{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T12:36:33Z","timestamp":1770467793327,"version":"3.49.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>In den Jahren 2022 und 2023 wurde eine steigende Anzahl an Mastoiditiden bei Kindern und damit auch ein Anstieg der Mastoidektomien bei Kindern beobachtet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Ziel der vorliegenden Arbeit war es, den Anstieg der Anzahl an Patienten mit Mastoiditis und folgender Mastoidektomie zu analysieren, Korrelationen mit vorheriger Antibiotikatherapie und COVID-Infektionen zu untersuchen und einen \u00dcberblick \u00fcber Keimspektrum, Krankheitsverlauf und Therapie zu geben.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Dazu wurde eine retrospektive Analyse aller seit 2012 behandelten Patienten mit Mastoiditis durchgef\u00fchrt, bei denen eine Mastoidektomie durchgef\u00fchrt werden musste. Evaluiert wurden Art und Dauer vorangegangener Symptome und einer vorherigen Antibiotikatherapie, Diagnostik und Krankheitsverlauf sowie Keimspektrum, Dauer des Krankenhausaufenthalts und Komplikationen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es wurde ein hoch signifikanter Anstieg an Mastoiditiden und somit auch an Mastoidektomien ab 2022 gezeigt. Weder Keimspektrum noch Krankheitsverlauf oder Komplikationsrate unterschieden sich von den vorherigen Jahren mit niedrigerer Inzidenz. Eher konnte eine Zunahme bereits ambulant antibiotisch vortherapierter Patienten gezeigt werden. Etwa die H\u00e4lfte der seit Herbst 2022 erkrankten Patienten hatte eine positive COVID-Anamnese. Adenoidhyperplasie spielte urs\u00e4chlich eine deutlich geringere Rolle als in den Jahren zuvor.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Eine Korrelation zu reduzierter ambulanter Antibiotikagabe erscheint bei in diesem Kollektiv eher steigender Anzahl somit kausal als unwahrscheinlich. Ob ein Zusammenhang mit einer durchgemachten COVID-Infektion besteht, kann aufgrund der hohen Dunkelziffer bei asymptomatischen und nicht nachgewiesenen F\u00e4llen nicht abschlie\u00dfend beurteilt werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-024-01435-w","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T17:02:23Z","timestamp":1709312543000},"page":"809-814","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Steigende Inzidenzen bei Mastoidektomien im Kindesalter","Increasing incidence of mastoidectomies in children"],"prefix":"10.1007","volume":"72","author":[{"given":"Thomas","family":"Gehrke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agmal","family":"Scherzad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,1]]},"reference":[{"key":"1435_CR1","doi-asserted-by":"publisher","first-page":"e28019","DOI":"10.7759\/cureus.28019","volume":"14","author":"A Jamal","year":"2022","unstructured":"Jamal\u00a0A, Alsabea\u00a0A, Tarakmeh\u00a0M et\u00a0al (2022) Etiology, diagnosis, complications, and management of acute otitis media in children. 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