Infected cephalohematoma of newborns: Experience in a medical center in Taiwan
Background : The objective of the present retrospective study was to clarify the clinical course, major pathogens, and other infections associated with infected cephalohematoma. Methods : From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohem...
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Veröffentlicht in: | Pediatrics international 2005-06, Vol.47 (3), p.274-277 |
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creator | Chang, Hung-Yang Chiu, Nan-Chang Huang, Fu-Yuan Kao, Hsin-An Hsu, Chyong-Hsin Hung, Han-Yang |
description | Background
: The objective of the present retrospective study was to clarify the clinical course, major pathogens, and other infections associated with infected cephalohematoma.
Methods
: From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohematoma, based either on local signs of infection or a diagnostic tap that yielded pus. Patients were divided into two groups: those seen in the early period (1978–1990) and in the late period (1991–2003).
Results
: Twenty‐eight newborns with infected cephalohematoma were identified, 14 each in the early and late periods. The mean age at onset was 17.8 ± 13.9 days. The most common local findings were erythema (79%), increasing size of the hematoma (68%), and a fluctuant mass (46%), while fever (64%), poor appetite (39%) and irritability (18%) were the common systemic signs. Common laboratory findings included leukocytosis (82%) and an elevated C‐reactive protein (61%). Escherichia coli was the most common pathogen (16 patients, 57%) and was isolated significantly more frequently in the late period (early period: 36%, late period: 79%, P |
doi_str_mv | 10.1111/j.1442-200x.2005.02062.x |
format | Article |
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: The objective of the present retrospective study was to clarify the clinical course, major pathogens, and other infections associated with infected cephalohematoma.
Methods
: From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohematoma, based either on local signs of infection or a diagnostic tap that yielded pus. Patients were divided into two groups: those seen in the early period (1978–1990) and in the late period (1991–2003).
Results
: Twenty‐eight newborns with infected cephalohematoma were identified, 14 each in the early and late periods. The mean age at onset was 17.8 ± 13.9 days. The most common local findings were erythema (79%), increasing size of the hematoma (68%), and a fluctuant mass (46%), while fever (64%), poor appetite (39%) and irritability (18%) were the common systemic signs. Common laboratory findings included leukocytosis (82%) and an elevated C‐reactive protein (61%). Escherichia coli was the most common pathogen (16 patients, 57%) and was isolated significantly more frequently in the late period (early period: 36%, late period: 79%, P < 0.05). Staphylococcus aureus was the second common pathogen (five patients, 18%). Ten patients (36%) had other associated infection: eight had sepsis, three had meningitis, and one had osteomyelitis. In the early period three patients (11%) died.
Conclusions
: Clinicians should be aware that cephalohematoma is a potential site of infection. The incidence of associated system infection is high and may result in mortality. Appropriate diagnostic and therapeutic measures should be undertaken promptly if there are infectious signs.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/j.1442-200x.2005.02062.x</identifier><identifier>PMID: 15910450</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>Babies ; cephalohematoma ; Cerebral Hemorrhage - complications ; Cerebral Hemorrhage - microbiology ; Escherichia coli ; Escherichia coli Infections - epidemiology ; Female ; Health facilities ; Hematoma - complications ; Hematoma - epidemiology ; Humans ; Infant, Newborn ; infection ; Infections ; Male ; newborn ; Parietal Bone ; Retrospective Studies ; Staphylococcal Infections - epidemiology ; Staphylococcus aureus ; Taiwan - epidemiology</subject><ispartof>Pediatrics international, 2005-06, Vol.47 (3), p.274-277</ispartof><rights>Copyright Blackwell Publishing Jun 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5162-127902682db7ca713dd903c464aa511baaa20ebae3db4581e27a546204b5d8c03</citedby><cites>FETCH-LOGICAL-c5162-127902682db7ca713dd903c464aa511baaa20ebae3db4581e27a546204b5d8c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-200x.2005.02062.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-200x.2005.02062.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15910450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Hung-Yang</creatorcontrib><creatorcontrib>Chiu, Nan-Chang</creatorcontrib><creatorcontrib>Huang, Fu-Yuan</creatorcontrib><creatorcontrib>Kao, Hsin-An</creatorcontrib><creatorcontrib>Hsu, Chyong-Hsin</creatorcontrib><creatorcontrib>Hung, Han-Yang</creatorcontrib><title>Infected cephalohematoma of newborns: Experience in a medical center in Taiwan</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background
: The objective of the present retrospective study was to clarify the clinical course, major pathogens, and other infections associated with infected cephalohematoma.
