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Acute cervical lymphadenitis in children
Author(s) -
WRIGHT J. E.,
REID I. S.
Publication year - 1987
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1987.tb00244.x
Subject(s) - medicine , penicillin , antibiotics , pediatrics , abscess , retrospective cohort study , surgery , microbiology and biotechnology , biology
A retrospective study of 78 children with acute cervical lymphadenitis treated in Newcastle over the last 9 years revealed that abscesses formed in 50 children despite antibiotic treatment. Children under 2 years of age were more likely to form an abscess than older children. The commonest organism isolated was penicillin‐resistant Staphylococcus . Beta‐haemolytic Streptococcus was isolated less commonly and isolation of penicillin‐sensitive staphylococci was rare. Penicillin and amoxycillin alone are unsuitable as first line antibiotics. Severe infections and those failing to respond rapidly to initial antibiotic treatment should be admitted to a paediatric unit for intravenous beta‐lactamase‐resistant antibiotics.