Brain abscess epidemiology and demographics: Difference between revisions

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==Overview==
==Overview==
There has been a remarkable shift in the epidemiology of [[brain abscess]]es over the past several years. Traditionally, and still the case in underdeveloped countries, most brain abscesses are due to un/under-treated [[otitis]] and [[sinusitis]].  More recently, especially in the U.S., more cases are being seen in immunocompromised patients.
There has been a remarkable shift in the epidemiology of brain abscess over the past several years. Due to advanced treatments of the ear, sinus, and orofacial infections within the last half century, brain abscess occurrences are now rare, only present in about 1,500 to 2,500 infections each year in the United States.<ref name="pmid19665086">{{cite journal |vauthors=Honda H, Warren DK |title=Central nervous system infections: meningitis and brain abscess |journal=Infect. Dis. Clin. North Am. |volume=23 |issue=3 |pages=609–23 |year=2009 |pmid=19665086 |doi=10.1016/j.idc.2009.04.009 |url=}}</ref>


==Epidemiology and Demographics==
==Epidemiology and Demographics==
The prevalence of brain abscesses:
===Prevalence===
* Accounts for approximately 1 in 10,000 hospital admissions.  
*The prevalence of brain abscess accounts for approximately 1 in 10,000 hospital admissions.<ref> Brain Abscess. MedMerits (2011). http://www.medmerits.com/index.php/article/brain_abscess Accessed on October 7, 2015</ref>
* Is seen in 0.18 – 1.3 % of autopsies.  
* After penetrating trauma or neurosurgical procedures, the prevalence ranges from 2-14%.<ref name="pmid19665086">{{cite journal |vauthors=Honda H, Warren DK |title=Central nervous system infections: meningitis and brain abscess |journal=Infect. Dis. Clin. North Am. |volume=23 |issue=3 |pages=609–23 |year=2009 |pmid=19665086 |doi=10.1016/j.idc.2009.04.009 |url=}}</ref>
* Is present in a 1.5:2.1 ration in males to females.  
 
* Displays a bimodal age distribution of 25% of cases  
===Age===
** In children less than 15 years of age (a mean of 4-7 years).  
* Brain abscess can arise due to paranasal infections<font color="#777777"> </font>in patients ages 10 to 30.
** In adults peaking at 30-50 years of age.
* It is uncommon in children, yet has a peak incidence seen in ages 4 to 7.<ref name="source1">Sinusitis. Cleveland Clinic (2000-2015). http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/rhino-sinusitis/ Accessed on October 19th, 2015</ref>
 
===Gender===
* Brain abscess occurrence is more common in males than in females.<ref name="source1">Sinusitis. Cleveland Clinic (2000-2015). http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/rhino-sinusitis/ Accessed on October 19th, 2015</ref>
 
===Developed Countries===
* More cases are being seen in [[immunocompromised]] patients, especially in the United States.
* There has been an advancement of treatment, making brain abscess occurrence more rare.<ref name="pmid19665086">{{cite journal |vauthors=Honda H, Warren DK |title=Central nervous system infections: meningitis and brain abscess |journal=Infect. Dis. Clin. North Am. |volume=23 |issue=3 |pages=609–23 |year=2009 |pmid=19665086 |doi=10.1016/j.idc.2009.04.009 |url=}}</ref>
 
===Underdeveloped Countries===
* Most brain abscesses are due to un/under-treated [[otitis]] and [[sinusitis]].<ref name="source1">Sinusitis. Cleveland Clinic (2000-2015). http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/rhino-sinusitis/ Accessed on October 19th, 2015</ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Neurosurgery]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Neurosurgery]]
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Latest revision as of 20:40, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]

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Overview

There has been a remarkable shift in the epidemiology of brain abscess over the past several years. Due to advanced treatments of the ear, sinus, and orofacial infections within the last half century, brain abscess occurrences are now rare, only present in about 1,500 to 2,500 infections each year in the United States.[1]

Epidemiology and Demographics

Prevalence

  • The prevalence of brain abscess accounts for approximately 1 in 10,000 hospital admissions.[2]
  • After penetrating trauma or neurosurgical procedures, the prevalence ranges from 2-14%.[1]

Age

  • Brain abscess can arise due to paranasal infections in patients ages 10 to 30.
  • It is uncommon in children, yet has a peak incidence seen in ages 4 to 7.[3]

Gender

  • Brain abscess occurrence is more common in males than in females.[3]

Developed Countries

  • More cases are being seen in immunocompromised patients, especially in the United States.
  • There has been an advancement of treatment, making brain abscess occurrence more rare.[1]

Underdeveloped Countries

References

  1. 1.0 1.1 1.2 Honda H, Warren DK (2009). "Central nervous system infections: meningitis and brain abscess". Infect. Dis. Clin. North Am. 23 (3): 609–23. doi:10.1016/j.idc.2009.04.009. PMID 19665086.
  2. Brain Abscess. MedMerits (2011). http://www.medmerits.com/index.php/article/brain_abscess Accessed on October 7, 2015
  3. 3.0 3.1 3.2 Sinusitis. Cleveland Clinic (2000-2015). http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/rhino-sinusitis/ Accessed on October 19th, 2015

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