie; Service de pédiatrie générale, hôpital Armand-Trousseau, 26 avenue du Docteur-Arnold-Netter, 75571 Paris Cedex 12, France; Université Pierre-et-Marie-Curie Paris 6, 4 place Jussieu, 75005 Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Grimprel
mesh_terms: D000208:Acute Disease; D002648:Child; D006801:Humans; D007223:Infant; D008417:Mastoiditis / Q000188:drug therapy* / Q000382:microbiology*; D017410:Practice Guidelines as Topic; D012720:Severity of Illness Index