소아 경부 감염의 임상 양상과 농양 형성의 예측 인자

공성호; 최용준; 유건희; 김윤우; 박주현; 임윤성

추천

검색

자료유형: 학술저널

저자정보: 공성호 최용준 유건희 김윤우 박주현 임윤성

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제60권 제2호

발행연도: 2017.1

수록면: 76 - 82 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives Abscess of neck is a life-threatening disease in children. Detection of abscess is important because it is essential for the determination of surgical drainage. However, clinical diagnosis is difficult, because children are seldom able to verbalize their symptoms or cooperate with physical examination. This study aims to review the clinical characteristics of 157 pediatric patients with neck inflammation and investigate the relative risk factors for abscess. Subjects and Method Pediatric patients who were admitted to Dongguk University Hospital from January 2005 to July 2014 with acute neck inflammation were reviewed. All 157 pediatric patients were divided into two groups, based on radiologic findings with and without neck abscess. Results Of 157 patients, 53 children were diagnosed with neck abscess, and peritonsillar abscess was the most common type of neck abscess followed by submandibular abscess, retro·parapharyngeal abscess and posterior triangle & other abscess. The dominant pathogens, staphylococcal infection (≤2 yr) and streptococcal infection (＞3 yr), was different for the different age group. The abscess group except for peritonsillar abscess was characterized by younger age, higher heart rate and WBC count, and longer hospital days than those without abscess (p=0.026, 0.026, ＜0.001, 0.007 respectively). Multivariate analysis revealed younger age (≤24 mo) and higher heart rate were independent predictors for abscess formation (odds ratio: 3.022, 2.923). Conclusion Pediatric patients with high heart rate & younger age are at risk for abscess formation; meticulous care and early imaging work up are required in younger children with deep neck infection, and especially with higher heart rate. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(2):76-82

#Abscess #Deep neck infection #Heart rate #Pediatric.

참고문헌 (17)

참고문헌 신청

Cabrera CE / 2007 / Increased incidence of head and neck abscesses in children / Otolaryngol Head Neck Surg 136 (2) : 176 ~ 181

Davignon A / 1980 / Normal ECG standards for infants and children / Pediatr Cardiol 1 (2) : 123 ~ 131

Dodds B / 1988 / Peritonsillar and neck abscesses in the pediatric age group / Laryngoscope 98 (9) : 956 ~ 959

Elsherif AM / 2010 / Indicators of a more complicated clinical course for pediatric patients with retropharyngeal abscess / Int J Pediatr Otorhinolaryngol 74 (2) : 198 ~ 201

Fairchild KD / 2013 / Septicemia mortality reduction in neonates in a heart rate characteristics monitoring trial / Pediatr Res 74 (5) : 570 ~ 575

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!