Faculty Collaboration Database

Recurrence patterns of cervical infections in children. Int J Pediatr Otorhinolaryngol 2015 Dec;79(12):2134-6

Date

10/20/2015

Pubmed ID

26476784

DOI

10.1016/j.ijporl.2015.09.034

Scopus ID

2-s2.0-84955210417 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

OBJECTIVES: (1) Elucidate the recurrence rate of pediatric cervical cellulitis and abscess (2) Evaluate the impact of pre-procedural imaging, length of stay, culture results, age and gender on readmission rate.

METHODS: A retrospective review of all admissions to a tertiary pediatric hospital for cellulitis and abscess of the neck (ICD-9 682.1) from 2007 to 2013 including all readmissions within 91 days.

RESULTS: There were a total of 178 admissions (171 patients) with the diagnosis of cellulitis and abscess of the neck between 2007 and 2013. The rate of surgical intervention was 74% (n=128). The overall readmission rate within 91 days was 3.5% (n=6). All patients requiring readmission had undergone a procedure during the initial admission and a second procedure during readmission. The readmission rate for patient who initially required a procedural intervention was 4.6%. There was no statistically significant effect of pre-procedural imaging, length of stay, culture results, age or gender on readmission rate. Patients with abscess >20mm in diameter had a significantly longer LOS than patient with smaller abscesses (4.265 days vs 3.667 days, p<0.001). Furthermore, in patients 3 years old or greater, the patients with a larger diameter (>20mm) and larger total size were more likely to need surgical drainage.

CONCLUSIONS: This retrospective review of patients admitted with neck cellulitis and abscess at a tertiary care pediatric hospital shows an overall readmission rate of 3.5%. All readmissions required a surgical procedure. Older children with larger abscess are more likely to require surgical drainage.

Author List

Jakubowski LA, Shariat-Madar B, McCormick ME, Sulman CG, Chun RH

Authors

Robert H. Chun MD Professor in the Otolaryngology department at Medical College of Wisconsin
Michael E. McCormick MD Associate Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Abscess
Adolescent
Cellulitis
Child
Child, Preschool
Drainage
Female
Humans
Infant
Length of Stay
Male
Neck
Patient Readmission
Recurrence
Retrospective Studies