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- Title
Treatment of pediatric suppurative mastoiditis: Is peripherally inserted central catheter (PICC) antibiotic therapy necessary?
- Authors
Moore, Jeremy A.; Wei, Julie L.; Smith, Holly J.; Mayo, Matthew S.
- Abstract
Objective: A review of the treatment of pediatric acute mastoiditis requiring surgical intervention managed with and without PICC therapy postoperatively. Study design and setting: Retrospective study of 42 cases from 1989 to 2004 treated at a regional children’s hospital. Results: Sixteen patients received postoperative PICC therapy and 26 received a course of oral antibiotics. The PICC group received on average 12.12 days of intravenous antibiotics compared to only 3.53 days for the non-PICC group (P < 0.001). No differences were observed between the two groups in treatment outcomes. One patient from each group required rehospitalization. One minor complication was experienced in a patient in the PICC group. There were no surgical complications. The total cost for outpatient PICC therapy increased treatment costs by approximately $1500 to $2500. Conclusions: Oral antibiotic therapy is sufficient after surgical intervention for acute pediatric suppurative mastoiditis without intracranial complications and does not result in adverse treatment outcome. Significance: Use of PICC therapy after surgical intervention for mastoiditis should be limited. EBM rating: B-3b
- Subjects
SURGICAL complications; ANTIBIOTICS; PEDIATRICS; ANTI-infective agents
- Publication
Otolaryngology-Head & Neck Surgery, 2006, Vol 135, Issue 1, p106
- ISSN
0194-5998
- Publication type
Article
- DOI
10.1016/j.otohns.2006.02.016