Abstract
Introduction: Non-tuberculous mycobacterial (NTM) infection commonly manifests as subacute or chronic cervicofacial lymphadenitis in immunocompetent children. The optimal management of this pathology remains controversial. Objectives: This international consensus guideline aims to understand the practice patterns for NTM cervicofacial lymphadenitis and to address the primary diagnostic and management challenges. Methods: A modified three-iterative Delphi method was used to establish expert recommendations on the diagnostic considerations, expectant or medical management, and operative considerations. The recommendations herein are derived from current expert consensus and critical review of the literature. Setting: Multinational, multi-institutional, tertiary pediatric hospitals. Results: Consensus recommendations include diagnostic work-up, goals of treatment and management options including surgery, prolonged antibiotic therapy and observation. Conclusion: The recommendations formulated in this International Pediatric Otolaryngology Group (IPOG) consensus statement on the diagnosis and management of patients with NTM lymphadenitis are aimed at improving patient care and promoting future hypothesis generation.
Original language | English (US) |
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Article number | 111469 |
Journal | International journal of pediatric otorhinolaryngology |
Volume | 166 |
DOIs | |
State | Published - Mar 2023 |
Funding
Drs. Jeffrey Yeung (senior author) and Catherine Roy (first author) were the lead authors. All remaining authors are listed in alphabetical order. We are immensely grateful to Dr. Reza Rahbar for providing primary consulting and guidance regarding the design of the consensus recommendations. The authorship list follows the agreement of the members of the IPOG. All authors have contributed to the conception and design of the work, drafting and critical revisions of the consensus recommendations. All authors approved the final version of this manuscript and are in agreement to be accountable for all aspects of the work.
Keywords
- Atypical mycobacteria
- Cervical lymphadenitis
- Consensus recommendations
- Non-tuberculous mycobacteria
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Otorhinolaryngology