Lucidi Daniela, Reale Marella, Cantaffa Carla, Roncadi Leonardo, Frabboni Ilaria, Iughetti Lorenzo, Fernandez Ignacio Javier, Alicandri-Ciufelli Matteo, Marchioni Daniele
Department of Otolaryngology - Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
Department of Pediatrics, University Hospital of Modena, Modena, Italy.
J Int Adv Otol. 2025 Jul 21;21(4):1-6. doi: 10.5152/iao.2025.251899.
The aim of this study is to investigate factors associated with computed tomography (CT) scan prescription and surgical intervention in pediatric patients with acute mastoiditis (AM). METHODS: Children with AM admitted to Modena University Hospital over a 10-year period were retrospectively divided into 3 groups: those who did not undergo a CT scan nor surgery (Group A); those who underwent a CT scan but not surgery (Group B); and those who underwent CT scan and surgery (Group C). A multivariate analysis was performed to determine possible differences among groups in terms of clinical and laboratory variables. RESULTS: In total, 80 patients were included (57 Group A, 22 Group B, 13 Group C). Factors independently associated with CT scan prescription and surgical intervention were WBC count (P = .015 and .041, respectively), CRP (P = .001 and .003, respectively), and at-home antibiotic adminis-tration (P= .008 and .039, respectively). CONCLUSION: Laboratory parameters may be helpful in guiding pediatric AM management. Antibiotic treatment prior to admission is associated with a worse clinical picture.
本研究旨在调查与急性乳突炎（AM）患儿计算机断层扫描（CT）检查医嘱及手术干预相关的因素。方法：回顾性分析在10年期间入住摩德纳大学医院的AM患儿，将其分为3组：未接受CT检查及手术的患儿（A组）；接受CT检查但未接受手术的患儿（B组）；接受CT检查及手术的患儿（C组）。进行多因素分析以确定各组在临床和实验室变量方面的可能差异。结果：共纳入80例患者（A组57例，B组22例，C组13例）。与CT检查医嘱及手术干预独立相关的因素分别为白细胞计数（P值分别为0.015和0.041）、C反应蛋白（CRP）（P值分别为0.001和0.003）以及在家中使用抗生素（P值分别为0.008和0.039）。结论：实验室参数可能有助于指导儿童AM的管理。入院前使用抗生素治疗与更差的临床情况相关。
