Objective: To find out the outcome of management of brain abscess in children. Methods: This is prospective observational study conducted in the Department of Paediatric Neurosurgery at Children’s Hospital and Institute of Child Health, Multan from July 2014 to June 2017. Children up to the age of 14 years suffering from brain abscess were admitted. After taking clinical history, general and systemic physical examination and necessary investigations, abscess was evacuated and abscess wall excised after performing craniotomy. Data was collected on a predesigned performa. Results were analyzed and compared with national and international literature through statistical package for social sciences (SPSS-20). Results: Twenty five patients up to 14 years of age were included. Seventeen (68%) were male and eight (32%) female. Fever and vomiting were present in all 25 (100%) patients. Paranasal sinusitis was predisposing causative factor in 9(36%) followed by otitis media in 7 (28%). Abscess was present in frontal lobe in 9 (36%), temporoparietal region in 8 (32%), posterior fossa in 5 (20%) and multiple abscesses in 3 (12%). Craniotomy was performed, pus evacuated and abscess wall excised in all 25 (100%) patients. Three (12%) patients expired. Conclusion: Incidence of brain abscess can be decreased by treatment of its predisposing causes as sinusitis and otitis media. Small abscess less than 2cm can be treated with antibiotics. Complete evacuation of pus and excision of abscess wall after performing craniotomy along with appropriate antibiotics is gold standard management of brain abscess in children. doi: https://doi.org/10.12669/pjms.36.3.1087 How to cite this:Khan IU, Latif A, Ashraf M, Chishti MK, Sadiq S. Outcome of management of brain abscess in children. Pak J Med Sci. 2020;36(3):---------. doi: https://doi.org/10.12669/pjms.36.3.1087 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
展开▼
机译：目的：了解儿童脑脓肿管理的结果。方法：这是在2014年7月至2017年6月至2017年6月，多年经儿童医院和儿童健康研究所的儿童医院和儿童卫生研究所进行的前瞻性观察研究。患有脑脓肿的14岁的儿童被录取。在进行临床历史后，一般和全身体检和必要的调查，脓肿是疏忽，在进行Craniotomy后切除脓肿。数据被收集在预测的Performa上。通过统计包来分析和与社会科学统计包（SPSS-20）进行分析和与国家和国际文献进行了分析。结果：二十五名患者最多14岁。十七（68％）是男性，八（32％）女性。所有25例（100％）患者中存在发烧和呕吐。 Paranasal鼻窦炎在9（36％）的造成因子中易刻，其次是7（28％）的中耳炎。脓肿存在于9（36％），8（32％）的临时肺部，5（20％）的后窝和3点（12％）中的前窝。进行Craniotomy，脓液疏散，在所有25（100％）患者中都会切除脓肿。三（12％）患者过期。结论：通过治疗其易感性原因作为鼻窦炎和中耳炎的脑脓肿发病率可以降低。可以用抗生素治疗小于2cm的小脓肿。在进行Craniotomy以及适当的抗生素之后，完全疏散脓肿和切除脓肿是儿童脑脓肿的黄金标准管理。 DOI：https://doi.org/10.12669/pjms.36.3.1087如何引用这一点：Khan Iu，Latif A，Ashraf M，Chishti Mk，Sadiq S.脑脓肿管理的结果。 Pak J Med Sci。 2020; 36（3）：---------。 DOI：https://doi.org/10.12669/pjms.36.3.1087这是根据Creative Commons归因许可（http://creativommommons.org/licenses/by/3.0）分发的开放式访问文章，只要正确引用原始工作，允许在任何媒体中不受限制使用，分发和再现。
展开▼
