Pediatric orbital cellulitis in the Haemophilus influenzae vaccine era
| Autor: | Eugene S. Liu, J. Raymond Buncic, Feisal A. Adatia, Abhishek Sharma, Susan E. Richardson, Tran D. Le, Susan Blaser |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Haemophilus Infections Bacteremia Eye Infections Bacterial medicine Humans Child Abscess Bacterial Capsules Meningitis Haemophilus Haemophilus Vaccines Retrospective Studies Bacteria business.industry Vaccination Retrospective cohort study Orbital Cellulitis Eye infection bacterial infections and mycoses medicine.disease Haemophilus influenzae Surgery Ophthalmology Child Preschool Pediatrics Perinatology and Child Health Drainage Female Orbital cellulitis Tomography X-Ray Computed business Haemophilus influenzae vaccine Meningitis |
| Zdroj: | Journal of American Association for Pediatric Ophthalmology and Strabismus. 19:206-210 |
| ISSN: | 1091-8531 |
| Popis: | To evaluate the microbiology of pediatric orbital cellulitis in blood cultures and abscess drainage cultures following the introduction of the Haemophilus influenzae serotype b (Hib) vaccine.The medical records of all pediatrics patients (aged18 years) at a tertiary pediatric hospital during the period January 2000 to July 2011 with a computed tomography orbital imaging querying "orbital cellulitis," "periorbital cellulitis," "preseptal cellulitis," or "post-septal cellulitis" were retrospectively reviewed. The records, microbiology, and radiology of these patients were reviewed to assess the rates and complications of H. influenzae orbital cellulitis, including bacteremia and meningitis.A total of 149 patients were diagnosed with preseptal or orbital cellulitis, of whom 101 (mean age, 7.2 ± 4.0) had true orbital cellulitis. No patients grew H. influenzae from blood cultures. Of the 101 patients, 30 (29.7%) required surgical drainage and had abscess drainage fluid sent for microbiology. Of these, 18 (64.3%) had a positive culture: 4 (13.3%) grew H. influenzae from their abscess drainage fluid samples; 1 grew H. influenzae alone; and 3 had mixed growth that included H. influenzae. The patients positive for H. influenzae were significantly older and had significantly larger abscesses.Although there were no cases of H. influenzae bacteremia or meningitis in our cases of orbital cellulitis, abscess drainage fluid microbiology indicated that H. influenzae remains a cause of orbital cellulitis. H. influenzae abscess volume was significantly larger than other bacterial abscesses and was associated with abscesses of mixed bacterial growth in older children. |
| Databáze: | OpenAIRE |
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