Document Detail

Orbital cellulitis in Scotland: current incidence, aetiology, management and outcomes.
MedLine Citation:
PMID:  24939424     Owner:  NLM     Status:  Publisher    
PURPOSE: Orbital cellulitis is a potentially blinding and life-threatening condition. There are little published data on the incidence of orbital cellulitis and little is known about the differences between children and adults affected. The purpose of this study was to identify the incidence, aetiology, management and outcome of orbital cellulitis in children and adults in Scotland.
METHODS: This study was a 1-year prospective observational study using the Scottish Ophthalmic Surveillance Unit reporting system among Scottish ophthalmologists.
RESULTS: The response rate from ophthalmologists was 66.4%. There were 15 children and 5 adults reported giving an incidence of 1.6 per 100 000 and 0.1 per 100 000 in children and adults, respectively. 47% of children had a preceding upper respiratory tract infection with 87% having radiological evidence of sinus disease. Within the adult group, there was preceding immunosuppression and trauma. Streptococcus (66%) and Haemophilus (46%) species were the most commonly isolated pathogens in children. Respiratory pathogens were less predictable in adults. All patients were treated with intravenous antibiotics. All children with orbital and subperiosteal abscesses had surgery; one adult with orbital abscess did not have surgery. There were two cases of series morbidity: one intracranial spread of infection and one evisceration.
DISCUSSION: The incidence of orbital cellulitis is higher in children than in adults. In children, it commonly follows upper respiratory infection and sinus disease; however, in adults, preceding illness and trauma are more common. Respiratory pathogens are common in affected children. Intravenous antibiotics and surgical treatment of abscesses remain the preferred management.
C Murphy; I Livingstone; B Foot; H Murgatroyd; C J MacEwen
Related Documents :
3771774 - Rate of campylobacter spp. isolation in three regions of ontario, canada, from 1978 to ...
6327844 - Rotavirus carriage, asymptomatic infection, and disease in the first two years of life....
18788254 - Rotavirus infection in four states in north-western nigeria.
23007794 - Serum 25-hydroxyvitamin d, osteocalcin, and parathormone status in children with mening...
9717524 - Is t-cell acute lymphoblastic leukemia still a high risk leukemia in children?
15456684 - Examination of verbal memory and recall time in children with attention deficit hyperac...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-6-17
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  -     ISSN:  1468-2079     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-6-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Microbiological isolates and antibiotic sensitivities in culture-proven endophthalmitis: a 15-year r...
Next Document:  Co-infusion of low-dose glucagon-like peptide-1 (GLP-1) and glucagon in man results in a reduction i...