Impact of COVID-19 pandemic restrictions in pediatric cervical abscesses
DOI:
https://doi.org/10.34631/sporl.2186Keywords:
Abscess, Pediatrics, COVID-19, Pandemics, IncidenceAbstract
Objective: Compare the incidence and management of pediatric cervical abscesses (PCA) during the COVID-19 pandemic with a reference cohort.
Study Design: Retrospective observational.
Methods: Surgically treated PCA cases from January/2015 to July/2021 were reviewed, categorized into pre-COVID-19 (January/2015 to February/2020) and COVID-19 (March/2020 to July/2021) groups. Incidence, demographic data, etiology, diagnostic methods, surgical approaches and outcomes were evaluated.
Results: Sixty-eight cases were included, seven in the COVID-19 group. During this period, there was a lower incidence rate (p <0.01) of PCA with a higher proportion originated from salivary gland’s infections (p = 0.020) and involvement of the parotid space (p = 0.042). Staphylococcus aureus was the most frequently isolated pathogen in the COVID-19 group (p = 0.002). No differences were found regarding hospital stay, need for re-intervention, or intensive care.
Conclusion: There was a decline in pediatric cervical abscess incidence during the COVID-19 pandemic with similar approaches and outcomes.
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References
Wong DK, Brown C, Mills N, Spielmann P, Neeff M. To drain or not to drain - management of pediatric deep neck abscesses: a case-control study. Int J Pediatr Otorhinolaryngol. 2012 Dec;76(12):1810-3. doi: 10.1016/j.ijporl.2012.09.006.
Chang L, Chi H, Chiu NC, Huang FY, Lee KS. Deep neck infections in different age groups of children. J Microbiol Immunol Infect. 2010 Feb;43(1):47-52. doi: 10.1016/S1684-1182(10)60007-2.
Ruiz de la Cuesta F, Cortes Castell E, Garcia Ruiz ME, Severa Ferrandiz G. Deep neck space abscesses in children: 15 years of experience in a children's ENT referral unit. An Pediatr (Engl Ed). 2019 Jul;91(1):30-36. doi: 10.1016/j.anpedi.2018.09.014
Lawrence R, Bateman N. Controversies in the management of deep neck space infection in children: an evidence-based review. Clin Otolaryngol. 2017 Feb;42(1):156-163. doi: 10.1111/coa.12692.
Marques PM, Spratley JE, Leal LM, Cardoso E, Santos M. Parapharyngeal abscess in children: five year retrospective study. Braz J Otorhinolaryngol. 2009 Nov-Dec;75(6):826-30. doi: 10.1016/s1808-8694(15)30544-9.
Weinberg E, Brodsky L, Stanievich J, Volk M. Needle aspiration of peritonsillar abscess in children. Arch Otolaryngol Head Neck Surg. 1993 Feb;119(2):169-72. doi: 10.1001/archotol.1993.01880140051009.
Nassar AA, Othman H, Eltelety AM. Characteristics and patterns of adult and pediatric deep neck space infection in a tertiary care institute. The Egyptian Journal of Otolaryngology. 2022; 38(1):47. DOI: 10.1186/s43163-022-00236-8.
Côrte FC, Firmino-Machado J, Moura CP, Spratley J, Santos M. Acute pediatric neck infections: outcomes in a seven-year series. Int J Pediatr Otorhinolaryngol. 2017 Aug:99:128-134. doi: 10.1016/j.ijporl.2017.05.020.
Coticchia JM, Getnick GS, Yun RD, Arnold JE. Age-, site-, and time-specific differences in pediatric deep neck abscesses. Arch Otolaryngol Head Neck Surg. 2004 Feb;130(2):201-7. doi: 10.1001/archotol.130.2.201.
Brook I. The bacteriology of salivary gland infections. Oral Maxillofac Surg Clin North Am. 2009 Aug;21(3):269-74. doi: 10.1016/j.coms.2009.05.001.
Rabbone I, Tagliaferri F, Carboni E, Crotti B, Ruggiero J, Monzani A. et al. Changing admission patterns in pediatric emergency departments during the COVID-19 pandemic in Italy were due to reductions in inappropriate accesses. Children (Basel). 2021 Oct 25;8(11):962. doi: 10.3390/children8110962.
Franchella S, Favaretto N, Frigo A, Franz L, Pilo S, Mularoni F. et al. Does social distancing impact pediatric upper airway infections? An observational controlled study and a brief literature review. Am J Otolaryngol. 2023 May-Jun;44(3):103801. doi: 10.1016/j.amjoto.2023.103801.
Portugal. Decreto-Lei nº10-A/2020, de 13 de março. Presidência do Conselho de Ministros. Diário da República n.º 52/2020, 1º Suplemento, (Série I), 2 - 13.
Portugal. Resolução do Conselho de Ministros nº101-A/2021, de 30 de julho. Presidência do Conselho de Ministros. Diário da República n.º 147/2021, 1º Suplemento, (Série I), 2 – 20.
Fadel MA, McCoy JL, Obuekwe F, Kitsko D. COVID-19 impact on operative management of pediatric neck abscesses. Int Arch Otorhinolaryngol. 2023 Jan 26;27(1):e152-e157. doi: 10.1055/s-0042-1758718.
Warner BK, Durrant FG, Nguyen SA, Meyer TA. Global otitis media incidence changes during the COVID pandemic: systematic review and meta-analysis. Laryngoscope. 2024 May;134(5):2028-2037. doi: 10.1002/lary.31125.
Guerreiro E, Botelho J, Machado V, Proença L, Mendes JJ, Manso AC. Caries experience before and after COVID-19 restrictions: an observational study. J Clin Med. 2024 Feb 19;13(4):1164. doi: 10.3390/jcm13041164.
Lyu W, Wehby GL. Effects of the COVID-19 pandemic on children's oral health and oral health care use. J Am Dent Assoc. 2022 Aug;153(8):787-796.e2. doi: 10.1016/j.adaj.2022.02.008.
Zarabadipour M, Mokhlesi A, Poorsoleiman T, Mirzadeh M. Parent's attitudes toward their children's oral health care during the COVID-19 pandemic: a cross-sectional study. Int J Dent. 2023 Jul 11:2023:7340105. doi: 10.1155/2023/7340105.
Bottin R, Marioni G, Rinaldi R, Boninsegna M, Salvadori L, Staffieri A. Deep neck infection: a present-day complication. A retrospective review of 83 cases (1998-2001). Eur Arch Otorhinolaryngol. 2003 Nov;260(10):576-9. doi: 10.1007/s00405-003-0634-7.
Viana Pinto J, Andrade A, Vales F, Pinto Moura C. Epidemiologia de abcessos cervicais profundos submetidos a cirurgia num hospital terciário português. Port J ORL. 2023;61(4):367-74. DOI: 10.34631/sporl.2081.
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