Acute epiglottitis: epidemiology, clinical presentation, management and outcome.
J Laryngol Otol
; 122(8): 818-23, 2008 Aug.
Article
en En
| MEDLINE
| ID: mdl-17892608
AIMS: To describe the incidence trends, clinical presentation, management and outcome of acute epiglottitis in a Danish population after the introduction of Haemophilus influenzae type b vaccine. METHODS: Retrospective review of the health records of all patients discharged with a diagnosis of acute epiglottitis from the otolaryngology department, Roskilde County Hospital, Denmark, from 1996 to 2005. RESULTS: One infant and 34 adults were identified. The incidence of acute epiglottitis in children was 0.02 cases/100,000/year. Before introduction of the H influenzae type b vaccination (1983-1992), the mean national incidence of acute epiglottitis was 4.9 cases/100,000/year. The incidence of acute epiglottitis in adults was constant, with a mean value of 1.9 cases/100,000/year. Twenty-nine per cent of the patients required an artificial airway, and respiratory distress was found to be associated with airway intervention (p = 0.010). All patients recovered completely. CONCLUSIONS: In the H influenzae type b vaccine era, acute epiglottitis in children has almost disappeared. The incidence in the adult population has been constant. A discriminate approach to airway management seems safe in adults.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Haemophilus influenzae tipo b
/
Epiglotitis
/
Infecciones por Haemophilus
Tipo de estudio:
Prognostic_studies
/
Screening_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Infant
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Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Laryngol Otol
Asunto de la revista:
OTORRINOLARINGOLOGIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Dinamarca
Pais de publicación:
Reino Unido