Microbiology and antibiotic treatment of head and neck abscesses in children
The clinical data, microbiological results and antibiotic treatment of 65 children who have required incision and drainage of suppurative head and neck abscesses was retrospectively investigated with the aim of developing a more effective clinical protocol of treatment, improving speed of resolution...
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| Veröffentlicht in: | Clinical otolaryngology and allied sciences 1998-04, Vol.23 (2), p.164-168 |
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| container_title | Clinical otolaryngology and allied sciences |
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| creator | Simo, R Hartley, C Rapado, F Zarod, A P Sanyal, D Rothera, M P |
| description | The clinical data, microbiological results and antibiotic treatment of 65 children who have required incision and drainage of suppurative head and neck abscesses was retrospectively investigated with the aim of developing a more effective clinical protocol of treatment, improving speed of resolution and rationalizing the need for surgical intervention. A positive culture grew in 78% of children and of these 45% were Staphylococcus aureus, 9% Streptococcus pyogenes, and 8% atypical mycobacteria. Only 3% of the samples grew anaerobes. All isolates of S. aureus were sensitive to Flucloxacillin and all isolates of S. pyogenes were sensitive to penicillin. All anaerobes were Metronidazole sensitive. In 40% of the children there were no localizing symptoms which could guide the treatment, therefore we recommend Flucloxacillin and Metronidazole as the antibiotic regimen of choice in acute suppurative lymphadenitis. The increasing incidence of atypical mycobacterial lymphadenitis is noteworthy. |
| doi_str_mv | 10.1046/j.1365-2273.1998.00120.x |
| format | Article |
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A positive culture grew in 78% of children and of these 45% were Staphylococcus aureus, 9% Streptococcus pyogenes, and 8% atypical mycobacteria. Only 3% of the samples grew anaerobes. All isolates of S. aureus were sensitive to Flucloxacillin and all isolates of S. pyogenes were sensitive to penicillin. All anaerobes were Metronidazole sensitive. In 40% of the children there were no localizing symptoms which could guide the treatment, therefore we recommend Flucloxacillin and Metronidazole as the antibiotic regimen of choice in acute suppurative lymphadenitis. The increasing incidence of atypical mycobacterial lymphadenitis is noteworthy.</description><subject>Abscess - drug therapy</subject><subject>Abscess - microbiology</subject><subject>Abscess - surgery</subject><subject>Adolescent</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>antibiotic treatment</subject><subject>Bacteria, Anaerobic - drug effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Drainage</subject><subject>Female</subject><subject>Floxacillin - therapeutic use</subject><subject>Head - microbiology</subject><subject>head and neck abscesses</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Lymphadenitis - drug therapy</subject><subject>Lymphadenitis - microbiology</subject><subject>Male</subject><subject>Metronidazole - therapeutic use</subject><subject>microbiology</subject><subject>Mycobacterium Infections, Nontuberculous - drug therapy</subject><subject>Mycobacterium Infections, Nontuberculous - surgery</subject><subject>Neck - microbiology</subject><subject>Penicillins - therapeutic use</subject><subject>Retrospective Studies</subject><subject>Staphylococcal Infections - drug therapy</subject><subject>Staphylococcal Infections - surgery</subject><subject>Streptococcal Infections - drug therapy</subject><subject>Streptococcal Infections - surgery</subject><subject>Streptococcus pyogenes</subject><subject>Suppuration</subject><issn>0307-7772</issn><issn>1365-2273</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9PGzEQxS1EBSnlIyDtidtux3_WXktcIIK0alpUCcTRsr2z4LDZhfVGJN--Doly7sGyR--9mfGPkIxCQUHI74uCclnmjCleUK2rAoAyKNZHZHIQjskEOKhcKcVOydcYFwAgqFIn5ESXWrGqmpD57-CH3oW-7Z83me3qdMaQ6jH4bBzQjkvsxqxvshe09aehQ_-aWRc9xogxC13mX0JbD9h9I18a20Y8399n5PHu9mH6I5_fz35Or-e5F0AhFxQZlOCkKqnw3gpGqfNO1pLbmtlSewQJGpuGW24lOnAONOdCMyGERH5GLnd934b-fYVxNMuQ1mlb22G_ikbpqiqhkslY7YzpjzEO2Ji3ISztsDEUzBakWZgtL7PlZbYgzSdIs07Ri_2MlVtifQjuySX9aqd_hBY3_93XTO-v0yPF8108xBHXh7gdXo1UXJXm6c_MVPDAbv5OfxnG_wFD7o_6</recordid><startdate>199804</startdate><enddate>199804</enddate><creator>Simo, R</creator><creator>Hartley, C</creator><creator>Rapado, F</creator><creator>Zarod, A P</creator><creator>Sanyal, D</creator><creator>Rothera, M P</creator><general>Blackwell Science 