Early Complications of Acute Rhinosinusitis in Pediatric Practice
DOI:
https://doi.org/10.51699/ijhsms.v2i6.2064Keywords:
Orbital cellulitis, pediatrics, sinusitis, subperiosteal abscessAbstract
The acute form of rhinosinusitis is a common source of periorbital infection in young infants. We investigated the pediatric patients in an effort to identify the traits that are common among those who go on to develop subperiosteal orbital abscesses and require urgent surgery for acute orbital edema.
Methods: We reviewed 64 children younger than 18 years old in an observational retrospective cohort study. Radiography was used to make the diagnosis of periorbital abscess, and computed tomography was used to demonstrate that all of the patients also had sinusitis concurrently.
The patients had a mean age of 6.95 years, and 42 of them, or 65.63 percent, were male (the male-to-female ratio was 1.91). Thirty patients (46.88%) had surgical drainage, whereas the other thirty-four patients (53.13%), simply got antibiotic treatment. According to the results of a bivariate analysis, the variables that were linked with the development of an abscess were as follows: an age of 6 years or less (p = 0.023), proptosis (p = 0.012), fever (p 0.001), and a white blood cell count of more than 11,100 (p = 0.004). According to the findings of a multivariate study, fever and proptosis were two independent predictors that predicted the development of an abscess. Staphylococcus aureus, Streptococcus viridaus, and coagulase-negative staphylococci were the microorganisms that were cultured the most commonly in patients who had surgical drainage, and 29% of our patients had polymicrobial pus cultures.
Abscess development is the most significant determinant in determining whether or not an antibiotic therapy for periorbital infections associated to sinusitis will be successful in curing the infection. Patients who are experiencing fever in addition to proptosis have an increased risk of developing subperiosteal orbital abscesses.
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