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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Demographics of pediatric head and neck infections in a tertiary care hospital.
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Demographics of pediatric head and neck infections in a tertiary care hospital.

机译：三级护理医院小儿头颈部感染的人口统计资料。

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EDUCATIONAL OBJECTIVE: Discuss potential patterns in the epidemiology of infectious disease of the head and neck. STUDY OBJECTIVES: To investigate patterns in the epidemiology of severe head and neck infections that may reflect the impact of host factors. STUDY DESIGN: Population-based, historic cohort study. METHODS: Information on 1,010, incident head and neck infections occurring over a 5-year period was reviewed for demographics, location, and time of year. A nonparametric Kruskal-Wallis test was used to identify significant differences in the age distributions among the diagnosis groups. A Bonferroni, pair-wise comparison procedure was used for comparison of the average age of first onset of severe head and neck infections. Chi-square test was used to identify any significant association between season of the year and disease. RESULTS: Significant differences were identified in the age distributions among the diagnosis groups (P < .001). The average age of first onset of cellulitis of the neck andretropharyngeal abscess is earlier than peritonsillar abscess, at 2 to 3 years and 13 years, respectively. Parapharyngeal and periapical abscesses and cellulitis of the face occur at approximately age 6. The incidence of parapharyngeal abscess and diseases of the pharynx is decreased during Spring, whereas peritonsillar abscesses and acute periodontitis occurs more often in Spring and Summer. Age does not appear to be related to season of first occurrence. CONCLUSIONS: Head and neck infections are not random occurrences based on exposure alone; host factors are clearly important. Given the lack of correlation with school age, the results cannot be explained on the basis of exposure alone. Developmental patterns of the host immune response may be related to the age differential identified in the current study and are cause for further investigation.
机译：教育目标：讨论头颈部传染病流行病学中的潜在模式。研究目的：调查可能反映宿主因素影响的严重头颈部感染的流行病学模式。研究设计：基于人群的历史队列研究。方法：回顾了过去5年内发生的1,010例头部和颈部感染的信息，以了解人口统计学，位置和一年中的时间。使用非参数Kruskal-Wallis检验来确定诊断组之间年龄分布的显着差异。使用Bonferroni成对比较程序比较严重的头颈部感染首次发作的平均年龄。卡方检验用于确定一年中的季节与疾病之间的任何显着关联。结果：诊断组之间的年龄分布存在显着差异（P <.001）。首次发生蜂窝织炎和直肠后鼻腔脓肿的平均年龄早于扁桃体周围脓肿，分别为2至3岁和13岁。咽旁和根尖周脓肿和面部蜂窝组织炎大约在6岁时发生。春季期间，咽旁脓肿和咽部疾病的发生率降低，而在春季和夏季，扁桃体周围脓肿和急性牙周炎的发生频率更高。年龄似乎与首次出现的季节无关。结论：头颈部感染不是仅基于暴露就随机发生的。宿主因素显然很重要。由于与学龄期缺乏相关性，因此不能仅根据暴露量来解释结果。宿主免疫应答的发育方式可能与当前研究中确定的年龄差异有关，并且有待进一步研究。

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