From: Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study
Age ≤ 2 yr. (N 42) | Age > 2 yr. (N 105) | P value | Prior antibiotic (N 86) | No prior antibiotic (N 61) | P value | Fever (N 109) | No fever (N 38) | P value | |
---|---|---|---|---|---|---|---|---|---|
Mean Age (years) | – | – | – | 5.5 ± 3.7 | 3.8 ± 3.1 | < 0.005 | 4.1 ± 3.1 | 6.9 ± 4.1 | < 0.0001 |
Median Age (years) | – | – | – | 4.8 (0.4–13.2) | 2.7 (0.3–13.5) | < 0.005 | 3.3 (0.4–12-6) | 6.3 (0.3–13-5) | < 0.0001 |
Hospitalization (days) | 9 ± 3.4 | 8.5 ± 7.8 | NS | 8.7 ± 5.2 | 8.5 ± .8.7 | NS | 8.8 ± 7.1 | 8.1 ± 5.8 | NS |
Prior antibiotic treatment (days) | 1.5 ± 3.1 | 2.7 ± 2.9 | < 0.05 | – | – | 2.3 ± 3.1 | 2.6 ± .2.9 | NS | |
Symptom duration (days) | 4.2 ± 3.9 | 5.3 ± 4.2 | NS | 6 ± 4.4 | 3.7 ± 3.2 | < 0.0001 | 5.2 ± 4.3 | 4.4 ± 3.4 | NS |
WBC (10^3/mmc) | 18,440 ± 6115 | 14,370 ± 4550 | < 0.0001 | 14,550± 5090 | 16,920± 5450 | < 0.01 | 16,250 ± 5405 | 13,470 ± 4680 | < 0.01 |
CPR (mg/dl) | 9.5 ± 7.7 | 6.8 ± 11 | NS | 6.1 ± 5.9 | 9.6 ± 14.1 | NS | 9.2 ± 11.3 | 2.8 ± 3.4 | < 0.0001 |
Antibiotic treatment (days) | 8.9 ± 3.4 | 8.2 ± 4.5 | NS | 9.2 ± 4.7 | 7.3 ± 3.2 | < 0.005 | 8.6 ± 3.6 | 8 ± 5.2 | NS |
Antibiotic treatment (mg/kg/die) | 75 ± 17 | 66 ± 20 | < 0.01 | 69 ± 20 | 69 ± 19 | NS | 72 ± 19 | 59 ± 19 | < 0.001 |
Complications (%, n° pts) | 14 (6) | 8 (8) | NS | 65 (9) | 35 (5) | NS | 10 (11) | 8 (3) | NS |
Fever (%, n° pts) | 86 (36) | 69 (73) | < 0.05 | 74 (64) | 82 (50) | NS | – | – | – |
Othalgia (%, n° pts) | 48 (20) | 88 (93) | < 0.0001 | 78 (67) | 75 (46) | NS | 73 (83) | 91 (30) | < 0.05 |
Othorrea (%, n° pts) | 26 (11) | 25 (26) | NS | 30 (26) | 18 (11) | NS | 26 (28) | 24 (9) | NS |
Protrusion of auricle (%, n° pts) | 76 (32) | 60 (63) | NS | 62 (53) | 69 (42) | NS | 67 (76) | 59 (19) | NS |
Retroauricular swelling (%, n° pts) | 78 (33) | 54 (56) | < 0.01 | 54 (63) | 57 (35) | NS | 65 (74) | 47 (15) | NS |
Retroauricular erythema (%, n° pts) | 74 (31) | 72 (75) | NS | 70 (60) | 75 (46) | NS | 73 (83) | 72 (23) | NS |
Retroauricular pain (%, n° pts) | 28 (12) | 60 (62) | < 0.001 | 46 (54) | 28 (46) | NS | 46 (52) | 69 (22) | < 0.05 |