Complications of Acute Bacterial Rhinosinusitis in Children: A Single Tertiary Care Center

• Published in: Çocuk enfeksiyon dergisi Vol. 16; no. 3; pp. E179 - E188
• Main Authors: Asrak, Hatice Karaoǧlu, Özlü, Canan, Erbaş, İrem Ceren, Güzin, Ayşe Çakıl, Alataş, Şilem Özdem, Belet, Nurşen
• Format: Journal Article
• Language: English
• Published: Istanbul Aves Yayincilik Ltd. STI 01.09.2022
• Subjects: Abscesses; Cellulitis; Ear diseases; Epidural; Hospitals; Infectious diseases; Length of stay; Meningitis; Mortality; Neurosurgery; Normal distribution; Patients; Pediatrics; Rhinitis; Sinuses; Sinusitis; Streptococcus infections; Thrombosis; Variables
• ISSN: 1307-1068; 1308-5271
• DOI: 10.5578/ced.202297l2

Age (median 16 and 12, p= 0.048), number of surgeries (median 2 and 0, p= 0.027), length of stay (median 44 and 8, p< 0.001), total follow-up time (median 110 and 30, p= 0.015), absolute neutrophil count (median 16700/mm3 and 7000/mm3, p= 0.020) and C-reactive protein (229.0 ± 62.9 and 65.7 ± 57.4, p< 0.001) were found to be higher in patients with intracranial complications. Conclusion: Age, length of hospital stay, and surgical requirement in patients with intracranial complications are higher than those with only orbital complications. Pneumococci have decreased as agents subsequent to the extensive use of 7 and then 13-valent pneumococcus vaccines in ARBS and acute otitis media, and H. influenzae and S. aureus have become more widespread (4). Data on age, sex, underlying disease, diagnosis related to sinusitis and complications, presenting symptoms and their durations, examination findings, laboratory values on presentation, radiological findings, antibiotic used before and after presentation, the ward where the patient was followed, surgical interventions, culture results, length of stay, length of follow-up, sequela, and mortality were retrieved from patient files and hospital information system.