{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T05:57:36Z","timestamp":1672984656669},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Infektionen der Atemwege sind die Hauptindikation f\u00fcr eine ambulante Antibiotikatherapie im Kindes- und Jugendalter. In den letzten Jahren ist die Antibiotika-Verordnungsrate (AVR) in der p\u00e4diatrischen Bev\u00f6lkerung im Saarland deutlich zur\u00fcckgegangen.<\/jats:p><jats:p>\n          Ziele und Fragestellung Ziel des retrospektiven Mastoiditis-Audits im PaedineSaar Netzwerk ist es, die Inzidenz der station\u00e4ren akuten Mastoiditis (AM) im Saarland (2014\u20132019) im Hinblick auf die sinkende AVR bei Kindern zu untersuchen sowie Daten zum klinischen Verlauf der AM zu erheben.<\/jats:p><jats:p>\n          Methoden Es wurden alle station\u00e4ren AM-F\u00e4lle (2014\u20132019) aus 6 Kliniken f\u00fcr Kinderheilkunde und\/oder HNO-Heilkunde im Saarland und Trier retrospektiv ausgewertet. Patienten mit AM im Alter von 0\u201317 Jahren mit Wohnsitz im Saarland wurden in die Studie eingeschlossen.<\/jats:p><jats:p>\n          Ergebnisse Zwischen 2014 und 2019 wurden 53 station\u00e4r behandelte AM-F\u00e4lle erfasst. W\u00e4hrend des Studienzeitraums gab es keinen signifikanten Anstieg der AM-Inzidenz (mittlere Inzidenz 2014\u20132019 6,1\/100\u2009000). 34% (18\/53) der Patienten erhielten pr\u00e4station\u00e4r eine orale antibiotische Therapie. Mindestens eine Komplikation trat bei 30% der Patienten (16\/53) auf. Es zeigte sich ein leichter Trend zu mehr Komplikationen bei Kindern ohne orale Antibiotikabehandlung vor der station\u00e4ren Aufnahme (14\/35 (40%) vs. 2\/18 (11%) P=0,056).<\/jats:p><jats:p>\n          Diskussion Die Inzidenz der station\u00e4r behandelten AM im Saarland ist 2014\u20132019 trotz eines signifikanten R\u00fcckgangs der ambulanten AVR nicht gestiegen. Die Ergebnisse dieses Audits sollen zur Entwicklung eines standardisierten Vorgehens bei der Diagnostik und Behandlung von Kindern mit AM dienen.<\/jats:p>","DOI":"10.1055\/a-1692-8923","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:11:31Z","timestamp":1639440691000},"page":"23-30","source":"Crossref","is-referenced-by-count":0,"title":["Ambulante Antibiotika-Verordnungsrate und Mastoiditis-F\u00e4lle bei Kindern und Jugendlichen im Saarland, 2014\u20132019"],"prefix":"10.1055","volume":"235","author":[{"given":"Rebekka","family":"Brockhaus","sequence":"additional","affiliation":[{"name":"Paediatric Hematology and Oncology, Children\u2019s Hospital Medical Center, Homburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gentiana I.","family":"Wenzel","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f6ren L.","family":"Becker","sequence":"additional","affiliation":[{"name":"Medical Microbiology and Hygiene, Saarland University Medical Center, Homburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gudrun","family":"Wagenpfeil","sequence":"additional","affiliation":[{"name":"Institutes for Medical Biometry, Epidemiology and Medical Informatics (IMBEI), Saarland University, Campus Homburg,  Homburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Schick","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde, Universit\u00e4tsklinikum des Saarlandes, Homburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"G\u00e4rtner","sequence":"additional","affiliation":[{"name":"Instituites for Medical Microbiology and Hospital Hygiene, 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