CLINICAL CHARACTERISTICS AND TREATMENT APPROACHES OF PRESEPTAL CELLULITIS IN CHILDREN: A FIVE-YEAR EXPERIENCE

Öz

OBJECTIVE: Preseptal cellulitis is a common pediatric infection with a generally favorable prognosis; however, delayed diagnosis may lead to serious complications. This study aimed to evaluate the clinical characteristics, predisposing factors, and treatment approaches in children with preseptal cellulitis.
MATERIAL AND METHODS: This retrospective study included children aged 0–18 years diagnosed with preseptal cellulitis between November 2019 and November 2024. Demographic data, clinical findings, radiological imaging, treatment modality, and antibiotic regimens were reviewed and analyzed.
RESULTS: A total of 191 patients were included, with a mean age of 5.8 ± 4.0 years; 51.8% were male. Eyelid swelling was the most common presenting symptom. Conjunctivitis was the leading predisposing factor, followed by sinusitis and insect bites. Radiological imaging was performed in more than half of the patients and was more frequently required in cases associated with rhinosinusitis. All patients received antibiotic therapy. Oral co-amoxiclav was used in 35.6% of patients with mild disease managed on an outpatient basis, while 64.4% required inpatient treatment with intravenous antibiotics, most commonly combination regimens.
CONCLUSIONS: Preseptal cellulitis primarily affects young children and is often associated with conjunctivitis. While many patients can be successfully treated with oral antibiotics, intravenous combination therapy is frequently required in hospitalized cases. Early recognition and appropriate antibiotic management are essential to ensure favorable outcomes.

Anahtar Kelimeler

• Preseptal Cellulitis
• Children
• Predisposing Factors
• Treatment Modality
• Antibiotic Therapy

ÇOCUKLARDA PRESEPTAL SELÜLİTİN KLİNİK ÖZELLİKLERİ VE TEDAVİ YAKLAŞIMLARI: BEŞ YILLIK DENEYİM

Öz

AMAÇ: Preseptal selülit, genellikle iyi prognozlu olan, çocukluk çağında sık görülen bir enfeksiyondur; ancak tanıda gecikme ciddi komplikasyonlara yol açabilir. Bu çalışmada, preseptal selülit tanısı alan çocuklarda klinik özelliklerin, predispozan faktörlerin ve tedavi yaklaşımlarının değerlendirilmesi amaçlandı.
GEREÇ VE YÖNTEM: Bu retrospektif çalışmaya, Kasım 2019 ile Kasım 2024 tarihleri arasında preseptal selülit tanısı alan 0–18 yaş arası çocuklar dahil edildi. Demografik veriler, klinik bulgular, radyolojik görüntüleme, tedavi yöntemi ve antibiyotik rejimleri incelendi ve analiz edildi.
BULGULAR: Toplam 191 hasta çalışmaya dahil edildi; hastaların ortalama yaşı 5,8 ± 4,0 yıl olup, %51,8’i erkekti. En sık başvuru semptomu göz kapağı şişliğiydi. Konjonktivit en sık predispozan faktör olup, bunu sinüzit ve böcek ısırıkları izledi. Radyolojik görüntüleme hastaların yarısından fazlasında yapılmış olup, rinosinüzit ile ilişkili olgularda daha sık gerekli olduğu görüldü. Tüm hastalar antibiyotik tedavisi aldı. Ayaktan izlenen hafif hastalığı olan olguların %35,6’sında oral amoksisilin–klavulanat kullanılırken, %64,4’ü hastaneye yatırılarak intravenöz antibiyotiklerle, en sık kombinasyon rejimleri ile tedavi edildi.
SONUÇ: Preseptal selülit öncelikle küçük çocukları etkilemekte ve sıklıkla konjonktivit ile ilişkili görülmektedir. Birçok hasta oral antibiyotiklerle başarıyla tedavi edilebilirken, hastaneye yatırılan olgularda intravenöz kombinasyon tedavisi sıklıkla gerekmektedir. Erken tanı ve uygun antibiyotik tedavisi, olumlu klinik sonuçların sağlanması açısından önemlidir.

Anahtar Kelimeler

• Preseptal Selülit
• Çocuklar
• Predispozan Faktörler
• Tedavi Yöntemi
• Antibiyotik Tedavisi

Kaynakça

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