Acute mastoiditis in the present decade: Evolution and characteristics in our setting

Abstract

The incidence of mastoiditis has increased since 1989. This study compares the incidence in the beginning of the decade with that of the second half and analyzes its features. Descriptive, observational study. It included revenue from January 2000 until August 2008. A total of 31 entered, 16 men and 15 women. 71% of the children entered on the second half of the decade (p<0.01). The incidence was higher in Autum and Winter. The average age was 2.49 ± 2.99 years (median 22 months). The most frequent symptoms were mastoid pain, retroauricular inflammation, can then, fever, otorrea and earache. Average length of stay was 8.90 ± 2.39 days. TAC was performed in 24 (acute otitis media and inflammation of the mastoid cells). There were 5 abscesses. Cultivation was carried out in 15 (negative in 6 cases, P. aeruginosa and S. pneumoniae in 3 times). All were treated with intravenous antibiotic (amoxicillinclavulanate
and cefotaxime). Oral antibiotic was used in 24 (amoxicillin-clavulanate and cefixime). In 7 cases was added topical antibiotic, it was aspired middle ear in two and underwent surgery two.