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不同部位儿童脓肿:一项单中心前瞻性研究。

Abscesses in different body sites among children: a single-center prospective study.

机构信息

Department of Pediatric Surgery, University of Anbar, College of Medicine, Anbar, Iraq.

Department of Research, University of Warith Al-Anbiyaa, College of Medicine, Karbala, Iraq.

出版信息

J Int Med Res. 2024 Oct;52(10):3000605241281678. doi: 10.1177/03000605241281678.

Abstract

OBJECTIVES

An abscess is a localized collection of pus contained within a fibrous capsule. In this study, we aimed to determine the demographic pattern, common anatomical sites, risk factors, and the microbial profile of abscesses in different body sites among children.

METHODS

We conducted a prospective study in our pediatric surgical department among children with abscesses in different body sites between January 2019 and December 2022.

RESULTS

During the study period, 85 children were included. The participant age range was 0 to 14 years old, and 66% of participants were boys. The most common anatomical sites where abscesses formed were the pelvis (n = 29, 34%), abdomen (n = 22, 26%), neck (n = 14, 16%), and extremities (n = 12, 14%). Risk factors of abscesses in different body sites included cannulation, lymphadenitis, mastitis, perforated appendix, and perianal fistula. We observed that 74% of abscesses were of a polymicrobial nature.

CONCLUSION

The most common anatomical sites for abscesses in children included the pelvis, abdomen, neck, and extremities. Most abscesses in these sites were polymicrobial in nature.

摘要

目的

脓肿是一种局限于纤维囊内的脓液积聚。本研究旨在确定不同部位脓肿在儿童中的人口统计学模式、常见解剖部位、危险因素和微生物谱。

方法

我们在 2019 年 1 月至 2022 年 12 月期间对我院小儿外科不同部位脓肿的儿童进行了前瞻性研究。

结果

研究期间共纳入 85 例患儿,年龄 0 至 14 岁,其中 66%为男孩。脓肿最常见的解剖部位为骨盆(n=29,34%)、腹部(n=22,26%)、颈部(n=14,16%)和四肢(n=12,14%)。不同部位脓肿的危险因素包括置管、淋巴结炎、乳腺炎、阑尾穿孔和肛周瘘。我们观察到 74%的脓肿为混合感染。

结论

儿童脓肿最常见的解剖部位包括骨盆、腹部、颈部和四肢。这些部位的大多数脓肿均为混合感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0854/11456201/eb65c5b45552/10.1177_03000605241281678-fig1.jpg

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