Clinical features and treatment of retropharyngeal abscess in children

Nathan C. Page, Erik M. Bauer, Judith E.C. Lieu

Research output: Contribution to journalArticlepeer-review

104 Scopus citations

Abstract

Objective: To characterize presentation, treatment, and outcomes of pediatric retropharyngeal abscess (RPA) and determine optimal treatment. Study Design: Retrospective cohort. Subjects and Methods: Chart review of 162 pediatric patients with RPA. Results: Initial treatment was surgery in 126 and intravenous antibiotics in 36, of which 17 required surgery. Findings were negative in 30, murky fluid in 34, and pus in 79. Factors predicting positive surgical drainage were duration of symptoms for more than 2 days, prior antibiotic treatment, and CT lesion cross-sectional area >2.0 cm2. A history of rash was a negative predictor. The mean length of stay (LOS) was 4.8 vs 3.6 days (P = 0.14), and duration of fever (DOF) was 2.5 vs 1.4 days (P = 0.01) for patients with no fluid and fluid at surgery, respectively. For antibiotic vs surgery groups, LOS was 4.4 vs 3.6 days (P = 0.14) and DOF was 2.4 versus 1.5 days (P = 0.0061). Conclusions: These predictive factors may be useful in selecting patients with retropharyngeal abscesses who might be treated with intravenous antibiotics alone.

Original languageEnglish
Pages (from-to)300-306
Number of pages7
JournalOtolaryngology - Head and Neck Surgery
Volume138
Issue number3
DOIs
StatePublished - Mar 2008

Fingerprint

Dive into the research topics of 'Clinical features and treatment of retropharyngeal abscess in children'. Together they form a unique fingerprint.

Cite this