Methods
: From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohematoma, based either on local signs of infection or a diagnostic tap that yielded pus. Patients were divided into two groups: those seen in the early period (1978–1990) and in the late period (1991–2003).
Results
: Twenty‐eight newborns with infected cephalohematoma were identified, 14 each in the early and late periods. The mean age at onset was 17.8 ± 13.9 days. The most common local findings were erythema (79%), increasing size of the hematoma (68%), and a fluctuant mass (46%), while fever (64%), poor appetite (39%) and irritability (18%) were the common systemic signs. Common laboratory findings included leukocytosis (82%) and an elevated C‐reactive protein (61%). Escherichia coli was the most common pathogen (16 patients, 57%) and was isolated significantly more frequently in the late period (early period: 36%, late period: 79%, P < 0.05). Staphylococcus aureus was the second common pathogen (five patients, 18%). Ten patients (36%) had other associated infection: eight had sepsis, three had meningitis, and one had osteomyelitis. In the early period three patients (11%) died.
Conclusions
: Clinicians should be aware that cephalohematoma is a potential site of infection. The incidence of associated system infection is high and may result in mortality. Appropriate diagnostic and therapeutic measures should be undertaken promptly if there are infectious signs.</description><subject>Babies</subject><subject>cephalohematoma</subject><subject>Cerebral Hemorrhage - complications</subject><subject>Cerebral Hemorrhage - microbiology</subject><subject>Escherichia coli</subject><subject>Escherichia coli Infections - epidemiology</subject><subject>Female</subject><subject>Health facilities</subject><subject>Hematoma - complications</subject><subject>Hematoma - epidemiology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>infection</subject><subject>Infections</subject><subject>Male</subject><subject>newborn</subject><subject>Parietal Bone</subject><subject>Retrospective Studies</subject><subject>Staphylococcal Infections - epidemiology</subject><subject>Staphylococcus aureus</subject><subject>Taiwan - epidemiology</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhiNERUvhL6CIA7eEseOvReKAttsPaVU4FLE3a-LMqlnysdhZbfrvcdiFSlxaH8Yj-3lfaeZNkpRBzuL5uMmZEDzjAGMei8yBg-L5-CI5-_uxehn7gpvMgNKnyesQNgBgtBGvklMmZwyEhLPk9qZbkxuoSh1t77Hp76nFoW8x7ddpR_uy9134lC7GLfmaOkdp3aWYtlTVDpso6gby09sd1nvs3iQna2wCvT3e58n3y8Xd_Dpbfr26mX9ZZk4yxTPG9Qy4MrwqtUPNiqqaQeGEEoiSsRIROVCJVFSlkIYR1yiF4iBKWRkHxXny4eC79f2vHYXBtnVw1DTYUb8LVmmjCsH5kyCbaWVAFxF8_x-46Xe-i0NYzrgwkisZIXOAnO9D8LS2W1-36B8sAzslYzd2CsBOyUxF2j_J2DFK3x39d2Xc3qPwGEUEPh-Afd3Qw7ON7bfFxdRFfXbQ12Gg8Z8e_c-4jUJL--P2yq7msFxdzsFeF78Bfw6qUQ</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Chang, Hung-Yang</creator><creator>Chiu, Nan-Chang</creator><creator>Huang, Fu-Yuan</creator><creator>Kao, Hsin-An</creator><creator>Hsu, Chyong-Hsin</creator><creator>Hung, Han-Yang</creator><general>Blackwell Science Pty</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>200506</creationdate><title>Infected cephalohematoma of newborns: Experience in a medical center in Taiwan</title><author>Chang, Hung-Yang ; Chiu, Nan-Chang ; Huang, Fu-Yuan ; Kao, Hsin-An ; Hsu, Chyong-Hsin ; Hung, Han-Yang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5162-127902682db7ca713dd903c464aa511baaa20ebae3db4581e27a546204b5d8c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Babies</topic><topic>cephalohematoma</topic><topic>Cerebral Hemorrhage - complications</topic><topic>Cerebral Hemorrhage - microbiology</topic><topic>Escherichia coli</topic><topic>Escherichia coli