International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis

Catherine F. Roy; Karthik Balakrishnan; An Boudewyns; Alan Cheng; Robert H. Chun; Sam J. Daniel; Pierre Fayoux; Catherine Hart; Ann Hemansson; Richard Hewitt; Wei Chung Hsu; Michael Kuo; Christopher Liu; John Maddalozzo; Anna H. Messner; Seth Pransky; Reza Rahbar; Scott Rickert; Soham Roy; John Russell; Michael J. Rutter; Kathleen C.Y. Sie; Douglas Sidell; Richard Smith; Marlene Soma; Jorge Spratley; Karen Watters; David R. White; Nikolaus Wolter; George Zalzal; Jeffrey C. Yeung

doi:10.1016/j.ijporl.2023.111469

International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis

Catherine F. Roy, Karthik Balakrishnan, An Boudewyns, Alan Cheng, Robert H. Chun, Sam J. Daniel, Pierre Fayoux, Catherine Hart, Ann Hemansson, Richard Hewitt, Wei Chung Hsu, Michael Kuo, Christopher Liu, John Maddalozzo, Anna H. Messner, Seth Pransky, Reza Rahbar, Scott Rickert, Soham Roy, John RussellMichael J. Rutter, Kathleen C.Y. Sie, Douglas Sidell, Richard Smith, Marlene Soma, Jorge Spratley, Karen Watters, David R. White, Nikolaus Wolter, George Zalzal, Jeffrey C. Yeung

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

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)
Article number	111469
Journal	International Journal of Pediatric Otorhinolaryngology
Volume	166
DOIs	https://doi.org/10.1016/j.ijporl.2023.111469
State	Published - Mar 2023

Keywords

Atypical mycobacteria
Cervical lymphadenitis
Consensus recommendations
Non-tuberculous mycobacteria

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Otorhinolaryngology

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10.1016/j.ijporl.2023.111469

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Roy, C. F., Balakrishnan, K., Boudewyns, A., Cheng, A., Chun, R. H., Daniel, S. J., Fayoux, P., Hart, C., Hemansson, A., Hewitt, R., Hsu, W. C., Kuo, M., Liu, C., Maddalozzo, J., Messner, A. H., Pransky, S., Rahbar, R., Rickert, S., Roy, S., ... Yeung, J. C. (2023). International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis. International Journal of Pediatric Otorhinolaryngology, 166, Article 111469. https://doi.org/10.1016/j.ijporl.2023.111469

International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis. / Roy, Catherine F.; Balakrishnan, Karthik; Boudewyns, An et al.
In: International Journal of Pediatric Otorhinolaryngology, Vol. 166, 111469, 03.2023.

Research output: Contribution to journal › Article › peer-review

Roy, CF, Balakrishnan, K, Boudewyns, A, Cheng, A, Chun, RH, Daniel, SJ, Fayoux, P, Hart, C, Hemansson, A, Hewitt, R, Hsu, WC, Kuo, M, Liu, C, Maddalozzo, J, Messner, AH, Pransky, S, Rahbar, R, Rickert, S, Roy, S, Russell, J, Rutter, MJ, Sie, KCY, Sidell, D, Smith, R, Soma, M, Spratley, J, Watters, K, White, DR, Wolter, N, Zalzal, G & Yeung, JC 2023, 'International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis', International Journal of Pediatric Otorhinolaryngology, vol. 166, 111469. https://doi.org/10.1016/j.ijporl.2023.111469

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title = "International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis",

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.",

keywords = "Atypical mycobacteria, Cervical lymphadenitis, Consensus recommendations, Non-tuberculous mycobacteria",

author = "Roy, {Catherine F.} and Karthik Balakrishnan and An Boudewyns and Alan Cheng and Chun, {Robert H.} and Daniel, {Sam J.} and Pierre Fayoux and Catherine Hart and Ann Hemansson and Richard Hewitt and Hsu, {Wei Chung} and Michael Kuo and Christopher Liu and John Maddalozzo and Messner, {Anna H.} and Seth Pransky and Reza Rahbar and Scott Rickert and Soham Roy and John Russell and Rutter, {Michael J.} and Sie, {Kathleen C.Y.} and Douglas Sidell and Richard Smith and Marlene Soma and Jorge Spratley and Karen Watters and White, {David R.} and Nikolaus Wolter and George Zalzal and Yeung, {Jeffrey C.}",

note = "Publisher Copyright: {\textcopyright} 2023",

year = "2023",

month = mar,

doi = "10.1016/j.ijporl.2023.111469",

language = "English (US)",

volume = "166",

journal = "International Journal of Pediatric Otorhinolaryngology",

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T1 - International Pediatric Otolaryngology Group

T2 - Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis

AU - Roy, Catherine F.

AU - Balakrishnan, Karthik

AU - Boudewyns, An

AU - Cheng, Alan

AU - Chun, Robert H.

AU - Daniel, Sam J.

AU - Fayoux, Pierre

AU - Hart, Catherine

AU - Hemansson, Ann

AU - Hewitt, Richard

AU - Hsu, Wei Chung

AU - Kuo, Michael

AU - Liu, Christopher

AU - Maddalozzo, John

AU - Messner, Anna H.

AU - Pransky, Seth

AU - Rahbar, Reza

AU - Rickert, Scott

AU - Roy, Soham

AU - Russell, John

AU - Rutter, Michael J.

AU - Sie, Kathleen C.Y.

AU - Sidell, Douglas

AU - Smith, Richard

AU - Soma, Marlene

AU - Spratley, Jorge

AU - Watters, Karen

AU - White, David R.

AU - Wolter, Nikolaus

AU - Zalzal, George

AU - Yeung, Jeffrey C.

PY - 2023/3

Y1 - 2023/3

N2 - 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.

AB - 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.

KW - Atypical mycobacteria

KW - Cervical lymphadenitis

KW - Consensus recommendations

KW - Non-tuberculous mycobacteria

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SN - 0165-5876

VL - 166

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

M1 - 111469

ER -

International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis

Abstract

Keywords

ASJC Scopus subject areas

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