小儿眼眶蜂窝织炎/脓肿：微生物学及抗生素处方模式
Pediatric Orbital Cellulitis/Abscess: Microbiology and Pattern of Antibiotic Prescribing.
作者信息
Burek Alina G, Tregoning Geanina, Pan Amy, Liegl Melodee, Harris Gerald J, Havens Peter L
机构信息
Children's Wisconsin, Milwaukee, Wisconsin.
Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin,
出版信息
WMJ. 2023 Mar;122(1):52-55.
INTRODUCTION
The treatment for pediatric orbital cellulitis/abscess is trending towards intravenous antibiotic management alone in appropriate cases. Without cultures to guide therapy, knowing the local microbiology is of utmost importance in managing these patients.
METHODS
We conducted a retrospective case series for patients age 2 months to 17 years, who were hospitalized between January 1, 2013, and December 31, 2019, to evaluate the local microbiology and pattern of antibiotic prescribing in pediatric orbital cellulitis.
RESULTS AND DISCUSSION
Of 95 total patients, 69 (73%) received intravenous antibiotics only and 26 (27%) received intravenous antibiotics plus surgery. The most common organism cultured was , followed by , and group A streptococcus. Methicillin-resistant (MRSA) prevalence was 9%. MRSA-active antibiotics remain the most frequently used antibiotics.
引言
在适当的病例中，小儿眼眶蜂窝织炎/脓肿的治疗正趋向于仅采用静脉抗生素治疗。在没有培养结果指导治疗的情况下，了解当地的微生物情况对于管理这些患者至关重要。
方法
我们对2013年1月1日至2019年12月31日期间住院的2个月至17岁患者进行了一项回顾性病例系列研究，以评估小儿眼眶蜂窝织炎的当地微生物情况和抗生素处方模式。
结果与讨论
在95例患者中，69例（73%）仅接受静脉抗生素治疗，26例（27%）接受静脉抗生素治疗加手术。培养出的最常见病原体是 ，其次是 ，以及A组链球菌。耐甲氧西林 （MRSA） 的患病率为9%。对MRSA有效的抗生素仍然是最常用的抗生素。
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