{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:47:16Z","timestamp":1696063636081},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,8]]},"abstract":"\n Introduction<\/jats:title>\n Acute mastoiditis (AM) is a medical emergency that mandates prompt diagnosis and treatment. Nevertheless, its management often differs between otorhinolaryngologists (ORLs) and pediatricians (PEDs) working in emergency departments. We sought to characterize the similarities and differences between management protocols of these 2 disciplines.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A voluntary electronic questionnaire, including 17 items pertaining to pediatric AM management, was sent to all the 20 otorhinolaryngology and their corresponding pediatric emergency departments nationwide. Each department sent 1 filled out questionnaire. The response rate was 100%.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Eighteen (90%) ORLs are notified when a child with suspected AM arrives. Medical history collected by both disciplines was similar\u2014previous otologic history (100%), previous antibiotic use (100%), and pneumococcal conjugate vaccination status (60%)\u2014whereas acute otitis media risk factors were more important to PEDs (13 [65%] PEDs, 10 [50%] ORLs). According to 85% to 90% of ORLs and PEDs, imaging was not mandatory upon admission. According to 14 (70%) PEDs and 16 (80%) ORLs, imaging was overall performed in less than 50% of patients during hospitalization. Intravenous ceftriaxone and cefuroxime were the most common first-line antibiotic treatments (8 [40%] ORLs, 10 [50%] PEDs), with a mean treatment duration of 7 to 10 days. Eighteen (90%) of the ORLs, compared with 15 (75%) PEDs, reported that myringotomy (with or without ventilating tube insertion) was performed upon diagnosis (P<\/jats:italic> = 0.05).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The management of pediatric AM is generally similar by both disciplines. The use of imaging studies is mild-moderate. We call for a national registry and encourage the publication of guidelines.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/pec.0000000000000964","type":"journal-article","created":{"date-parts":[[2016,12,14]],"date-time":"2016-12-14T11:54:25Z","timestamp":1481716465000},"page":"544-547","source":"Crossref","is-referenced-by-count":0,"title":["Management of Pediatric Acute Mastoiditis in Israel"],"prefix":"10.1097","volume":"35","author":[{"given":"Sharon Ovnat","family":"Tamir","sequence":"first","affiliation":[{"name":"Sackler Faculty of Medicine, Department of Otolaryngology-Head and Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University, Holon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tal","family":"Marom","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine, Department of Otolaryngology-Head and Neck Surgery, Assaf Harofeh Medical Center, Tel Aviv University, Zerifin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Rekhtman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hadassah-Hebrew University Medical Center, Jerusalem"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michal","family":"Luntz","sequence":"additional","affiliation":[{"name":"Technion-Bruce Rappaport Faculty of Medicine, Department of Otolaryngology-Head and Neck Surgery, Bnai Zion Medical Center, Haifa, Israel."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2016,12,14]]},"reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0165-5876(00)00425-0","article-title":"Acute mastoiditis\u2013the antibiotic era: a multicenter study","volume":"57","year":"2001","journal-title":"Int J Pediatr 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Pediatricians"],"short-title":[],"issued":{"date-parts":[[2016,12,14]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000964","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2016,12,14]]}}}