JAMA otolaryngology-- head & neck surgery
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JAMA Otolaryngol Head Neck Surg · Feb 2013
Socioeconomic implications of pediatric cervical methicillin-resistant Staphylococcus aureus infections.
To study cervical methicillin-resistant Staphylococcus aureus (MRSA) infections using a national database with the goal of providing normative data and identifying variations in resource utilization. ⋯ Cervical MRSA infections have a large socioeconomic impact across the nation. There are differences among the various races in resource utilization. Younger children have longer hospitalizations, are more likely to need surgery, and require more intubations. Children from the lowest socioeconomic group require surgery more frequently, but their LOS is not statistically different when compared with the other 3 groups. Knowledge of such characteristics for cervical MRSA infections in children can facilitate targeted clinical interventions to improve care of affected populations.
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JAMA Otolaryngol Head Neck Surg · Feb 2013
The significance of Streptococcus anginosus group in intracranial complications of pediatric rhinosinusitis.
To assess the significance of the Streptococcus anginosus group in intracranial complications of pediatric patients with rhinosinusitis. ⋯ Rhinosinusitis associated with the S anginosus group should be considered a more serious infection relative to those caused by other pathogens. Streptococcus anginosus group bacteria are significantly more likely than other bacteria to cause more severe intracranial complications and neurologic deficits and to require neurosurgical intervention. A low threshold for intervention should be used for infection caused by this pathogen.