Pediatric acute mastoiditis: an Italian multicenter retrospective study of clinical, microbiological, and radiological features

Key Points

• Acute mastoiditis demonstrated common clinical presentations linked to specific microbiological findings, influencing treatment strategies.
• The study reported a high prevalence of antibiotic resistance among identified pathogens, necessitating careful selection of initial therapies.
• Data were collected from multiple centers across Italy, ensuring robust representation of pediatric cases, though regional variances may exist.
• Likely highlights the need for updated clinical guidelines and further research to optimize management of pediatric mastoiditis.