Infections - epidemiology</topic><topic>Female</topic><topic>Health facilities</topic><topic>Hematoma - complications</topic><topic>Hematoma - epidemiology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>infection</topic><topic>Infections</topic><topic>Male</topic><topic>newborn</topic><topic>Parietal Bone</topic><topic>Retrospective Studies</topic><topic>Staphylococcal Infections - epidemiology</topic><topic>Staphylococcus aureus</topic><topic>Taiwan - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, Hung-Yang</creatorcontrib><creatorcontrib>Chiu, Nan-Chang</creatorcontrib><creatorcontrib>Huang, Fu-Yuan</creatorcontrib><creatorcontrib>Kao, Hsin-An</creatorcontrib><creatorcontrib>Hsu, Chyong-Hsin</creatorcontrib><creatorcontrib>Hung, Han-Yang</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chang, Hung-Yang</au><au>Chiu, Nan-Chang</au><au>Huang, Fu-Yuan</au><au>Kao, Hsin-An</au><au>Hsu, Chyong-Hsin</au><au>Hung, Han-Yang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infected cephalohematoma of newborns: Experience in a medical center in Taiwan</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2005-06</date><risdate>2005</risdate><volume>47</volume><issue>3</issue><spage>274</spage><epage>277</epage><pages>274-277</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background
: The objective of the present retrospective study was to clarify the clinical course, major pathogens, and other infections associated with infected cephalohematoma.
Methods
: From January 1978 to December 2003, records of all newborns were reviewed for evidence of an infected cephalohematoma, based either on local signs of infection or a diagnostic tap that yielded pus. Patients were divided into two groups: those seen in the early period (1978–1990) and in the late period (1991–2003).
Results
: Twenty‐eight newborns with infected cephalohematoma were identified, 14 each in the early and late periods. The mean age at onset was 17.8 ± 13.9 days. The most common local findings were erythema (79%), increasing size of the hematoma (68%), and a fluctuant mass (46%), while fever (64%), poor appetite (39%) and irritability (18%) were the common systemic signs. Common laboratory findings included leukocytosis (82%) and an elevated C‐reactive protein (61%). Escherichia coli was the most common pathogen (16 patients, 57%) and was isolated significantly more frequently in the late period (early period: 36%, late period: 79%, P < 0.05). Staphylococcus aureus was the second common pathogen (five patients, 18%). Ten patients (36%) had other associated infection: eight had sepsis, three had meningitis, and one had osteomyelitis. In the early period three patients (11%) died.
Conclusions
: Clinicians should be aware that cephalohematoma is a potential site of infection. The incidence of associated system infection is high and may result in mortality. Appropriate diagnostic and therapeutic measures should be undertaken promptly if there are infectious signs.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>15910450</pmid><doi>10.1111/j.1442-200x.2005.02062.x</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Babies cephalohematoma Cerebral Hemorrhage - complications Cerebral Hemorrhage - microbiology Escherichia coli Escherichia coli Infections - epidemiology Female Health facilities Hematoma - complications Hematoma - epidemiology Humans Infant, Newborn infection Infections Male newborn Parietal Bone Retrospective Studies Staphylococcal Infections - epidemiology Staphylococcus aureus Taiwan - epidemiology |
title | Infected cephalohematoma of newborns: Experience in a medical center in Taiwan |
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