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>7X8</scope></search><sort><creationdate>199804</creationdate><title>Microbiology and antibiotic treatment of head and neck abscesses in children</title><author>Simo, R ; Hartley, C ; Rapado, F ; Zarod, A P ; Sanyal, D ; Rothera, M P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4010-41e2050b67514cca4211bcb6d63ad2a59ce0609eff3a3a6eb0bb09334924446e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Abscess - drug therapy</topic><topic>Abscess - microbiology</topic><topic>Abscess - surgery</topic><topic>Adolescent</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>antibiotic treatment</topic><topic>Bacteria, Anaerobic - drug effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Drainage</topic><topic>Female</topic><topic>Floxacillin - therapeutic use</topic><topic>Head - microbiology</topic><topic>head and neck abscesses</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Lymphadenitis - drug therapy</topic><topic>Lymphadenitis - microbiology</topic><topic>Male</topic><topic>Metronidazole - therapeutic use</topic><topic>microbiology</topic><topic>Mycobacterium Infections, Nontuberculous - drug therapy</topic><topic>Mycobacterium Infections, Nontuberculous - surgery</topic><topic>Neck - microbiology</topic><topic>Penicillins - therapeutic use</topic><topic>Retrospective Studies</topic><topic>Staphylococcal Infections - drug therapy</topic><topic>Staphylococcal Infections - surgery</topic><topic>Streptococcal Infections - drug therapy</topic><topic>Streptococcal Infections - surgery</topic><topic>Streptococcus pyogenes</topic><topic>Suppuration</topic><toplevel>online_resources</toplevel><creatorcontrib>Simo, R</creatorcontrib><creatorcontrib>Hartley, C</creatorcontrib><creatorcontrib>Rapado, F</creatorcontrib><creatorcontrib>Zarod, A P</creatorcontrib><creatorcontrib>Sanyal, D</creatorcontrib><creatorcontrib>Rothera, M P</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>MEDLINE - Academic</collection><jtitle>Clinical otolaryngology and allied sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simo, R</au><au>Hartley, C</au><au>Rapado, F</au><au>Zarod, A P</au><au>Sanyal, D</au><au>Rothera, M P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microbiology and antibiotic treatment of head and neck abscesses in children</atitle><jtitle>Clinical otolaryngology and allied sciences</jtitle><addtitle>Clin Otolaryngol Allied Sci</addtitle><date>1998-04</date><risdate>1998</risdate><volume>23</volume><issue>2</issue><spage>164</spage><epage>168</epage><pages>164-168</pages><issn>0307-7772</issn><eissn>1365-2273</eissn><abstract>The clinical data, microbiological results and antibiotic treatment of 65 children who have required incision and drainage of suppurative head and neck abscesses was retrospectively investigated with the aim of developing a more effective clinical protocol of treatment, improving speed of resolution and rationalizing the need for surgical intervention. A positive culture grew in 78% of children and of these 45% were Staphylococcus aureus, 9% Streptococcus pyogenes, and 8% atypical mycobacteria. Only 3% of the samples grew anaerobes. All isolates of S. aureus were sensitive to Flucloxacillin and all isolates of S. pyogenes were sensitive to penicillin. All anaerobes were Metronidazole sensitive. In 40% of the children there were no localizing symptoms which could guide the treatment, therefore we recommend Flucloxacillin and Metronidazole as the antibiotic regimen of choice in acute suppurative lymphadenitis. The increasing incidence of atypical mycobacterial lymphadenitis is noteworthy.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>9597288</pmid><doi>10.1046/j.1365-2273.1998.00120.x</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Wiley Journals |
| subjects | Abscess - drug therapy Abscess - microbiology Abscess - surgery Adolescent Anti-Bacterial Agents - therapeutic use antibiotic treatment Bacteria, Anaerobic - drug effects Child Child, Preschool children Drainage Female Floxacillin - therapeutic use Head - microbiology head and neck abscesses Humans Incidence Infant Lymphadenitis - drug therapy Lymphadenitis - microbiology Male Metronidazole - therapeutic use microbiology Mycobacterium Infections, Nontuberculous - drug therapy Mycobacterium Infections, Nontuberculous - surgery Neck - microbiology Penicillins - therapeutic use Retrospective Studies Staphylococcal Infections - drug therapy Staphylococcal Infections - surgery Streptococcal Infections - drug therapy Streptococcal Infections - surgery Streptococcus pyogenes Suppuration |
| title | Microbiology and antibiotic treatment of head and neck abscesses in children |
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