Pleșca Vlad Ștefan, Streinu-Cercel Anca, Săndulescu Oana, Drăgănescu Anca Cristina, Hainăroșie Răzvan, Pleșca Anca Doina
Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
National Institute of Infectious Diseases "Prof. Dr. Matei Balș", 021105 Bucharest, Romania.
Children (Basel). 2024 Jul 8;11(7):832. doi: 10.3390/children11070832.
Otic involvement is common in children during acute infectious diseases, and is an important cause of morbidity and health service utilization.
We performed a retrospective analysis of pediatric cases hospitalized in the largest infectious disease hospital in Romania between 2018 and 2023, with the aim of quantifying the incidence and impact of acute otitis (AO) according to pediatric age subgroups.
A total of 1118 cases diagnosed with AO were eligible and included in the analysis. Acute congestive otitis media was the most common subtype, identified in 53.3% of cases, followed by acute purulent otitis media (APOM) in 26.7% of children. The majority of AO cases (69.9%) were diagnosed in the pre-pandemic period (2018-2019), and infants (10.6%), toddlers (49.4%), and preschoolers (29.2%) were the most affected age groups. A viral infection associated with the AO episode was documented in 49.6% of cases. Influenza viruses were most commonly reported (20.5%), followed by SARS-CoV-2 (5.8%), and adenovirus (4.9%). A total of 38 cases of AO were identified in children with measles. In 15.9% of APOM cases, was isolated by culture from otic secretions. The duration of hospitalization was longer in children with APOM and acute otitis externa compared to the other subtypes of AO ( < 0.001).
Our study highlights the importance of ENT (ear, nose, and throat) monitoring in children hospitalized for acute infectious diseases, as the majority of AO cases occur in the context of a viral infection. These findings emphasize the necessity for tailored assessment and intervention in suspected cases of AO, especially in young children under 5 years of age.
耳部受累在儿童急性传染病期间很常见，是发病和医疗服务利用的重要原因。
我们对2018年至2023年期间在罗马尼亚最大的传染病医院住院的儿科病例进行了回顾性分析，目的是根据儿科年龄亚组量化急性中耳炎（AO）的发病率和影响。
共有1118例诊断为AO的病例符合条件并纳入分析。急性充血性中耳炎是最常见的亚型，在53.3%的病例中被识别，其次是急性化脓性中耳炎（APOM），占26.7%的儿童。大多数AO病例（69.9%）在大流行前时期（2018 - 2019年）被诊断，婴儿（10.6%）、幼儿（49.4%）和学龄前儿童（29.2%）是受影响最严重的年龄组。49.6%的病例记录了与AO发作相关的病毒感染。最常报告的是流感病毒（20.5%），其次是SARS-CoV-2（5.8%）和腺病毒（4.9%）。在麻疹患儿中总共发现了38例AO。在15.9%的APOM病例中，通过培养从耳部分泌物中分离出[此处原文似乎缺失内容]。与其他AO亚型相比，APOM和急性外耳道炎患儿的住院时间更长（<0.001）。
我们的研究强调了对因急性传染病住院的儿童进行耳鼻喉（耳、鼻、喉）监测的重要性，因为大多数AO病例发生在病毒感染的背景下。这些发现强调了对疑似AO病例进行针对性评估和干预的必要性，特别是在5岁以下的幼儿中。
