FRECUENCY OF EXTRACRANIAL COMPLICATIONS OF OTITIS MEDIA IN PACIENTS HOSPITALIZED IN DECONCENTRATED SERVICE OF PEDIATRIC HOSPITAL "DR. AGUSTÍN ZUBILLAGA" BARQUISIMETO, STATE OF LARA

Abstract

Acute Otitis Media (AOM) and chronic otitis media (COM) are responsible for extracranial acute complications, which are reported to be common in the pediatric population, despite the advent of antibiotics. For this reason a descriptive study which consisted in the review of medical records of all hospitalized patients was performed, with the population studied in the period 2011 - 2015 with the above diagnoses, obtaining a sample of 23 patients who presented extracranial complications. The main objective was to determine the frequency of the extracranial complications of Otitis Media in hospitalized patients in the Deconcentrated Service of Pediatric Hospital "Dr. Agustín Zubillaga". Patients were classified according to age and sex, resulting in an average age of 4.05 years and a male predominance in sex. The most common extracranial complication was Acute Mastoiditis in a 60,86%, followed by retroauricular abscess. Variables such as time of disease progression and length of hospital stay were studied. The most commonly antibiotic used was the combination of Ceftriaxone-Clindamycin followed by the use of Ceftriaxone and Ampicillin-Sulbactam as monotherapy. The results obtained in this study were compared with those described in the literature and found great similarities with work done both Latin America and other continents. Concluding that despite a decrease in the development of these complications are still a health problem that should not be underestimated, watching developments closely.