Is Malignant Otitis Externa on the Increase? A Retrospective Review of Cases
Is Malignant Otitis Externa on the Increase? A Retrospective Review of Cases
复制标题
DOI：
10.1177/014556131709600211
复制
发表时间：
2017-02-01
影响因子：
1.3
通讯作者：
Agada, Frank
中科院分区：
文献类型：
--
作者：
Bhasker, Diana;Hartley, Angela;Agada, Frank
我们对2004年7月至2012年12月期间在本中心治疗的所有恶性外耳炎（MOE）患者进行了回顾性研究，以评估本地区当前的流行病学，并确定与诊断病例数量增加相关的致病因素。11例患者（5男6女），平均年龄77岁（范围：38 - 97岁）。36%的人患有糖尿病。病原菌为铜绿假单胞菌，占64%；所有病原菌均对环丙沙星敏感。我们注意到在研究期间MOE的诊断频率显著增加（p = 0.0027），未发现明显的病因。由于与这种疾病有关的死亡率，需要进一步研究以确定国家趋势。
We performed a retrospective review of all patients with malignant otitis externa (MOE) treated in our center between July 2004 and December 2012 to evaluate the current epidemiology in our region and to ascertain causative factors associated with the perceived increase in the number of cases diagnosed. Eleven patients were identified (5 men and 6 women), with a mean age of 77 years (range: 38 to 97 years). Diabetes was present in 36%. Pseudomonas aeruginosa was the causative organism in 64% of cases; all pathogens were sensitive to ciprofloxacin. We noted a significant increase in the diagnostic frequency of MOE during the study period (p = 0.0027) No obvious causative factors were identified. Due to the mortality associated with this condition, further studies are required to establish national trends.