Periorbital cellulitis in children: Analysis of outcome of intravenous antibiotic therapy

Abstract

Periorbital cellulitis is a relatively common ocular disease in the pediatric population. Early diagnosis of this disease with a prompt intervention is critical to avoid vision and life-threatening complications. In the last years, medical therapy has been expanding for the treatment of orbital cellulitis, instead of the standard surgical approach. The purpose of this study was to describe the outcome of treatment with intravenous antibiotic of periorbital cellulitis in children. A retrospective review of all children admitted with periorbital cellulitis in our hospital between January 2002 and July 2013 was conducted. Cases were divided in two subgroups, pre-septal and post-septal infection. The demographics, clinical findings, treatment and outcomes were analyzed. In total 110 children were included, 93 with pre-septal and 17 with post-septal cellulitis. The mean age was 3.5 years in children with pre-septal cellulitis and 5.5 years in those with post-septal cellulitis (p = 0.149). For both subgroups the most common predisposing factor was sinusitis. Intravenous antibiotic therapy was successful in all except one patient with an orbital abscess who required surgical intervention. In our study complete recovery was achieve in all (except for one) children with periorbital cellulitis treated with intravenous antibiotics only.

Orbital Complications of Rhinosinusitis in the Adult Population: Analysis of Cases Presenting to a Tertiary Medical Center Over a 13-Year Period

“…CT, performed in the majority of our patient group, revealed pan-sinusitis in most patients. This is in contrast to the pediatric population, 17 in which ethmoid sinusitis is the leading cause for orbital complications.…”

“…CT, performed in the majority of our patient group, revealed pan-sinusitis in most patients. This is in contrast to the pediatric population, 17 in which ethmoid sinusitis is the leading cause for orbital complications. As intracranial complications are more commonly associated with frontal or sphenoid sinusitis, [18][19][20][21] the multisinus involvement in our patient cohort may account for the fact that 4% of our patients were diagnosed with a concurrent intracranial complication (epidural abscess or cavernous sinus thrombosis).…”

Paediatric periorbital cellulitis: A 10‐year retrospective case series review

“…Compared with other guidelines, 10,16,20,21 it emphasises early multidisciplinary care for patients. Evidence suggests that a multidisciplinary approach improves diagnosis and clinical outcomes, particularly in severe cases 6,22,23 . Adherence to the guideline was only 52%.…”

Clinical Presentation and Risk Factors for Orbital Infections in a Tertiary Hospital

“…This is slightly higher than the report from Goncalves et al study. [17] This could have been prevented by health education on early presentation to health facility. An aggressive health education in Ekiti community to prevent delay in presentation after having an eye emergency was advocated in previous publication.…”