Have the characteristics of acute mastoiditis in children changed in the post-heptavalent pneumococcal conjugate vaccine (PCV7) era?
Background: With the advent of antibiotics, the incidence of acute mastoiditis, a complication of acute otitis media (AOM), has decreased. In recent years, however, there have been reports of an increase in the frequency of acute mastoiditis, which remains a significant, possibly life-threatening complication of AOM. It is not known whether the PCV7 has affected incidence, presentation, bacteriology or management of acute mastoiditis.
Explore this issue:May 2011
Study design: A retrospective case series study at an urban tertiary care children’s hospital.
Setting: Children’s National Medical Center, Department of Otolaryngology, Washington, D.C.